Borderline Personality Disorder and Your Sex Life

边缘人格障碍（BPD）symptoms can affect your emotional state, yourrelationships, and your ability to control your behavior. So it's not surprising that BPD can also have a major impact on your sex life.

虽然很少有研究人员研究了BPD及其对性行为的影响，但越来越多的工作表明，BPD的人们可以体验性别的几个关键困难。

Attitudes About Sex

Research has demonstrated that women with BPD tend to have more negative attitudes about sex. For example, women with BPD report having a greater number of mixed feelings about sexual relations, and are also more likely to feel pressured to have sex with their sexual partners.

In addition, women with BPD report more general sexual dissatisfaction. Much less is known about how BPD affects men’s attitudes about sex.

这些对性的这些更负面态度可能有多种原因，包括：

• Many women with BPD are survivors of child abuse, which may contribute to overall negative reactions to adult sexual experiences.
• Women with BPD are more likely to experience a great deal of conflict in their relationships, so they may feel less positive about sex.

Reckless Sex

Impulsive behavioris one of theBPD的症状在DSM-5中列出。在性行为的情况下，冲动行为的趋势可能导致鲁莽的性行为。

People with BPD are most at risk of engaging in impulsive acts when they are experiencing intense emotional responses, or when they aredisinhibited酒精或其他物质。激烈的悲伤，恐惧，嫉妒或积极的情绪也可能导致冲动的性行为。

Promiscuity

In addition to engaging in reckless or impulsive sex, there is evidence that people with BPD are more prone to promiscuity.这种滥用是与冲动性的不同之处在于滥用是有意拥有多个性伴侣的行为（而不是在突发突发事件上进行休闲性行为）。

Why might people with BPD be more promiscuous? One possibility is that they may use sex to combat feelings of emptiness that are associated with the disorder.

Avoidance of Sex

While some studies have shown an increase in sexual behavior in people with BPD, there is also evidence that some actually avoid sex.

例如，在2003年的一项研究中，玛丽·扎纳里尼博士和同事发现，有BPD的人们报告避免性行为，因为害怕经历症状加剧。

A Word From Verywell

虽然研究远非决定性（并且对具有BPD的男性特别稀少），但有证据表明BPD的人们可以体验各种性困难。

It is likely that the impact of BPD symptoms on sex can vary substantially from person to person, and can take very different forms. How your symptoms impact your sex life may warrant some reflection or even a discussion with your therapist or partner.