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Antidepressants Can Lower Your Sex Drive. Here's How To Fix It.

Experts break down everything you need to know.
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For the more than 16 million Americans living with depression, antidepressants are often an option in providing some relief from their symptoms. However, as with any new medication, side effects are common. And that means for some, sex is impossible.

Antidepressants, particularly selective serotonin reuptake inhibitors, or SSRIs, have been shown to impact one sex’s drive ― with symptoms like reduced libido, delayed ejaculation, erectile dysfunction and an inability or delayed ability to reach orgasm. But there’s no definitive answer on how common those issues are for users. The results of studies vary widely, with the estimated of number of people affected ranging from 25 percent to 73 percent of those who take the drugs, according to Ash Nadkarni, associate psychiatrist at Brigham and Women’s Hospital in Boston.

This doesn’t mean that all hope is lost or that you should necessarily find alternative methods of mental health treatment. As with most health-related medication, knowledge is power. Below, experts break down what you need to know about antidepressants and your sex drive, and what you can possibly do about it:

Your brain might be to blame for your lack of sex drive.

Nadkarni said the potential sexual impact of SSRIs may lie in specific chemical occurrences in the brain.

“Pathways of sexual desire involve serotonin, but also chemicals such as dopamine and norepinephrine,” she said. “Dopamine is linked to the intense passion and arousal of romantic love, while norepinephrine is associated with the heightened attention and motivation of desire. Serotonin-enhancing antidepressants blunt sexual desire by reducing the capacity of dopamine and norepinephrine, or excitatory pathways, to be activated.”

Despite serotonin’s ability to lessen sexual desire, Nadkarni noted that in some instances, the chemical can also increase desire. It really varies depending on the person and the type of depression medication one is taking. For instance, some medications, including Viibryd and Wellbutrin, have been lauded for their lack of sexual side effects.

The dip in your libido might not last.

The changes antidepressants can cause in one’s sexual desire or experience of sex aren’t always permanent. It can also be difficult to determine whether depression or antidepressants are the reason for someone’s decreased sexual drive, according to John Christman, a psychiatrist at Zucker Hillside Hospital in Glenn Oaks, New York.

“When people are depressed they tend to be less social and interactive, and of course, that can have its effects in terms of libido,” Christman said. “It’s interesting because we always warn patients before starting antidepressants that one side effect of the medication can be sexual dysfunction. However in many patients their sexual performance improves because they’re less depressed.”

Men are more likely to experience a change in their sex drive.

The sexual improvement felt by some patients beginning antidepressants isn’t necessarily the experience of all. Christman explained that sexual dysfunction is the most commonly experienced side effect of antidepressants, especially in men. Those who experience sexual dysfunction as a result of their antidepressants may consider stopping their medication, but Christman cautions against that.

“I tell most of my patients to try your best to wait it out,” he said. “If you give the medication a little bit of time, in many cases, the dysfunction will improve.”

So, what can you do about all of it? Here are a few solutions:

Be mindful of other factors that could get in the way.