(O-17) Evaluation of Sexual Function Using the ASEX Scale in Patients with Organic Psycho-syndrome Related to Professional Exposure to Solvents: A Pilot Study

Abstract Background Chronic exposure to industrial solvents has been associated with neurological and psychological impairments, including organic psycho-syndromes that may affect various aspects of quality of life, such as sexual function. Despite its importance, sexual dysfunction in this population remains underexplored. To evaluate sexual function in patients diagnosed with organic psycho-syndrome due to professional solvent exposure using the Arizona Sexual Experience Scale (ASEX). Methods We conducted a prospective longitudinal study on Fifteen patients (mean age: X years; range: Y-Z) diagnosed with organic psycho-syndrome secondary to occupational solvent chronic exposure. We administered two scales: The Arabic validated version of ASEX scale over the phone to assess sexual function across five domains: desire, arousal, physical readiness, orgasm, and overall satisfaction and Health literacy scale -Questions 16. Scores were analyzed to identify the prevalence and severity of sexual dysfunction. Results This study included 14 Tunisian patients with a mean age of 42 years (±SD 10.2). There were nine men (64%) and five women (36%). and they all had an active sexuality and defined themselves as heterosexual. The median number of years of exposure to solvents was 17 years (±SD 9.2). All of them were blue collar workers. The mean ASEX score among participants was 17(3.4 ± SD), indicating sexual dysfunction in cases (n = 7, 50%). Notably, reduced sexual desire (n = 7, 50%). and difficulty achieving arousal were the most frequently reported issues (n = 10, 71%). Conclusion This study highlights the presence of significant sexual dysfunction in individuals with organic psycho syndrome related to professional solvent exposure. Our findings underscore the need for routine assessment and management of sexual health in this vulnerable population alongside providing workers with individual and collective protection equipment at work to reduce exposure to solvents and consequently their impact on mental and sexual health. Further studies with larger sample sizes are warranted to validate these preliminary results and explore underlying mechanisms.