Assessing risky sexual behavior among patients with bipolar disorder in euthymic period

Introduction Risky sexual behaviors are typically seen in patients with bipolar disorder, especially during the manic phases. Disinhibition, impulsivity and risk taking expose these patients to unplanned pregnancies and sexually transmitted infections. However, there is a lack of studies regarding these behaviors in stabilized bipolar patients during euthymia. Objectives The objective of this study was to look for a risky sexual behavior by evaluating sexual knowledge and sexual behavior of patients with bipolar disorder in the euthymic phase. Methods We conducted a descriptive cross-sectional study including 30 patients diagnosed with bipolar disorder I or II (DSM-IV). Data were obtained through a semi-structured interview evaluating the following: sexually transmitted infections, condom use, multiple sexual partners, sex under the influence of drugs or alcohol, and prostitution. The Young Mania Scale and the Hamilton Depression Scale were used for clinical assessment. Results The preliminary results suggest a lack of knowledge leading to a tendency to risky sexual behavior in both male and female, married and unmarried patients. Conclusions Patients with bipolar disorder are exposed to risky and unsafe sex because of the clinical features of their disease and associated comorbidities. Prevention and awareness of sexual risks are unavoidable in the management of these patients.