Compulsive Sexual Behavior

Compulsive sexual behavior is a pattern of difficulty controlling intense sexual urges or behaviors that leads to distress or harm to health, relationships, or responsibilities.

Definition

Compulsive sexual behavior — recognized in ICD-11 as compulsive sexual behavior disorder — involves repetitive sexual activity that becomes a central focus and is hard to control despite negative consequences. It is distinct from a high but healthy sex drive. Screens like the SAST-R and CSBI-13 assess symptom patterns.

What it can feel like

Feeling unable to control sexual urges or behaviors.
Sexual activity dominating time and attention.
Continuing despite relationship or work problems.
Shame or distress after sexual behavior.

Related screening tests on LuriaLab

Test de Dépistage de l'Addiction Sexuelle (SAST-R-V2.0)
Inventaire des Comportements Sexuels Compulsifs (CSBI-13)

Related glossary terms

Questions fréquentes

Is "sex addiction" a formal diagnosis?

The ICD-11 includes compulsive sexual behavior disorder. Terms vary, but the core issue is repetitive, hard-to-control behavior causing harm.

Does a high screen score mean I have a disorder?

No. Screens indicate concern and suggest whether a fuller assessment is warranted. A clinician makes any diagnosis.

Sources

WHO — ICD-11 compulsive sexual behavior disorder
Carnes P, et al. Sexual Addiction Screening Test-Revised (SAST-R)

Last reviewed: 2026-07-02. Screening tools on LuriaLab are for education only and do not provide a diagnosis.