Chances are, you’ve heard something about the relationship between sex and antidepressants. While it's true that certain medications for depression and anxiety can indeed impact your sexual desire, the story doesn't end there. There's a whole lot more to unpack, and it's worth paying attention to. Let’s delve into the complex relationship between the two, and dispel a few crucial myths along the way.
Before we start on antidepressants, it’s important to talk about what it is to have a “healthy libido”. Namely, there’s no such thing. Libido is an inherently personal aspect of the human experience, varying greatly from one person to another. There’s no universal standard that defines the ‘right’ amount of sex or desire between two (or more) totally unique individuals. Could certain medications influence what is considered normal libido for you? Absolutely. However, so can factors like age, mental health, relationship status, stress, menstrual cycle phase, changes in environment, or diet. Virtually anything can have an impact. Our sexual desires and needs are constantly in flux, influenced by a multitude of factors, and that's perfectly normal.
In the context of managing depression and anxiety with medication, recognising these wide range of experiences becomes particularly important. Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), have been known to impact sexual function for some people. This may present as a change in libido, arousal difficulties, delayed orgasm, or other symptoms. However, the interpretation of these changes is deeply subjective, influenced by personal expectations, societal norms, and individual experiences of sexuality.
For individuals experiencing libido changes due to these medications, here are some strategies to manage potential side effects:
- Adjusting medication dosage. Many people start on a certain dosage to help them navigate chapters of their life, and are able to effectively wean off when ready. You may find a lower dose reduces the sexual side effects while maintaining the main benefits of the antidepressant.
- Switching antidepressants. Some SSRIs and SNRIS have lower risks of sexual side effects than others, and switching to one of these may be beneficial if you feel impacted by the side effects of one. Consult your healthcare professional before changing any medications.
- Augmentation with other medications. Adding medications specifically to address sexual side effects can be an option. You can talk to a medical professional about this, too.
- Non-medical approaches. Psychotherapy, lifestyle changes, and focusing on intimacy or different types of sex can also support sexual well-being.
It’s important to remember that depression and anxiety themselves often significantly reduce sexual desire, and for some, medicinal treatment may actually restore your libido to its former level. The goal is to find a balance that respects your mental and sexual health needs, without adhering to unrealistic standards of what libido should be and allowing for a more compassionate approach to treatment and well-being. Take your time, communicate openly, explore your options and prioritise your mental health. The rest will come later.
