Such conflicting findings on sexual effects of cocaine may be a result of differences in dose, route of administration, drug purity or other substances taken concomitantly, and long-term effects on the neurotransmitters of the brain ( Buffum, Moser, & Smith, 1988).Įcstasy (MDMA), also known as E or X, is a substance with hallucinogenic and psychostimulant properties ( Cole & Sumnall, 2003). Studies also suggest that long-term cocaine use diminishes sexual desire, impairs ability to achieve and maintain an erection, and impairs ability to ejaculate or reach orgasm ( Gold, 1997 Peugh & Belenko, 2001). However, sexual stimulation reportedly decreases with greater cocaine use, and most frequent or heavy users tend to report no effect or a negative impact on sexual arousal and function ( Gold, 1997). For example, Buffum (1982) reported that some men in his study experienced spontaneous erections, prolonged sexual arousal and orgasms, and multiple orgasms after using cocaine. Many new or infrequent users report aphrodisiacal effects ( Peugh, & Belenko, 2001). Powder cocaine (herein referred to as “cocaine”) is most commonly administered nasally by “inhaling” or “sniffing.” As the high wears off, users often experience lethargy, irritability, and a desire for more cocaine ( Grinspoon & Bakalar, 1985). However, use can also bring about anxiety, paranoia, and loss of appetite. Powder cocaine-commonly referred to as coke, C, or blow-is a stimulant used to produce elation, euphoria, energy, relaxation, talkativeness, and enhanced sociability ( Grinspoon & Bakalar, 1985 Palamar et al., 2008). This paper seeks to begin to fill this void by 1) providing a brief summary of the general and sexual effects of each club drug and 2) characterizing the subjective sexual effects of each drug using a qualitative descriptive method of inquiry with tones of thematic analysis ( Sandelowski, 2000). Extensive research has linked these drugs to sexual risk taking, particularly in gay and bisexual men ( Colfax et al., 2005 Mattison et al., 2001 Palamar & Halkitis, 2006 Rusch, Lampinen, Schilder, & Hogg, 2004).ĭespite the plethora of studies documenting the use, prevalence, and public health implications of club drug use in men who have sex with men, little is documented about the unique sexual effects of each drug. Motivation for using club drugs tends to be recreational: to “be wild and uninhibited,” to “look and feel good,” and “to have sex” ( Mattison et al., 2001). In addition to high prevalence of use in nightclub settings, club drugs are also often used in the context of sex parties, sex clubs, and bathhouses ( Halkitis & Palamar, 2006 Palamar, Mukherjee, & Halkitis, 2008). These substances are part of a set of substances known as “club drugs” because use often takes place at parties or nightclubs ( Ross, Mattison, & Franklin, 2003). The use of drugs such as powder cocaine, ecstasy (MDMA), gamma-hydroxybutyrate (GHB), ketamine, and methamphetamine has become prevalent in the “nightlife” scene over the past fifteen years ( Finlayson et al., 2011 Halkitis, Palamar, & Mukherjee, 2007 Mackesy-Amiti, Fendrich, & Johnson, 2008 Mattison, Ross, Wolfson, & Franklin, 2001).
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This study seeks to educate public health officials regarding the sexual effects of club drug use in this population. Although some common perceived sexual effects exist across drugs, the wide variation in these effects suggests different levels of risk and may further suggest varying motivations for using each substance. Results suggest that each drug tends to provide: 1) unique sexual effects, 2) its own form of disinhibition, and 3) atypical sexual choices, often described as “lower sexual standards.” Differences across drugs emerged with regard to social, sensual and sexual enhancement, sexual interest, and impotence.
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Differences and commonalities across the five drugs were examined. We examined secondary data derived from interviews with 198 club drug using gay and bisexual males in New York City and qualitatively describe subjective sexual effects of five drugs: ecstasy, GHB, ketamine, powder cocaine and methamphetamine. Although epidemiological studies commonly report the risk of engaging in unsafe sex due to the effects of particular club drugs, there remain gaps in the literature regarding the specific sexual effects of such substances and the context for their use in this population.
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Club drug use is often associated with unsafe sexual practices and use remains prevalent among gay and bisexual men.