Despite the fact that people receiving anti-depressant therapy often do not talk about the presence of complications in sexual sphere, about 60% of them in active questioning confirm the existence of complaints in this area.
What are the links between the state of despair and intimate issues? Consider your brain as the most susceptible sex organ. The lust originates in the brain and spreads throughout the organism. This is due to special chemical elements —neurotransmitters — which are located in the brain. These elements ensure interrelation between the cells and enhance blood flow to the genitals. In depression there is an imbalance of these elements, which leads to a violation of sexual health.
Anhedonia is the technical term that is generally used by psychiatrists than in everyday life. This notion means the inability to receive pleasure, and is a key symptom of depression. A person with anhedonia as though loses all interest in enjoyments, such as food, sex, can’t sleep because of depression and interaction with friends, family or colleagues. One survey has found out that 40- 50% of both men and women who have been diagnosed with “major depression”, struggle with decreased sex drive and the weakening of the excitation level. Fortunately, the ailment itself is treatable; unfortunately, almost all medicines used to cure this state, have undesirable outcomes, manifested either in sexual problems, or in the event of complications in this area among those who previously did not have them.
Intimate issues against a background of reception of such medicines could be divided into several basic categories:
- Absence of libido and avoiding sex
- Disorder of excitation
- Orgasmic disorder
- Vaginismus and dyspareunia
Should you experience such difficulties, you must get tested, consult with a psychologist and identify the causes. Quite possibly this is not connected with received medicines and stressful situations. To find out the reasons the physician need to explore a full patient’s anamnesis. If the absence of libido is still linked with medical products, then this issue must be combated.
The survey can be focused on three aspects:
- Whether the patient has problems in sexual sphere before the start of the sickness
- What difficulties have arisen during the depression?
- What problems are related to the therapy?
After clarification of the causes and diagnosis the physician may replace antidepressants on other remedies or even change the treatment regimen. Everything will depend on the general condition of the sick, the level of the libido and complexity of the issue.
In accordance with the survey posted in the Journal of Clinical Psychiatry, the highest rate of sexual dysfunction more than 40 is linked with taking Remeron (Mirtazapine) and Paxil (Paroxetine). The level of between 30 and 40% corresponds to receiving medications Celexa (citalopram), Prozac (fluoxetine), Effexor (venlafaxine) and Zoloft (Sertraline). The lowest level of adverse events in the sexual sphere (between 20 and 30%), as the investigators claim, is linked to Wellbutrin (Bupropion). Negative responses in the intimate sphere, observed while taking tricyclic antidepressants, include inhibited libido and desire. The “new” SSRI (selective serotonin reuptake inhibitors), seems to have an influence on the orgasm. Other negative outcomes in the intimate life for any of these two kinds of antidepressants include erectile dysfunction and ejaculatory problems in males and arousal and lubrication reduction in females. It is believed that about 90% of people with the state of despair stop taking the medicines too early because of adverse events in the sexual area.
When the sick tells the physician about the problems, the latter has a few options to alter the way to fight against depression. First, the physician can suggest “observation in dynamics”. After all, the intensity of some of the unpleasant outcomes diminishes or comes to naught over time. The doctor may change the time of reception of the pills so that it takes place after the scheduled time of sexual activity. Eventually, the physician may reduce the dose of the remedy or allow one or two days of “vacation” rest from the pills every week.
Switching from one remedy to another must be made with great attention: it is necessary to accurately determine the medicine that is best suited to the sick. It must be borne in mind that in some instances a relapse of depression can occur or withdrawal symptoms and this is very dangerous.
In many cases the best way is to add in the treatment scheme medicines for combating the erectile dysfunction. For men, the obvious choice is Viagra, Cialis or Levitra.
If remedies for the cure the state of despair, that you are using, prevent you from enjoying life in its entirety, it makes sense to discuss them with your physician and change this situation completely.