Some people experience "sexsomnia," which is when they engage in sexual behavior while asleep. Sexsomnia occurs in both men and women but may be more common in males than females. It can occur during any stage of sleep but most often happens during REM sleep. During REM sleep, brain activity resembles that of being awake, so it is possible for individuals to respond to sensory stimulation, such as touching. Sexsomnia can range from mild to severe, including sexual moaning, masturbation, intercourse, or acting out explicit fantasies without remembering them later. In rare cases, sexsomnia can cause injury, embarrassment, and legal consequences.
Sexsomnia has several causes, including medical conditions like restless leg syndrome, obstructive sleep apnea, narcolepsy, or Parkinson's disease. Medications like antidepressants, painkillers, or antihistamines can also trigger it. Psychological factors such as stress, anxiety, and depression may play a role. Individuals who frequently engage in sex or view erotic material before bedtime are at higher risk. However, experts still don't understand how sexsomnia works, making it difficult to diagnose and treat.
Treatment options include changing medications, addressing underlying psychological issues, improving sleep habits, or using devices to prevent excessive movement during sleep. Some doctors may recommend cognitive-behavioral therapy (CBT) or sexsomnia training programs, which involve practicing abstinence or other techniques to control the behavior. Self-help strategies can help manage symptoms, such as avoiding caffeine, alcohol, and exercise late at night and maintaining a regular sleep schedule.
Sexsomnia can have serious impacts on relationships, affecting trust, intimacy, and communication between partners. It can lead to feelings of shame, guilt, isolation, and fear of being judged. Partners should communicate openly about their concerns and consider couples counseling if needed. If sexsomnia is causing discomfort, individuals may need to discuss boundaries and find ways to rebuild trust.
In conclusion, sexsomnia is a complex condition that requires careful management. While there is no one-size-fits-all approach, effective treatment strategies exist for those affected by this unusual phenomenon.