Do Antidepressants Cause Erectile Dysfunction?

Erectile dysfunction (ED) can be distressing, especially if you haven’t struggled with it before. There are many different causes of ED, and it can be difficult to pin one down, especially if there are multiple factors at play. The good news is that if you take any medications typically indicated for anxiety or depression it can be easier to pinpoint the cause of your ED, as erectile dysfunction is a common side effect of these medications. Here’s what to know about this topic and how our intimate health providers at Tideline Center for Health & Aesthetics can help.

Why Do Antidepressants Cause Erectile Dysfunction?

We know that a class of medications called selective serotonin reuptake inhibitors (SSRIs) are very effective at treating anxiety and depression. However, some of the most common medications such as Celexa, Lexapro, Paxil, Zoloft, and Prozac, may cause erectile dysfunction. They work by altering levels of neurotransmitters and hormones in the brain, helping it function more effectively – especially serotonin, which helps regulate mood. An unfortunate side effect of this is that too much serotonin can inhibit the natural functions of arousal and sexual desire since serotonin plays a role in these functions. In fact, women can also experience a drop in sexual desire and ability to orgasm from these medications. However, not everyone experiences this side effect, and we don’t entirely understand the impact of SSRIs on sexual functioning.

How to Treat SSRI-Induced Erectile Dysfunction

There are a number of options if you’re struggling with erectile dysfunction caused by SSRI medications. The first step is understanding that treatment is important because struggling with erectile dysfunction can further contribute to feelings of depression and anxiety. However, your mental health is also important, and an intimate health provider can help you strike a balance between recovering your sexual functioning and ensuring a healthy mind.

Adjusting Medications

Sometimes, a slightly lower dose of your SSRI medication can provide relief from erectile dysfunction. If that’s not possible or advisable, then your intimate health provider can prescribe medications like Viagra to help with ED. Viagra can help you be ready for sexual activity ahead of time, although some men dislike the planning involved, and some experience side effects.

Another class of antidepressant medications exists called norepinephrine and dopamine reuptake inhibitors (NDRIs), which are known to be less likely to affect sexual functioning. The most common medication in this class is called Wellbutrin. It can come with risks like any other antidepressant, and it may not work for everyone, so it’s important to consult your regular physician if you’re considering switching.

Considering Therapy

If you’re not already meeting with a therapist to address anxiety and depression, it’s worth considering. Your therapist can help you learn tools to relax and remain present during sexual activity, which might reduce occurrences of erectile dysfunction. A therapist might also be able to help recommend the right medication if you’re struggling with side effects.

Other Treatments

In-office treatments like platelet-rich plasma (called the P-Shot®) or Shockwave therapy can help promote better blood flow and sexual functioning. These treatments can allow you to keep your current medications while still seeing improvement. In some men, they even increase sexual enjoyment and sensation with just a single treatment. Our intimate health providers can help you learn more during an appointment.

Erectile Dysfunction Treatment at Tideline Center for Health & Aesthetics

To learn more about your treatment options for SSRI-induced erectile dysfunction, contact our office today by calling or filling out our online form. We conveniently serve the greater Long Island and Queens, NY areas.