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Background: This study investigates the relationship between male sexual dysfunction, such as erectile dysfunction, decreased libido, premature ejaculation, and alcohol dependence syndrome (ADS). Methods: This cross-sectional study evaluated sexual dysfunction in 260 married patients with an ADS diagnosis based on CONSORT standards. Participants were chosen from an outpatient psychiatry department. The Arizona Sexual Experience Scale and the Severity of Alcohol Dependence Questionnaire Scale were among the instruments utilized. Results: We found a strong link between sexual dysfunction and the severity of ADS. A smaller but statistically significant percentage (16.15%) of the subjects showed signs of severe alcohol dependence compared to half (50%) who showed mild dependence. Conclusions: The results highlight the connection between sexual dysfunction and the severity of alcohol dependence, indicating the necessity for focused therapies. Sexual dysfunction was more common as ADS severity grew, indicating the need for more treatment options and raising awareness.