Cocaine Use and Sex Addiction

Contributor: Staff at Sierra Tucson

The euphoric and stimulating properties of cocaine can boost a person’s sex drive, leading many to believe that sex is better while using it. However, continuing to pair cocaine use with sexual activity can lead to an addiction to both behaviors and cause dangerous long-term consequences if left untreated.

How Cocaine Affects Sex

Cocaine is a highly addictive substance that causes a heightened sense of awareness and increased sensory stimulation [1]. Much like other substances, the drug can also lead to increased self-confidence and energy levels. With these effects and a boost in sex drive, individuals using cocaine might be more likely to engage in sexual activity.

While many report having more pleasurable sex while using cocaine, pairing the drug with sexual activity can cause a fusion of the behaviors, making it difficult to have one without the other.

How Cocaine and Sexual Disorders Fuse

Pairing drugs like cocaine with sex can create a mutually reinforcing pattern. Over time, if someone continues the behaviors together, they may form one single behavior where if one is occurring, so is the other.

This can lead to someone needing cocaine to engage in sexual behavior as well as needing to engage in sex every time they use cocaine. Even the thought of one behavior can begin to trigger thoughts of the other.

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The long-term use of cocaine during sex can lead to sex addiction. While the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) doesn’t include sex addiction, it is still studied and reported on.

Professionals have described sex addiction as a compulsive need to engage in sexual activity to achieve the desired effect, similar to how an alcohol or drug addiction forms [2]. A person who has a sex addiction might adjust their lifestyle to engage in sexual activity several times a day despite negative consequences.

While cocaine addiction and sex addiction can be difficult to overcome alone, the pair makes it even more challenging, as one reinforces the other.

The Negative Consequences of Cocaine and Sex

Without treatment for cocaine and sex addiction, this paired behavior can lead to dangerous consequences.

Due to the impulsivity caused by cocaine use, research shows that individuals on cocaine are less likely to use a condom unless one is readily available [3]. Cocaine can also lead to rougher sex, as it numbs the body and relieves pain. Rougher sex can lead to condoms breaking as well as tears in delicate membranes. This can cause an increased risk for unwanted pregnancies, sexually transmitted infections (STIs) and HIV.

Sex while on cocaine can lead to legal trouble as well. Obtaining consent while under the influence of drugs like cocaine isn’t possible, and cocaine can cloud the judgment of the person seeking sexual activity. This can lead to an increased chance of sexual assault taking place.

While cocaine may boost sex drive, it can also lead to sexual dysfunction. For men, this involves not being able to keep an erection, and for women, struggling to remain lubricated and achieve an orgasm. This can create a disconnect between desire and function during sex, causing frustration that may lead to more aggressive behavior.

Signs of Cocaine and Sex Addiction

Couple fighting Cocaine and Sex AddictionThere are some signs to watch for that may indicate cocaine and sex addiction, including:

  • Impulsive sexual behavior due to cocaine use
  • The need to use stimulants like cocaine before engaging in sexual behavior
  • The desire to use drugs triggered by sexual thoughts
  • Sexual thoughts triggered by the thought of or desire to use drugs
  • Experiencing endangered health due to drugs and sex life
  • Breaking personal moral codes due to drugs and sex life

If you’re struggling with cocaine use and believe that you may also have a sex addiction, help is available. By treating both the substance use disorder and sexual disorder, you can begin to improve your well-being.


[1] NIDA. (2021, April 8). Cocaine DrugFacts.

[2] Tyler, M. (2018, July 26). Sex addiction. Healthline.

[3] Johns Hopkins Medicine. (2017, February 2). Study affirms that cocaine makes users more likely to risk unsafe sex.

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The opinions and views of our guest contributors are shared to provide a broad perspective of addictions. These are not necessarily the views of Addiction Hope, but an effort to offer a discussion of various issues by different concerned individuals.

We at Addiction Hope understand that addictions result from multiple physical, emotional, environmental, and genetic factors. If you or a loved one are suffering from an addiction, please know that there is hope for you, and seek immediate professional help.

Published on August 2, 2021
Reviewed by Jacquelyn Ekern, MS, LPC on August 2, 2021
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About Baxter Ekern

Baxter Ekern is the Vice President of Ekern Enterprises, Inc. He contributed and helped write a major portion of Addiction Hope and is responsible for the operations of the website.