Joseph Marzucco, MS, PA-C  503-913-1058 Clinical Sexologoy Associates
About J. Marzucco
Speaking Services
Original Articles
Need a Sex Therapist?
Location
Appts / Fees
Products
 

Depression and Sex - Patient Information

Joseph Marzucco, PA, PhD

Loss of sex drive (Libido) is a classic symptom of depression. It is reported by at least 75% of depressed individuals. Of the other 25%, some report no change in libido while others will have a more intense sex drive.

In studies, 70% of depressed individuals report that their "sex life" is VERY important. While we do not know a great deal about libido and depression, we do know that sex drive is one of the first things to leave when an individual becomes depressed and one of the last to return with treatment.

Ironically, while depression can affect your libido and sexual function, many antidepressants can cause or aggravate the same problems. All antidepressants can cause:

* DECREASED LIBIDO
* ERECTION DIFFICULTIES
* DELAYED OR ABSENT EJACULATION
* ORGASM LOSS OR DELAY

Currently Prozac, Zoloft, and Paxil (SSRI's) are among the most commonly and widely prescribed antidepressants on the market today. Sadly, they can cause sexual impairment in some 40-50% of those who use them.

If you have a sexual dysfunction problem and are depressed and anticipating the use of an antidepressant, do not start with an SSRI. Wellbutrin and Serzone are two antidepressants with very few sexual side effects. Serzone, while a great antidepressant, unfortunately has some dangerous liver side effects.

Others ways to deal with the sexual side effects of antidepressants are:

* Dose Reduction
* Changing medication
* Starting and Stopping
* Adding Wellbutrin to the antidepressant you are on.

CSA  

Homepage