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Meeting with a therapist. This isn't spontaneous, but it can work if you carefully follow your doctor's directions about how to stop and resume your medication. Although all SSRIs are associated with sexual dysfunction, some studies have found higher rates with paroxetine. If you experience any sexual problems while taking an SSRI medication, talk with your doctor or therapist. Your medication may produce more pronounced side effects at particular times of the day, for example, within a few hours of taking it. Resulting sexual dysfunction can impair quality of life and intimate relationships and discourage patients from taking antidepressants Box 1 , 2. In addition to reducing interest in sex, SSRI medications can make it difficult to become aroused, sustain arousal, and reach orgasm.

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This strategy is most likely to sustain remission when you avoid dosages that have proven ineffective. Please whitelist us so we can continue to provide free content. How does the new vaginal product alleviate pain during intercourse. MAOIs directly increase serotonergic neurotransmission, and their substantial alpha-adrenergic antagonist effects may also produce sexual side effects. A recent study reported similarly high rates with mirtazapine, but its small sample size limits conclusions about side effect prevalence with this drug.

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Certain antidepressants, such as bupropion Wellbutrin , and mirtazapine Remeron are less likely to cause sexual problems. Working with a sex therapist or general therapist can help couples explore their sexual concerns, learn to better communicate, and expand their repertoire of sexual activities. If so, you can try scheduling sexual activity for the time when side effects are least bothersome—or take the drug at a different time. These problems point out the importance of obtaining a sexual history before starting antidepressant therapy, educating patients about the potential for sexual side effects with antidepressants including when they occur and what may be done to manage them , and directly asking patients about specific sexual side effects at follow-up visits.

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Description: However, there is always a chance that this might cause a relapse, especially if it is one of the drugs that leaves your system relatively rapidly. Evidence-Based Reviews. Your medication may produce more pronounced side effects at particular times of the day, for example, within a few hours of taking it. We noticed you have an ad blocker enabled. Increased serotonergic neurotransmission is widely believed to cause SSRI sexual side effects. Help patients stay on depression treatment by reducing 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. This is a particularly good strategy if the medication is easing your depression significantly.
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