[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-407127-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-407127-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","abnormal-sexual-behavior-during-sleep-in-an-adolescent-sexsomnia-and-defecation","Abnormal Sexual Behavior During Sleep in an Adolescent - Sexsomnia and Defecation","","Sexsomnia presents sexual behaviors during NREM sleep, often accompanied by autonomic activation and followed by amnesia. It is frequently underrecognized and usually described in adult males, with effective treatment but no unified consensus. This case report documents a rare adolescent male in whom defecation co-occurs with sexsomnia, forming a novel associated autonomic disturbance during sleep. The report outlines the clinical background and reinforces the diagnostic role of observation and polysomnography.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/abnormal-sexual-behavior-during-sleep-in-an-adolescent-sexsomnia-and-defecation/407127/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/abnormal-sexual-behavior-during-sleep-in-an-adolescent-sexsomnia-and-defecation/407127.png","ImageObject",300,407,{"name":42,"@type":43},"moss~","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-07","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What characterizes sexsomnia in adolescents?","Question",{"text":63,"@type":64},"Sexsomnia involves sexual behaviors during NREM sleep, such as masturbation, sounds, verbalizations, or sexual touching/intercourse, followed by amnesia. 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Autonomic activation occurs with sexual arousal. Sexsomnia has been described mostly in adult males and is still an underrecognized condition. Treatment is often effective but without current consensus.  \nIn a case now reported of an adolescent male with sexsomnia, which is rarely reported in the literature, a novel feature that is now first reported is defecation accompanying sexsomnia as a co-occurring autonomic disturbance during sleep.  \nIntroduction  \nParasomnias comprise the behavioral, emotional, and autonomic disturbances occurring during NREM or REM sleep or during sleep-wake transitions.1 Sexsomnia is classified as a subtype of Confusional Arousals from NREM sleep, with the designation of “sleep-related abnormal sexual behaviors”2. Reported cases of sexsomnia encompass sexual behaviors ranging across masturbation, sexual sounds, and verbalizations, touching and full sexual intercourse during NREM sleep, with subsequent amnesia.3 Autonomic activation occurs with sexual arousal.4 There is subsequent amnesia for sexual behaviors. It is male-predominant and preferentially occurs in early and mid-adulthood.5 As in other parasomnias, predisposing factors in sexsomnia include psychosocial stressors, alcohol substance and drug use,  \nreceived February 22, 2025 accepted  \nJune 5, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.1055/s-0045-1809927 . ISSN 1984-0659.  \nfatigue and sleep deprivation, and irregular sleep-wake schedule.6 Polysomnography is the most appropriate diagnostic test. Information provided by the bed partners or other observers is critical.  \nThe case reported herein is a rare adolescent case that is the first reported case in which defecation accompanies sexsomnia behavior.  \nCase  \nA 17-year-old male patient was brought by his family with complaints of putting his finger to the anal area during sleep and contaminating the clothes and sheets with stool.  \nIt was stated that his complaints had been present for about 11months, occurred almost every night, and recurred3-4times in the same night. The patient described that he had itching in  \n© 2025 . Brazilian Sleep Academy. All rights reserved.  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ([https://creativecommons.org/](https://creativecommons.org/)[ ](https://creativecommons.org/)[licenses/by-nc-nd/4.0/](licenses/by-nc-nd/4.0/))  \nThieme Revinter Publicações Ltda. , Rua Rego Freitas, 175, lo","cbCaivPdYD1DTevx","https://ap.wps.com/l/cbCaivPdYD1DTevx","pdf",182816,"English","# Abstract\n## Keywords\n# Introduction\n# Case","[{\"question\":\"What characterizes sexsomnia in adolescents?\",\"answer\":\"Sexsomnia involves sexual behaviors during NREM sleep, such as masturbation, sounds, verbalizations, or sexual touching/intercourse, followed by amnesia. Autonomic activation occurs with sexual arousal.\"},{\"question\":\"How is sexsomnia classified among sleep disorders?\",\"answer\":\"The article states sexsomnia is classified as a subtype of Confusional Arousals from NREM sleep, designated as “sleep-related abnormal sexual behaviors.”\"},{\"question\":\"What is the key novelty in this case report?\",\"answer\":\"The report describes a rare adolescent case and the first reported instance where defecation accompanies sexsomnia behavior as a co-occurring autonomic disturbance during sleep.\"}]","Abnormal Sexual Behavior During Sleep in an Adolescent - Sexsomnia and Defecation | PDF",1790570468]