Bay Area Sexologist Unveils SSRIs Sexual Side Effects
By: Dr. Denise Renye
A collection of prescription pills scattered on a surface, representing the sexual side effects that can arise from taking selective serotonin reuptake inhibitors (SSRIs), such as decreased libido and erectile dysfunction.
As a Bay Area sexologist and psychologist, I frequently work with folx who experience sexual side effects from selective serotonin reuptake inhibitors (SSRIs), a common class of antidepressants. Popular examples of SSRIs include Prozac, Lexapro, and Paxil. These sexual side effects can include decreased libido, difficulty achieving orgasm, and erectile dysfunction, all of which can significantly impact an individual's quality of life and relationships.
Addressing these concerns requires a multifaceted approach that considers both the psychological and physiological aspects of sexual health. With 20 years of experience as a Bay Area sexologist and psychologist, I am equipped to offer emotional and psychological interventions. However, for physical interventions, I refer out.
Many people may feel embarrassed or reluctant to bring up the sexual side effects of SSRIs for fear that their concerns will be dismissed. Either that or they tolerate the side effects because it’s preferable to feeling depressed. By normalizing the conversation around sexual health and providing education on how common these side effects are, we can reduce the stigma and encourage more honest dialogue.
In my work as a Bay Area sexologist and psychologist, I create an open and non-judgmental space where my clients feel comfortable discussing their sexual side effects because I’m here to support them. From a treatment perspective, there are several strategies we can employ. One option is to consider a medication adjustment in consultation with the prescribing physician. This might involve reducing the dose, switching to a different SSRI with a lower incidence of sexual side effects, or transitioning to another type of antidepressant altogether. For instance, bupropion, an atypical antidepressant, is often cited as having a lower risk of sexual side effects.
In addition to medication adjustments, addressing lifestyle factors and implementing behavioral interventions can be highly effective. Regular physical exercise, a healthy diet, and adequate sleep are foundational to overall well-being and can enhance sexual function. Regular therapy with a well-trained clinician can also be beneficial, particularly when addressing the psychological components of sexual dysfunction. For instance, in the case of erectile dysfunction and variation, there may be a lot of shame around not getting or maintaining hardness. That deep shame may be in reference to not only the erection itself but also the experience of being “too soft” generally. If “hardness” is associated with “manliness,” then the thinking goes that the inability to be hard translates into being less of a man. Society is wrought with this type of deeply embedded patriarchal conditioning.
That’s simply not true and a great example of how patriarchy hurts men. However, unless it’s discussed, the shame will linger in the background like a bad odor. In the case of using SSRIs to treat depression, therapy can also help treat it and thus potentially allow a person to taper off the drugs and then alleviate sexual side effects.
While still on the SSRIs, however, exploring and enhancing sexual techniques and intimacy can also help mitigate SSRI-induced sexual side effects. This means experimenting with different forms of sexual expression, prioritizing “foreplay,” and using lubricants or devices to improve sexual satisfaction. Mindfulness and relaxation techniques, such as sensate focus exercises, can help individuals reconnect with their bodies and reduce performance anxiety.
Managing SSRI sexual side effects involves a comprehensive approach that includes medication management, lifestyle adjustments, psychological support, and sexual health education. By addressing these aspects, in my work as a Bay Area sexologist I support my clients in maintaining both their mental health and their sexual well-being, ultimately leading to a more fulfilling and balanced life.
If you're experiencing sexual side effects from SSRIs and are looking for personalized support, I invite you to explore how we can work together. As a seasoned sexologist and psychologist, I offer a compassionate and comprehensive approach to help you navigate these challenges and enhance your overall well-being. You can learn more about my services and schedule a consultation by visiting this link. Let's work together toward a more fulfilling and balanced life.