Though sexual dysfunction and loss of libido are symptoms themselves of depression, sexual side effects have also been attributed to SSRIs once their use has been discontinued. Post antidepressant libido side effects can last anywhere from months to years; the occurrence of some sort of sexual dysfunction related to post antidepressant use is thought to be anywhere from 30 to 50 percent.
What are the Libido Side Effects?
The reasons for the sexual side effects for those who discontinue use after prolonged usage are not yet clear. It is also not yet clear whether these stand alone or if they are simply a part of what is called SSRI discontinuation syndrome. The main sexual side dysfuntcions that occur in post antidepressant use are as follows:
Absence/decrease in libido
Impotence
Premature ejaculation
Lack of response to sexual stimuli
Absence of pleasure during orgasm
Inability to obtain orgasm
Are There SSRIs that Reduce Post Usage Libido Decline?
There are studies that exist that have measured the incidences of sexual dysfunction from the various antidepressants. Below is the percentage of occurrences of those using a SSRI that had some sort of sexual dysfunction according to a 2006 study published in the American Journal of Psychiatry.
Fluoxetine (Prozac) - 36 %
Sertraline (Zoloft) - 40 %
Citalopram (Celexa) - 41 %
Paroxetine (Paxil) - 43 %
As you can see, the numbers are pretty similar and could simply be due to various other factors rather than the specific antidepressant's differing effect on the libido. This being the case, it would be hard for your doctor to determine which of the various drugs would be least likely to produce sexual side effects.
How to Deal with Post Usage Sexual Dysfunction
Unfortunately, without a definitive known cause for the sexual side effects of antidepressant use, the treatment of these side effects is not a science. There is no magical pill or shot that you can be given.
There are, however, many options available to you if you suffer from these effects. One of the most successful attempts to reduce the intensity of these is through Cognitive Behavioral Therapy (CBT). CBT is used, many times in concert with an SSRI, to help with psychological problems. Because there is thought to be a psychological component to these effects, many doctors think one of the best ways to treat this sexual dysfunction is by lifestyle changes. A healthier body is generally an inspiration to a healthier sex life. Of course, you should consult your doctor if you notice any of these SSRI side effects (or any others) that persist.
Here are a few things to consider that may help restore your libido.
Exercise
Change to a healthy diet
Control your drinking
Lose weight
Stop smoking
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