Wide range of sleep-related disorders associated with abnormal sexual behaviors, experiences

nfusional arousals, or CAs (with or without obstructive sleep apnea, or OSA)

B. Sleepwalking

C. REM sleep behavior disorder

II. Sleep-related sexual seizures (sexual vocalizations, libidinal hyperarousal, genital arousal, ictal orgasm, sexual automatisms, aggressive sexual behaviors)

III. Sleep disorders with abnormal sexual behaviors during wakefulness and wake-sleep transitions

    A. Kleine-Levin syndrome (KLS), a rare sleep disorder characterized by recurrent and unusually long episodes of hypersomnia.

      1. Broad range of hypersexual and deviant sexual arousal and behaviors

    B. Severe chronic insomnia

      1. Increased libido, genital arousal, compulsive sexual behaviors

    C. Restless legs syndrome

      1. Masturbation, rhythmic pelvic/coital-like movements

IV. Special Clinical Considerations

    A. Narcolepsy

      1. Compelling sexual hypnagogic/hypnopompic hallucinations and REM- onset dream attacks, cataplectic orgasm

    B. Sleep exacerbation of persistent sexual arousal syndrome

      1. Genital-sensory sexual arousal without increased libidinal arousal; sexual behaviors

    C. Sleep-related painful erections and increased sexual activity

      1. Increased sexual behaviors masturbation and intercourse

    D. Sleep-related dissociative disorders

      1. Pelvic movements and other sexualized behaviors, attempted reenactments of past sexual/physical abuse scenarios

    E. Nocturnal psychotic disorders

      1. Sexual delusions/hallucinations after awakenings

    F. Miscellaneous sleep and sex associations

      1. Masturbation, sexual intercourse, sexual hypnagogic/hypnopompic hallucinations with sleep paralysis'"/>

    Contact: Jim Arcuri
    American Academy of Sleep Medicine

    Page: 1 2 3

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