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What is Sexsomina?

Updated: 9/27/2023
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Sleep sex or sexsomnia is a form of non-rapid eye movement (NREM) parasomnia (similar to sleepwalking) that causes people to commit sexual acts while they are asleep. The first doctor to coin the term "Sleep sex" was Dr. David Saul Rosenfeld, a neurologist and sleep doctor from Los Angeles, California. The proposed medical diagnosis is NREM Arousal Parasomnia - Sexual Behaviour in Sleep, and is considered to be a distinct variant of sleepwalking/confusional arousals (ICSD 2). The condition was defined by three researchers from the University of Toronto and the University of Ottawa in a paper called "Sexsomnia - A New Parasomnia?" published in the Canadian Journal of Psychiatry in June 2003.

Sufferers are often aware of their behavior for a long time before they seek help, often because they are not aware that it is a medical disorder or for fear that others will judge it as willful behavior rather than a medical disorder. However, the reality of the condition has been confirmed by sleep disorder researchers who have made sound and video recordings of patients with the condition and observed unusual brain wave activity during the episodes similar to that experienced by other parasomniacs. It is a mind/body disconnect that occurs during sleep. In many cases it is a pre-cursor to neuromuscular disease and is treated with muscle relaxants and other medications.

The first research paper that suggested that sexual behavior during sleep may be a new type of parasomnia was published in 1996. Later, several papers were published describing the problem and suggested that problematic forms of sleep sex are medically treatable "conditions". Sexsomnia is not always problematic or extreme for those who experience it or for their partners. There is a great variety in both the frequency and levels to which people are affected by this disorder.

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