Review Article
1
Department of Psychiatry, JSS Medical College and Hospital, JSS Academy
of Higher Education and Research, Mysore, Karnataka, India
2
Psychiatrist, Flynn Adult Inpatient Psychiatric Unit, La Trobe Regional
Hospital Mental Health Services (LRH-MHS) Traralgon,Victoria, Australia
3
Consultant Psychiatrist, Allahabad, Uttar Pradesh, India
Corresponding author:
Shivanand Manohar J., Department of Psychiatry, JSS Medical College and
Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka,
India.
Email: drshivman@gmail.com
Sexual Disorders in Asians
Shivanand Manohar J.
1
, Hrishikesh Solunke
1
, K. Suhruth Reddy
1
,
Rajesh Raman
1
, Gurvinder Kalra
2
, and Abhinav Tandon
3
Abstract
The inseparable relationship between mind and body, though known since ages, has been acknowledged in modern medicine
only in recent times. There is abundant literature about the effects of various illnesses on different organ systems, but their
effect on sexuality has not been emphasized. Research on sexuality has been fore fronted by the West and data, though
available, cannot be extrapolated to the Asian population due to marked differences in physical and socio-cultural aspects.
The authors have reviewed articles published in Clinical Key, PubMed and Scopus.
Keywords
Sexuality, sexual dysfunction, Asians
Journal of Psychosexual Health
1(3–4) 222–226, 2019
© 2019 Karnataka Sexual Sciences Academy
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DOI: 10.1177/2631831819862890
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Introduction
Sex plays an important role in human life across different
cultures. Culture creates and impacts beliefs and myths about
sexuality, masculinity, and sexual prowess and behavior.
Different cultures view sexuality with different perspectives.
Western cultures consider the act of sex as recreational (sex
positive societies), while Asians are more likely to view it as
procreational (sex negative societies).
1
Contrasting views in
different cultural settings have impacted the quality and
quantity of research on sexuality in different cultures. Until
recently, sexual health has taken a back seat in the planning
and implementation of health care. There is more research on
human sexuality in East-Asian countries when compared to
South Asia. The ample research about sexuality in the West
cannot be extrapolated to the Asian context due to differences
in sociocultural domains.
The rates of sexual dysfunction vary in different
populations. Studies have shown that the prevalence of
erectile dysfunction (ED) is more in Asians when compared
to Europeans. A community-based survey found the
age-adjusted prevalence of ED to be 34% in Japan and 22%
in Malaysia. Some studies have shown increased prevalence
of sexual dysfunction across both genders. Studies on sexual
dysfunction in women have had challenges of sociocultural
differences in various constructs, such as gender roles, gender
expression, normal sexual functioning, and sexual distress.
1
Etiology
Culture
Knowledge about the impact of culture on sexual functioning
is important for clinicians not only for diagnosis but also for
management. Culture shapes the norms of behavior and