Sexual masochism is a paraphilic disorder involving the acts in which a person experiences sexual excitement from being humiliated, beaten, bound, or abused. Also is the condition of experiencing recurring and intense sexual arousal in response to enduring moderate or extreme pain.

Causes of Sexual Masochism Disorder

There are no significant causes of masochism disorder, but there are contributing factors which includes:

  • Biologic factors: This includes gender identity, sex hormone levels, pain and reward systems in the brain.
  • Psychological factors: psychological factors include personality traits, personality disorders, sensation-seeking levels and impulsivity.
  • Attachment styles within couples
  • Education levels
  • Addiction

Symptoms of Sexual Masochism Disorder

  • Be present for at least 6 months
  • Involve recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or made to suffer, as manifested by fantasies, urges, or behaviors
  • Involve sexual urges or fantasies that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.


Diagnosis of Sexual Masochism Disorder

Sexual masochism disorder  can  diagnosed by  history taking which include the duration of the sexual masochism disorder symptoms for at least 6 months. Also, reoccurrence of the intense sexual arousal, the act of humiliation, beating or punished. However, history about relationship, substances abuse, past medical history of mental problem will be taken for proper diagnosis of the disorder.

Treatment of Sexual Masochism Disorder
Sexual Masochism Disorder treatment includes

Psychotherapy: psychotherapy treatment includes behavior and cognitive therapy

  • Behavior therapy

This helps to recognize the way of reaction to others. This can help to change problem behaviors.

  • Cognitive behavior therapy (CBT)

This is a way to help identify and change views of one’s self, the world, and the future. Cognitive behavior therapy can make awareness of unhealthy ways of thinking. It can also help to learn new ways to think and act.


Medications: medications such as antidepressant and antiandrogens are used in treatment of this disorder

  • Antidepressant

Selective Serotonin Reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) help with mood disorders occurring with the disorder, such as anxiety or depression, while concurrently dropping the sex drive. A decreased sex drive help with the impulsivity related to masochistic behaviors and thoughts.

  • Antiandrogens

Cyproterone acetate and Medroxyprogesterone acetate are members of a class of medication that decreases testosterone levels, which in turn, decreases sex drive and allows for more efficient therapy. These drugs help to reduce the levels of circulating testosterone in the blood and may lower compulsive behavior or sexual impulsivity.





Similar Posts