Depression is a mental health disorder. It is a mood disorder characterized by persistently low mood and a feeling of sadness and loss of interest. Depression and sexual problems tally along. Sexual problems, such as erectile dysfunction (ED) or an inability to have an orgasm, often co-exist with depression. This should not scare you. The good news is that it can be treated.
But what is the connection between sexual problems and depression?
The brain is a highly sensitive sex organ. Sexual desire starts in the brain and works its way down. That's because of special brain chemicals known as neurotransmitters. These chemicals increase communication between brain cells and trigger more blood flow to the sex organs. The problem is, with depression and other mood disorders, the brain circuits that communicate using these chemicals don't function properly.
Many men and women with depression tell of having low or no sexual desire. And that puts a tremendous strain on intimate relationships.
As helpful as antidepressants are in boosting a person's mood or sense of self-worth, some types of antidepressants, have undesirable side effects. Those side effects can result in sexual problems.
Antidepressants help boost mood in people with depression by altering the functioning of brain chemicals (neurotransmitters). But the same chemicals are involved in the sexual response. Antidepressants affect nerve pathways that regulate the sexual response, potentially causing sexual dysfunction. The sexual side effects of antidepressants sometimes increase as the dose of medication increases. Antidepressants that affect serotonin are also often used to treat premature ejaculation in men.
Sexual problems with antidepressants may include:
• Inability to initiate or enjoy sex
• Erectile dysfunction (ED) or delayed ejaculation for men
• Decreased sexual desire for both men and women
• Inability to achieve an orgasm (especially for women)
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If your depression worsens and you can’t escape from the negative thoughts, seek therapy. An experienced therapist will give you the tools to cope with the problem and to conquer your anxiety.
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