How might bipolar disorder affect sexuality?

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Bipolar disorder is a mental illness characterized by periods of mania and depression. During manic episodes, a person feels excessively “high” and energetic. He or she may have trouble sleeping and engage in reckless behaviors. In contrast, symptoms of depressive episodes include sadness, tiredness, and trouble concentrating.

These mood fluctuations can affect sexual feelings and behaviors, too. Sexual changes don’t happen to everyone with bipolar disorder, but it’s important to know what to look for.

During Manic Episodes – Hypersexuality

Many people with bipolar disorder feel hypersexual during times of mania. They think about sex constantly, and their sexual urges can be difficult to satisfy. During such periods, people may masturbate more, want more sex with their partner, or use pornography more often. They might seek sex with multiple partners or people they don’t know well. And they might engage in risky behaviors, such as unprotected intercourse, which can lead to unplanned pregnancy and sexually transmitted infections.

During Depressive Episodes – Hyposexuality

During a depressive period, people with bipolar disorder may lose interest in sex completely. Some feel unattractive and give up on bathing and grooming.

Some medications that treat bipolar disorder can have side effects that dampen sex drive, too.

Effects on Partners

The sexual ups and downs associated with bipolar disorder can be challenging for partners.

During manic periods, they may find themselves unable to keep up with their partner’s heightened libido. Relationships can suffer if infidelity occurs. And there can be health risks if the hypersexual partner has had unprotected sex with others.

During depressive episodes, partners may feel frustrated if sex comes to a standstill, especially if they have enjoyed sex in the past. They may also worry that the hyposexual partner is no longer interested in them sexually or become anxious about the state of the relationship.

In many cases, hypersexuality and hyposexuality can be managed by controlling bipolar disorder. It’s essential for bipolar patients to take their medications and follow other treatment protocols exactly as prescribed. If they notice any changes, they should let their doctor know.

It’s important for partners to understand bipolar disorder and its effects on sexuality, too. Counseling and sex therapy can help both members of a couple work through any relationship difficulties.

Resources

EverydayHealth.com

Rodriguez, Diana

“Hypersexuality and Bipolar Disorder: When Impulsive Sexual Behavior Is Part of a Manic Episode”

(April 30, 2018)

https://www.everydayhealth.com/bipolar-disorder/bipolar-disorder-and-sex.aspx

HealthCentral.com

McManamy, John

“Bipolar and Sex: 9 Things You Should Know”

(July 24, 2018)

https://www.healthcentral.com/slideshow/5-things-to-keep-in-mind-in-bipolar-sexual-relationships#slide=1

Medical News Today