Parasomnias are undesirable behavioral or physiological events that occur during sleep, such as sleepwalking. One unusual parasomnia is referred to as sexsomnia. Due to embarrassment, it is rarely brought to the attention of physicians or other healthcare workers. Activities associated with sexsomnia may range from simple masturbation to vaginal and anal intercourse, being performed while asleep. It is frequently disturbing to the bed partner and can lead to relationship problems; if not addressed.
It is important to realize, that these behaviors are involuntary. In fact, in the majority of cases, they are at variance with the person’s usual wakeful sexual behaviors. Sexsomnia usually results in great embarrassment and mortification, on the part of the person perpetrating these acts. When they are informed of what has transpired, they usually respond with disbelief. This is because in most instances, there is complete amnesia for the act.
Our understanding of this disorder has improved remarkably over the last few years. We now know that sexsomnia is more common in those who evidence other parasomnias, such as sleepwalking and night terrors. We have discovered that sexsomnia can be precipitated by stress, alcohol, insufficient sleep and primary sleep disorders, such as Sleep Apnea. Most importantly, there are now excellent medical and behavioral therapies available for this disorder. It no longer needs to be hidden away; as the “thing we never talk about”. This is a medical disorder that can be successfully treated.
