The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. There are a number of case reports of sexual side effects, such as priapism, painful ejaculation, penile anesthesia, loss of sensation in the vagina and nipples, persistent genital arousal and nonpuerperal lactation in women. The focus of this article is to explore the incidence, pathophysiology, and treatment of antidepressant iatrogenic sexual dysfunction. Sexual dysfunction is a common side effect of antidepressants, particularly of selective serotonin reuptake inhibitor SSRIs and serotonin norepinephrine reuptake inhibitor SNRIs medications. During the 60s and 70s, reports of antidepressant-associated sexual dysfunction were rare; 4 possibly due to underreporting, lack of discussion and assessment, and an assumption that people with mental health problems were asexual and lacked any sexual desire.
Antidepressant-associated sexual dysfunction: impact, effects, and treatment
Do You Take Drugs That Might Cause Sex Problems? | Psychology Today
Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate stimulation. Anorgasmia is far more common in females 4. The problem is greater in women who are post-menopause. Anorgasmia can often cause sexual frustration. The condition is sometimes classified as a psychiatric disorder. However, it can also be caused by medical problems such as diabetic neuropathy , multiple sclerosis , genital mutilation on either gender, complications from genital surgery, pelvic trauma such as from a straddle injury caused by falling on the bars of a climbing frame, bicycle or gymnastics beam , hormonal imbalances, total hysterectomy , spinal cord injury , cauda equina syndrome , uterine embolisation, childbirth trauma vaginal tearing through the use of forceps or suction or a large or unclosed episiotomy , vulvodynia and cardiovascular disease. A common cause of situational anorgasmia, in both men and women, is the use of anti-depressants , particularly selective serotonin reuptake inhibitors SSRIs.
Antidepressants Saved My Life and Killed My Orgasms
The year-old needed two glasses of wine and a solid buzz to feel even remotely turned on. More often than not, intercourse was simply off the table. Weeks passed without the couple touching or kissing.
AIM: In order to evaluate the effect of chronic administration of two SSRIs, citalopram and fluoxetine, on normal sexual function, we studied the parameters of male sexual behavior, erectile function, and ejaculation on 48 healthy male volunteers, aged A delay in the ejaculation time was observed both during citalopram and during fluoxetine treatment when compared with placebo, reaching a statistical significance only with citalopram. During the treatment with citalopram and fluoxetine, the IIEF score of all items decreased except for those items related to sexual desire; however, the scores were significantly lower only for the citalopram treatment.