AIM: In order to evaluate the effect of chronic administration of two SSRIs, citalopram and fluoxetine, on normal sexual function, we studied the parameters of male sexual behavior, erectile function, and ejaculation on 48 healthy male volunteers, aged A delay in the ejaculation time was observed both during citalopram and during fluoxetine treatment when compared with placebo, reaching a statistical significance only with citalopram. During the treatment with citalopram and fluoxetine, the IIEF score of all items decreased except for those items related to sexual desire; however, the scores were significantly lower only for the citalopram treatment. Citalopram and fluoxetine did not affect sexual desire. Citalopram and fluoxetine did not directly affect penile erection as objectively assessed by RigiScan, although an impairment in the subjective assessment of erectile function was observed, but was significant only for citalopram, and it was thought to be a possible consequence of the delayed ejaculation perceived as a trouble.
Couple of months ago, she started drinking alcohol in moderation in order to cope with her feelings of distress and low mood due to divorce and her son's removal from her care. Some people taking SSRIs aren't able to have an orgasm at all. Explore Apps. Jehu D, Gazan M. Citalopram and fluoxetine did not Celexa and orgasm affect penile Celexa and orgasm as objectively assessed by RigiScan, although an impairment in the subjective assessment of erectile function was observed, but was significant only for citalopram, and it was thought to be a possible consequence of the delayed ejaculation perceived as a trouble. Antidepressant-induced female sexual dysfunction. These medications are among the worst when it comes to sexual side effects. Laflamme, MD Answers represent the opinions of our medical experts. 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. Even with these potential side effects, keep taking your medications for your mental health.
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If not possible, another drug is used Vintage goldwing parts the Citalopram is replaced. I can get horny, it just takes longer and reaching orgasm is difficult and if I do its not as intense as it was, like you I also have a very loving and understanding husband. I was recently on effexorXR which I completely lost my sex drive. Contains personal information. Since coming off them, I've experienced a complete lack of one. Join HuffPost Plus. Celexa and orgasm, i take Citalopram, but am female. You can learn to work around them though. Side effects are generally the same in both men and women, except that women may experience menstrual irregularity on this medication. Posted Celexa and orgasm months ago. Savella - No one is mentioning sexual side effects
The year-old needed two glasses of wine and a solid buzz to feel even remotely turned on.
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- I'm starting this medication tomorrow, I'm already on Trileptal
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. For some people, sexual side effects are minor or may ease up as their bodies adjust to the medication.
For others, sexual side effects continue to be a problem. Work with your doctor to find an effective antidepressant or combination of medications that will reduce your sexual side effects and keep your depression under control.
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Answer From Daniel K. With Daniel K. Show references Hirsch M, et al. Accessed Oct. Montejo AL, et al. Sexual side-effects of antidepressants and antipsychotic drugs. Current Opinion in Psychiatry.
Lorenz T, et al. Antidepressant-induced female sexual dysfunction. Mayo Clinic Proceedings. Taylor MJ, et al. Strategies for managing sexual dysfunction induced by antidepressant medication. Cochrane Database of Systematic Reviews. Baldwin DS, et al. Impact of antidepressant drugs on sexual function and satisfaction.
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Over time this side effect has lifted, it could do for you also. Join this discussion or start a new one? Celexa and Premature Ejaculation. Sarah, 22, has been on an SSRI for about two months to help deal with what she describes as pretty mild depression. Childhood Depression. Celexa Alternatives.
Celexa and orgasm. Celexa Sexual Side Effects: Sex Drive and Orgasm Problems
She has been published in "Nursing Spectrum," "Newsday" and on various websites. Citalopram Celexa is a medication used to treat depression. It belongs to a group of medications called selective serotonin reuptake inhibitors -- SSRIs. These drugs work by increasing the activity of serotonin in your brain.
Side effects are generally the same in both men and women, except that women may experience menstrual irregularity on this medication. You should be careful driving or operating machinery when you begin taking citalopram, until you know how this medication will effect you. Women might experience menstrual irregularity while taking citalopram. This means that your monthly menstrual schedule may change. This side effect usually diminishes once your body gets used to this medication.
If your cycle remains irregular, or you are experiencing any other menstrual discomfort, you should see your gynecology provider to rule out any other types of illness.
Citalopram can diminish sexual desire and decrease the ability to orgasm in women. This may improve once your body is used to the medication.
You should consider speaking to your physician if this effect begins to have a negative impact on your lifestyle. Nausea and diarrhea are a common side effect of citalopram. You could run the risk of becoming dehydrated if your vomiting becomes severe or lasts several days.
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New discussion. Hi Susie, I experienced a slight decrease in my sex drive while I was on the meds Hi, Did your libido recover eventually? I hope for the best I have not after 2 times coming off the meds.. Alex, pssd sufferer Report. How long were you taking citalopram for? Hi, I've had a loss of sex drive too; 20mg for 2 weeks now.
I think it's not unknown for this to happen. I can get horny, it just takes longer and reaching orgasm is difficult and if I do its not as intense as it was, like you I also have a very loving and understanding husband. You have to make a choice balancing the benefit of the meds with any side effects, you can get sexual side effects with all these types of meds so swopping meds isn't always a good idea, plus the depression itself can affect your sexual motivation too, so it should get better in time anyway!
It might be an idea to talk with your doctor if it's really bothering you, they will definitly know about this side effect so you won't be embarassed or anything. Hope this helps.
Best wishes. Sorry to go on for so long - just felt like writing it all down in case it helps. Flow Report 2. Please if you can text me my name is Chad Report. I have a very low sex drive anyway so if this is going to affect my sex life then i probably won't notice it.
My partner is very understanding and always makes me feel good about myself so hopefully it won't have much of an affect. Hi all, This is my second time on Citalopram and I too lost my sex drive on both occasions. Although, i did know this was a common side effect before starting the drugs. I have always had a high sex drive I was recently on effexorXR which I completely lost my sex drive. I guess all meds work differently for each person. I am wondering if this will slow down after I've been on it for a while or will it continue this way as long as I am on celexa.
I don't have a problem with it Celexa never really killed my sex drive all that much, although it did delay orgasm. Maybe lower dosage? It's killing my sex life :cry: I hate it I really do and it's getting me down. But anyway yes I'm having the same side affects SJ xx Report. Join this discussion or start a new one? Contains personal information.
When an SSRI medication impacts your sex life - Harvard Health
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.
If you experience any sexual problems while taking an SSRI medication, talk with your doctor or therapist. So, in some cases, sexual difficulties may stem not from the SSRI, but rather from the underlying depression. If medication is the problem, sexual side effects sometimes subside with time, so it's worth waiting a while to see if problems diminish.
This is a particularly good strategy if the medication is easing your depression significantly. But if side effects from antidepressants persist, your doctor or therapist may suggest one of the following strategies, as found in the Harvard Special Health Report Understanding Depression :. Lowering the dose. Sexual side effects may subside at a lower, although still therapeutic, dose. Scheduling sex. 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.
Taking a drug holiday. Depending on how long the drug usually remains in your body, you might stop taking it for a few days—for example, before a weekend, if that's when you hope to have sex. This isn't spontaneous, but it can work if you carefully follow your doctor's directions about how to stop and resume your medication.
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. Switching to a different drug. Certain antidepressants, such as bupropion Wellbutrin , and mirtazapine Remeron are less likely to cause sexual problems.
Bupropion, which affects both norepinephrine and dopamine, can sometimes improve sexual response. Adding a drug. For women, these drugs haven't proven very helpful.
However, men and women may both benefit from adding bupropion to their treatment. This medication has been found to counter SSRI-induced sexual dysfunction, boost sexual drive and arousal, and increase the intensity or duration of an orgasm. Another drug, buspirone BuSpar , can restore the ability to have an orgasm and increase libido. Meeting with a therapist. Even when physical issues or medication are at the root of sexual problems, psychological issues often become interwoven.
For example, a few episodes of erectile dysfunction may cause a man to withdraw from sex and his partner to feel rejected. These issues can lead the couple to retreat further from intimacy. 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.
Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
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