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Different types of drugs
There are many different categories for different types of drugs.  Some drugs are for recreational use and others are for therapeutic or medical uses. You can consume these drugs in many different ways such as injection, smoking, or digestion. Different types of drugs, the amount a user consumes, and individual biological factors  will vary the responses to sexual activity.

Cannabis
There have been studies about Cannabis and Sex. In general, studies have found that using cannabis may lead to erectile dysfunction.

Alcohol
Alcohol and sex are often joined together in today's society. Although they have different effects based on how much you consume, in general, it negatively effects sexual functioning and involved in higher sexual risk taking.

MDMA
MDMA(also known as Molly or Ecstasy) is used to alter mood and perception. Ecstasy can make touching and physical closeness more enjoyable. This drug may cause improved sexual experience. Molly increases closeness with others and may result in an increased feeling of sensuality. Most users experience enhancement of sex and sexual orgasms. Even though the use of ecstasy may have positive side effects, MDMA is a synthetic substance that, like many other serotonergic drugs, usually impairs sexual functions. A study conducted by Beck. J. Rosenbaum showed that chronic use of this drug leads to impaired erection and delayed orgasm.

Molly users also have higher levels of sexual-risk taking and high risk sexual behaviors such as condomless sex and casual sex. Men who have sex with men (MSM) that use ecstasy before engaging in sex report having twice as much condomless anal sex with a casual partner than those who do not use ecstasy. MDMA users tend to have higher levels of overall sexual risk‐taking when compared to alcohol users. They also tend to have lower age for when they engage in their first sexual activity.

Antidepressants
Psychiatrists and doctors prescribe multiple different types of antidepressants to patients. Each has slightly different effects on sexual functioning. SSRIs, SNRIs, and NDRIs are the most common types of antidepressants. These antidepressants are associated with decreased sexual dysfunction including decreased libido, arousal difficulty and delayed ejaculation in men. It was also found that it can delayed/decrease orgasms and cause women to have breast enlargement.

The side effects on sexual functioning can impact a mental health and quality of life. However, there is a tradeoff that may be worth it for some people. They can be managed by changing the dose, switching drugs, or taking “antidotes”. Maca, a plant that grows in central Peru, aids with  sexual dysfunction caused by antidepressant drugs for women. There are specific Maca products that can also increase sexual desire in men.

Opioids
Opioids(also known as narcotics) have long been known to inhibit sexual behavior. There is currently no clear research and evidence on how opioids influence sexual functions in short-term use. However, there has been a lot of research about prolonged use and addiction. Long-term opioid use can lead to decreased libido, delayed or absent ejaculation, and vaginismus. Heroin(illicit opioid drug) and other norcotics reduce sexual interest and decreases the sex hormone levels in humans. All of these studies specified this was shown in chronic users.

Amphetamines
Amphetamines are stimulants that block the reuptake of dopamine and norepinephrine in the brain. In small doses, these drugs can  cause a delayed orgasms or increase sexual desire. Prolonged use may lead to “crystal dick”, which is erectile dysfunctions in men.

Cocaine
Cocaine is an addictive stimulant that comes from a plant in South America. Users who first start using the drug may experience an increase in sexual arousal and improved erectile function. However, prolonged use of Cocaine may decrease sexual desire and hurt erectile functioning.

Cocaine is tied with “higher-than-usual” rates of impulsive behavior. These behaviors extend to sexual risks. Cocaine increases sexual desire and increases “sexual impatience” so users are less likely to wait for a condom which in-turn makes them have a greater risk of STIs,HIV, and unprotected sex.

Prescription drugs
In 2017, about 18 million people reported having misused prescription drugs at least once in the past year. Young adults who misused Prescription Opioid in NYC reported having  unprotected sex and increased sexual violence. They had a high risk for HIV and HCV transmission.

Another study looked at  MSM(Men who have Sex with Men) due to the high rates of PD misuse among the group. They found that MSM who had misused prescription drugs tended to have  higher odds of engaging in unprotected anal intercourse(UAI) and a higher number of serodiscordant partners compared to others who did not recently misuse prescription drugs.

Sexual assaults and consent
Drug-facilitated sexual assault (DFSA) is a sexual act where a victim is intoxicated with alcohol or administered drugs which makes them unable to give consent. One type of DFSA is opportunistic, which means the victim voluntarily consumes alcohol or self-administers other drugs. Another common type of DFSA is called predatory or proactive DFSA, which means the predator administers the drug. Many predators use date rape drugs. The most commonly used date rape drugs are alcohol and GBH. There have also been cases with other drugs such as amphetamines and cocaine.

Sexual risk-taking
The association between drug use and sexual risk taking is a complicated one. There has been multiple research that conclude that drug or alcohol use is associated with unsafe sexual behaviors but there needs to be more to understand this dynamic relationship. A nationwide survey supported the decreased likelihood of condom use in those who used substances. When it comes to studies, we must be careful because there are two main obstacles that may affect all the research that has been done. The first is how the research is being conducted. The second is the world wide belief that drugs are associated with disapproved behavior.