Can alcoholism cause hypersexuality?

Written by Brandon Okey. Mina Draskovic, B.Psy., reviewed this content for accuracy.

Heavy drinking often goes hand in hand with hypersexual behavior. Alcohol lowers your inhibitions and messes with your brain chemistry, which can crank up sexual desire and lower impulse control.

A 2023 study published in Frontiers in Psychiatry proposes that about 40% of people with addiction, including alcohol use disorder (AUD), exhibit hypersexuality as a response to traumatic experiences. For some people, the combination of booze and heightened arousal leads to risky or excessive sexual behavior they might not engage in when sober.

You don’t need to battle your alcohol addiction. Ardu’s alcohol rehab program addresses substance abuse and related sexual issues and provides comprehensive care to help you regain control and build a healthier life.

What is hypersexuality?

Hypersexuality is when someone’s sexual thoughts, urges, or behaviors become excessive or out of control. It’s not just about having a high sex drive or having multiple sexual partners; it’s more about feeling compelled to engage in sexual activities to a point where it interferes with daily life.

Indian researchers propose hypersexual disorder (HSD) as a diagnostic category by Kafka, with specific criteria including recurrent sexual fantasies, urges, or behaviors over at least six months. A 2023 study suggests that hypersexuality shouldn’t be defined solely by the number of sexual encounters, but also by the intensity of sexual preoccupation and its impact on daily life.

While not officially recognized in major diagnostic manuals as a mental health disorder, HSD is characterized by sexual behaviors that cause significant personal distress or impairment in social, occupational, or other important areas of functioning.

Symptoms of hypersexuality

While a healthy sex drive varies from person to person, certain behaviors and patterns indicate an unhealthy preoccupation with sexual thoughts and activities.

The following 15 indicators may suggest a person is struggling with hypersexual behavior:

Obsessive sexual thoughts that are difficult to control
Excessive time spent on sexual activities or planning sexual encounters
Frequent masturbation (multiple times daily)
Compulsive use of pornography
Engaging in risky sexual behaviors despite potential consequences
Multiple sexual partners or frequent one-night stands
Inability to maintain committed relationships
Continued sexual behavior despite wanting to stop
Difficulty concentrating on non-sexual tasks
Neglecting work, social, or family obligations
Using sex to cope with stress, anxiety, or other emotional issues
Feeling guilty or ashamed about sexual behaviors but unable to control them
Financial problems as a result of spending on sexual activities or pornography
Legal issues related to sexual behavior (e.g., solicitation)
Relationship problems resulting from infidelity or excessive sexual demands

If you recognize several of these signs in yourself or someone else, seek professional help. Mental health experts can provide support, develop tailored treatment plans, and help uncover the root causes driving these behaviors.

Factors that contribute to hypersexuality

Hypersexuality is a complex condition. Its development and maintenance stem from biological, psychological, and social elements.

Biological connections

The body’s internal processes and structures influence sexual behavior. Certain biological elements contribute to a heightened and persistent sexual drive, including:

Hormonal imbalances, particularly elevated testosterone levels.
Neurotransmitter dysregulation, especially in dopamine and serotonin systems.
Genetic predisposition to addictive behaviors.
Brain structure abnormalities, particularly in regions controlling impulse and reward.
Certain neurological conditions (e.g., dementia, Parkinson’s disease).

Psychological factors

A person’s mental state, past experiences, and coping mechanisms often shape the development of hypersexuality. The psychological elements that fuel compulsive sexual behavior may include:

History of trauma or abuse, especially sexual abuse.
Mental health disorders (e.g., bipolar disorder, obsessive-compulsive disorder).
Poor impulse control and emotional regulation.
Low self-esteem and insecurity.
Sex as a coping mechanism for stress, anxiety, or depression.

Social implications

The environment we live in and the society we interact with shape our sexual attitudes and behaviors. For individuals with hypersexuality, the following external influences may exacerbate or trigger excessive sexual preoccupation:

Exposure to hypersexualized media and pornography from an early age
Cultural attitudes and norms regarding sexuality
Peer pressure and social expectations
Relationship difficulties or attachment issues
Substance abuse and its impact on decision-making and inhibitions

The relationship between alcoholism and hypersexuality

Chronic alcohol abuse can fundamentally alter brain chemistry and sexual functioning to trigger or exacerbate hypersexual tendencies. This intricate relationship between alcoholism and hypersexuality creates a challenging cycle that can significantly impact an individual’s mental health, relationships, and overall well-being.

A 2023 article published by the Texan Department of Criminal Justice and Social Work found that sexual trauma often causes hypersexual behavior, but alcohol plays a significant role. Some people who’ve experienced sexual victimization might turn to drinking as a way to cope with their trauma. This drinking, in turn, increases the likelihood that they’ll engage in hypersexual behaviors and creates a complex relationship between trauma, alcohol, and sexual behavior.

The article also maintains that frequent alcohol consumption is associated with higher scores on the Hypersexual Behavior Inventory (HBI), particularly on the coping and control subscales. This indicates that heavy alcohol use may increase the use of sex as a coping strategy and reduce control over sexual impulses.

Salari, et. al. point to a complicated relationship between alcohol-related sexual dysfunction in women and hypersexuality. Alcohol slows brain activity and reduces blood flow, which can make it harder to get aroused or feel anything. Heavy drinking also decreases lubrication and lowers the chances of reaching orgasm.

Interestingly, some women might respond to these problems by swinging between hypersexual behavior and sexual dysfunction, using one to cope with the other.

Alcohol’s effects on your sexual health can be confusing and harmful. If you’re ready to break this cycle, our alcohol detox center prepares you for that crucial first step. Our medical team will guide you safely through withdrawal and pave the way for a healthier relationship with alcohol and intimacy.

Why does alcohol make you sexually active?

Heavy alcohol consumption can significantly impact sexual behavior and lead to or exacerbate hypersexuality. For those struggling with alcoholism, this connection is complex and problematic because it reinforces addictive patterns and leads to a cycle of alcohol abuse and risky sexual behavior.

Here’s how alcohol can fuel sexual behavior:

Alcohol impairs judgment and decision-making abilities. This impairment often results in riskier sexual decisions, including choosing inappropriate partners or engaging in unsafe activities.
By lowering inhibitions, alcohol makes people more likely to act on sexual impulses they might normally suppress.
The substance increases physical arousal by boosting blood flow to sexual organs and enhancing sexual desire.
Alcohol alters brain chemistry. It disbalances dopamine and serotonin levels to intensify pleasure sensations associated with sexual activity.
Drinking often creates social environments, such as bars or parties, where sexual encounters are more likely to occur.
Many people use alcohol as a coping mechanism for sexual anxiety or performance issues, which often leads to dependency.
Alcohol consumption increases the risk of sexual aggression and decreases the ability to recognize or respect non-consent.
The “beer goggles” effect caused by alcohol can alter the perception of attractiveness and facilitate sexual encounters that might not occur when sober.
Drinking significantly increases the likelihood of engaging in unprotected sex, which raises the risk of sexually transmitted infections.
Alcohol impairs brain function and can cause memory blackouts. It makes you confused or uncertain about sexual encounters that took place while intoxicated.
While it initially increases arousal and desire, chronic alcohol use often leads to long-term sexual dysfunction.

Struggling with alcohol’s impact on your sexual behavior? Ardu can help you break free from this destructive cycle. Our alcohol rehabilitation program addresses your drinking and its effects on your overall well-being. We offer a safe, medically supervised detox program to begin your recovery journey on the right foot.

Reach out to Ardu today and take the first step towards reclaiming control over your drinking and sexual health.

When to seek help

The line between a healthy sex drive and compulsive sexual behavior isn’t always clear, so it’s challenging to recognize when hypersexual behavior has become problematic. When sexual thoughts, urges, or behaviors start interfering with daily life or causing distress, it may be time to seek professional help.

If you’re wondering whether your sexual behavior has become problematic, here are some signs that it may be time to consult a professional:

You feel your sexual behavior is out of control.
Attempts to reduce or stop sexual activities have failed repeatedly.
You’re using sexual intercourse as your primary coping mechanism for stress or emotional pain.
Sexual preoccupations are affecting your mental health, causing or exacerbating anxiety or depression.
You’re experiencing escalating demands for sexual gratification.
There’s a pattern of failed relationships.
You find yourself lying or being secretive about sexual activities.
Sexual behavior is causing physical health problems or putting you at risk.
You’re concerned about the potential long-term consequences of your sexual behavior.

The decision to seek help for hypersexuality is an important first step toward recovery. If alcohol addiction and hypersexual behavior impact your life, Ardu can help you with alcohol and substance abuse, which often causes hypersexual behaviors.

Your path to sobriety starts at Ardu

Our comprehensive program addresses both your drinking and its impact on your sexuality. Whether you’re dealing with alcohol-fueled hypersexuality, using sex to cope with drinking urges, or experiencing sexual dysfunction due to alcohol abuse, we’re here to help. With our personalized approach, you’ll receive the care you need to take back control and strengthen your relationships with yourself.

Here’s what we offer:

Inpatient treatment: For those needing intensive care, our residential program provides 24/7 support and a structured environment to address alcohol addiction and hypersexuality.
Outpatient options: We offer flexible treatment schedules for those who can’t commit to full-time residential care. You maintain work or family responsibilities while getting help.
Dual diagnosis treatment: Many people struggling with alcohol and sexual issues may have underlying mental health conditions. Our expert team provides integrated care to address all aspects of your well-being.
Cognitive behavioral therapy (CBT): Learn to identify and change harmful thought patterns related to both alcohol and sex, developing healthier coping mechanisms.
Specialized sex addiction counseling: Our trained therapists help you understand and manage compulsive sexual behaviors while addressing alcohol’s role in these issues.
Mindfulness and stress management: Develop techniques to handle urges and emotional triggers without turning to alcohol or sex.
Group therapy: Connect with others facing similar challenges, build a support network, and improve social skills that may have been impacted by alcohol use.
Family therapy: We involve loved ones in the healing process to address relationship issues that may have arisen from alcohol abuse and sexual behavior problems.

Ready to take the first step? Give us a call to learn more about how we can support your journey to recovery.

Brandon Okey is the co-founder of Ardu Recovery Center and is dedicated to empowering people on their journey to sobriety.

Alcohol and hypersexuality FAQ

Does alcohol make you attracted to someone?

Alcohol can make you feel more attracted to someone, primarily because it lowers inhibitions and impairs judgment. When you drink, your brain’s reward system is stimulated and increases feelings of pleasure and desire. This can boost sexual arousal and attraction, even towards individuals you might not typically find attractive when sober.

Alcohol’s effects on impulse control lead to risky behaviors, such as engaging in sexual experiences without considering long-term consequences, which contributes to patterns of failure in relationships. Alcohol-induced attraction often has negative consequences, such as unwanted sexual encounters or risky sexual behaviors.

Do attractive people drink more?

There is no definitive link between physical attractiveness and alcohol consumption, but social dynamics can influence drinking behaviors. Attractive individuals may find themselves in more social situations where alcohol is readily available, such as parties or events. Peer pressure and the desire to fit in socially can lead to higher alcohol consumption among those perceived as attractive. Personality traits, mental health conditions, and environmental factors often play a bigger role in determining drinking habits than appearance.

Why is alcohol so seductive?

Alcohol’s seductive nature comes from its ability to alter mood, lower inhibitions, and heighten emotions. By affecting the brain’s reward system, alcohol creates a sense of euphoria that makes people feel more relaxed and confident. This can lead to increased impulsive behavior, risky sexual experiences, and an illusion of attraction. The idea of alcohol being seductive is tied to how it impacts social interactions and how it makes people feel more open and adventurous.

The seductive effects of alcohol come with a downside because excessive consumption can lead to negative consequences such as substance use disorder, impulsive sexual decisions, and addiction. Alcohol’s ability to influence behavior often contributes to compulsive or risky actions.

Does alcohol increase testosterone?

While moderate alcohol consumption may temporarily increase testosterone levels, chronic alcohol use generally has the opposite effect—it reduces testosterone production over time. Excessive alcohol consumption can disrupt the body’s hormonal balance, lowering testosterone levels, sexual dysfunction, and libido. This reduction in testosterone can also negatively impact mood and contribute to mood disorders and compulsive behaviors.

What is a happy drunk?

A “happy drunk” refers to someone who becomes more cheerful, relaxed, and sociable after consuming alcohol. Alcohol influences the brain’s neurotransmitters, especially dopamine, to enhance mood and feelings of pleasure. Some people may experience a significant boost in mood, becoming the life of the party, and engaging in more positive social interactions.

But not everyone reacts this way because alcohol also exacerbates underlying mental health issues and makes some people engage in aggressive or risky behaviors. Being a “happy drunk” is often a result of both personality traits and alcohol’s short-term effects on impulse control and emotional regulation. Long-term alcohol use, though, can lead to negative consequences, including mental disorders and addictive behaviors.

Which drugs cause hypersexuality?

Hypersexuality can be triggered by several drugs, including stimulants such as cocaine, amphetamines, and illicit drugs such as methamphetamine. These substances enhance dopamine release in the brain and increase feelings of sexual arousal and impulsive behaviors. Individuals with substance use disorder often report heightened sexual desire while under the influence of these drugs, which often leads to risky sexual experiences and potential legal or personal consequences.

Certain psychiatric medications, including those used to treat Parkinson’s disease or mood disorders, can also cause hypersexual behavior as a side effect. These drugs disrupt impulse control and trigger compulsive sexual behavior, which can negatively impact personal relationships and quality of life.

Is it healthy to be hypersexual?

Hypersexuality disorder or compulsive sexual behavior is not healthy. People with hypersexuality often struggle to control their impulses, leading to risky sexual behaviors and disruptions in daily functioning. Sexual addiction can be associated with other mental health conditions, such as mood disorders or impulse control disorders, and may require treatment from a mental health professional.

Left untreated, sexual addiction can negatively affect personal relationships, lead to sexual addiction, and reduce quality of life. Commitment therapy and sometimes medical intervention may be necessary to help manage compulsive behaviors and improve overall mental health.

How do people with hypersexuality act?

People with hypersexuality disorder often struggle with an overwhelming drive to engage in sexual activities, which can disrupt their daily lives and relationships. Below are some common ways people with sexual addiction act:

Excessive masturbation, often to the point of interfering with daily tasks.
Excessive pornography use, which may lead to neglecting responsibilities or social engagements.
Engaging in multiple or risky sexual encounters, even when aware of potential negative consequences.
Difficulty maintaining relationships due to sexual compulsivity.
Feelings of guilt or shame about their sexual behaviors, yet an inability to control them.
Persistent urges that interfere with normal functioning, often requiring professional treatment.

Resources

Jepsen, D., Luck, T., Bernard, M., Moor, I., & Watzke, S. (2023). Study protocol: Hypersexual and hyposexual behavior among adults diagnosed with alcohol- and substance use disorders—Associations between traumatic experiences and problematic sexual behavior. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1088747

Dutta, E., & Naphade, N. M. (2017). Hypersexuality – a cause of concern: A case report highlighting the need for psychodermatology liaison. Indian Journal of Sexually Transmitted Diseases and AIDS, 38(2), 180-182. https://doi.org/10.4103/ijstd.IJSTD_27_16

Perrotta, G. (2023). The Concept of “Hypersexuality” in the Boundary between Physiological and Pathological Sexuality. International Journal of Environmental Research and Public Health, 20(10). https://doi.org/10.3390/ijerph20105844

Marshall, E. (2023). Sexual Victimization and Hypersexuality in College Women: Examining Alcohol Use as a Potential Mediator. Social Sciences, 12(12), 654. https://doi.org/10.3390/socsci12120654

Salari, N., Hasheminezhad, R., Almasi, A., Hemmati, M., Shohaimi, S., Akbari, H., & Mohammadi, M. (2023). The risk of sexual dysfunction associated with alcohol consumption in women: a systematic review and meta-analysis. BMC Women S Health, 23(1). https://doi.org/10.1186/s12905-023-02400-5