The other day, I found myself in bed with my Hitachi counting off orgasms. All in under 30 minutes. Not too long ago, it would have taken me at least that long to have just one.
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.
In patients being treated for depression, which antidepressants have a low risk of sexual side effects? Bupropion Wellbutrinnefazodone Serzoneamitriptyline Elaviland moclobemide Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States have been shown to cause less sexual dysfunction than selective serotonin reuptake inhibitors SSRIs. Information from references 1 through 4.
Resulting sexual dysfunction can impair quality of life and intimate relationships and discourage patients from taking antidepressants Box 12. Although most reports have focused on SSRIs, all antidepressant classes have been associated with sexual dysfunction, with prevalence likely influenced by differences in neurotransmitter modulation Table 2. A recent study reported similarly high rates with mirtazapine, but its small sample size limits conclusions about side effect prevalence with this drug. Clomipramine appears to have the highest rates of sexual dysfunction—particularly anorgasmia—probably because it inhibits the serotonin transporter more than do other TCAs.
Prozac sexual side effects are common in both genders. Unfortunately, a large part of those who take antidepressants complains about low libido, having erectile dysfunction, or experiencing difficulties with having an orgasm. Understanding how antidepressants work and how they affect your sex drive can help you deal with their unpleasant effects.
Sexual side effects are common with antidepressants in both men and women, so your concern is understandable. Effects on sexual function can include:. The severity of sexual side effects depends on the individual and the specific type and dose of antidepressant.
Sexual side effects are among the most common complaints about antidepressants. According to the U. Department of Health and Human Services, clinical depression affects 1 in 5 adults in the United States. Just as depression occurs in both genders, sexual side effects from antidepressants affect both men and women.
We respect your privacy. What sets Viibryd — an antidepressant approved by the FDA in January — apart from other depression medications on the market? Unlike most antidepressants, this one comes without any apparent sexual side effects.
The popular medications known as selective serotonin reuptake inhibitors or SSRIs see box can help lift people out from under a dark cloud of depression. But there are some side effects from antidepressants, including those that can affect your sex life. In addition to reducing interest in sex, SSRI medications can make it difficult to become aroused, sustain arousal, and reach orgasm. Some people taking SSRIs aren't able to have an orgasm at all.