Antidepressants can help you chat up that girl, finish that screenplay and stop watching endless reruns of The Office every night before bed.
In short, they’re great for humankind. For some antidepressant users though, common side effects can ruin one of the happiest and most fulfilling parts of lives: intimacy.
Research shows that between 25 and 73 percent of people who used antidepressants like Zoloft to treat depression, anxiety and other conditions experience intimate side effects. Basically, antidepressant problems in the bedroom are a lot more common than you think.
And dealing with them can be a frustrating process. Antidepressant-induced intimacy dysfunction may not be as bad as some mental health issues, but it’s hard to call life “great” if you’re unable to do one of the most fun things a person can do — hook up.
Luckily, almost all intimate side effects caused by Zoloft and other selective serotonin reuptake inhibitors (SSRIs) are treatable, with a variety of options available for reducing and managing your symptoms.
Below is an explanation of how medications such as Zoloft can cause intimate side effects like ED and low libido. It also includes some practical techniques that you can use to prevent ED and stay healthy while using Zoloft or similar medication.
Intimate Side Effects of Zoloft TL;DR
Zoloft is a brand-name antidepressant also known generically as sertraline. Sertraline is a selective serotonin reuptake inhibitor prescribed to treat depression and anxiety disorders, like social anxiety disorder, panic disorder, obsessive-compulsive disorder (OCD) and others.
Zoloft is one of the most common SSRIs in the United States, so we have a fair amount of information about how it interacts with your life in the bedroom, specifically that:
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Zoloft is often prescribed off-label to treat PE, because it can make climaxing take longer.
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Zoloft works by increasing serotonin levels, which can cause side effects such as difficulty with climaxing and ED.
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It may not be the SSRI with the worst intimate side effects, though. Recent research suggests that Zoloft has a lower risk of causing intimate side effects than other widely-used SSRIs.
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Modern SSRIs like Zoloft have a lower risk of side effects than older antidepressants, such as tricyclic antidepressants (TCAs) or monoamine oxidase inhibitors (MAOIs).
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Not all intimate issues that occur while using Zoloft are caused by Zoloft. Between 35 and 50 percent of people with major depressive disorder experience problems prior to treatment.
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Most of the time, you can treat performance issues by adjusting your dosage of Zoloft, taking a “drug holiday” or trying a different type of antidepressant drug. Just be sure to always make these changes with your doctor — never on your own.
How Zoloft and Other SSRIs Cause Intimate Side Effects
So what’s a brain pill doing downstairs? It’s a good question, and we want answers! But let’s not get the pitchforks sharpened just yet. After all, Zoloft is effective as a treatment for depression and anxiety.
Unfortunately, Zoloft just happens to be associated with a range of intimate side effects. Commonly referred to as SSRI-induced intimate dysfunction, these side effects include:
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Delayed climaxing
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Difficulty climaxing
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Decreased drive
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ED
Precisely why Zoloft and other SSRIs cause these side effects is unclear to experts, though — they’re still scratching their heads at this one.
One popular theory is that the effects of SSRIs on serotonin may also impact intimate desire and performance. Increased levels of serotonin may negatively affect the production of similar neurotransmitters and hormones, including dopamine and testosterone, and you need those to get hard.
Dopamine is an essential neurotransmitter that’s involved in reward-seeking behavior, as well as processes such as achieving climax.
Testosterone, meanwhile, is an androgen hormone — a male reproductive hormone — that plays a vital role in regulating intimacy response and arousal.
Zoloft, thankfully, isn’t quite as impactful for your arousal as other antidepressants. Remember how up to 73 percent of people who take SSRIs experience intimate side effects? Well, data from clinical trials suggests that only two to eight percent of men using Zoloft experience intimate side effects. The most common of these are difficulties climaxing (reported by eight percent of men) and ED (reported by four percent of men).
How to Deal with Intimate Side Effects of Zoloft
If you’ve found that sertraline is helping your mental health, you may be reluctant to stop the good vibes for some better arousal. That’s a totally understandable decision.
But these effects may also cause you some extra distress — which obviously isn’t what you want when you’re treating depression or anxiety.
The good news is that intimate effects from antidepressants can often be treated or reduced with some changes to the way you use your medication.
To treat ED from Zoloft, your healthcare provider may recommend using one or several of the following techniques:
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Adjusting your dosage of Zoloft. Zoloft is prescribed at several dosages, from 25mg to 200mg per day. Some side effects, including intimate effects, may be more common when Zoloft is used at a high dosage.
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Switching to a different SSRI. Although most SSRIs work in the same basic way, there are differences between each medication that could make one a more suitable choice for you than others. Different types of SSRIs include Paxil (paroxetine), Lexapro (escitalopram), Celexa (citalopram) and Prozac (fluoxetine).
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Using bupropion (Wellbutrin). Some prescription antidepressants, such as bupropion (Wellbutrin), are less likely to cause intimate side effects than others in the SSRI class of medications.
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Taking a temporary “drug holiday.” Your healthcare provider may suggest going on a “drug holiday” — a day or two in which you stop taking your medication — to lower the severity of ED and other intimacy function issues by giving the medication time to exit your body before intercourse. It’s worth repeating, though — you may be used to jetting off to the beach whenever you want, but don’t just decide to take this type of holiday by yourself.
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Using medication to treat ED. In some cases, your healthcare provider might suggest using a prescription ED medication like Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil) or Stendra (avanafil) to make achieving arousal easier.
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Making changes to your habits. Some habits, such as being inactive, smoking, eating an unhealthy diet, living a stressful lifestyle or watching porn excessively, may also play a role in ED. This guide to naturally protecting your arousal goes into more detail about lifestyle changes that you can make for better arousal and intimacy health.
All these changes can help, but here’s a major warning for dudes struggling with this problem right now: if you have developed signs of antidepressant-associated intimate dysfunction after taking Zoloft, don’t make any changes without first talking with your healthcare provider.
Abruptly stopping or reducing your dosage of Zoloft (or any antidepressants) can cause withdrawal symptoms.
It’s also possible for you to experience a relapse of depression or anxiety if you suddenly stop taking your antidepressant medication.
And that’s just as bad for arousal as SSRI side effects, in the big picture.
The Bottom Line on Zoloft Intimate Side Effects
Let’s look at the big picture for a moment here, starting with the real value of Zoloft. If you have depression, anxiety or another psychiatric disorder, using medication like Zoloft can help to make your symptoms less severe and significantly improve your quality of life. It’s a life-changing medication for many people.
Feeling down is not something to wish on anyone, but not being able to get up? That’s in the same ballpark. If you’re worried you’ll have to choose arousal or joy, you can relax.
There are ways to find the right balance and ditch those intimate side effects, so you can be happy and horny at the same time. Remember the following as you chart a path to having your cake and having your arousal, too:
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Intimate side effects from Zoloft only affect a small percentage of users, but they can happen to anyone, even those with no previous intimate issues.
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Let your healthcare provider know if you notice any changes in your bedroom drive, arousal or ability to enjoy intercourse while using Zoloft.
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Your healthcare provider can offer you options. They may adjust your dosage of Zoloft, or switch you to a new antidepressant or another medication to improve your response cycle and overall bedroom performance.
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You may also benefit from using ED medication to improve blood flow and help you get and maintain arousal more easily. It’s not necessary for everyone, but it may help.
Worried about intimate side effects from Zoloft? This guide to managing intimate side effects from antidepressants goes into more detail about what you can do if you notice ED, a low drive or other intimate issues after starting treatment with an SSRI.
Happiness and arousal are something we all deserve as much of as we want. Sort out this little medication conflict and get what you deserve today.
This article originally appeared on Hims.com and was syndicated by MediaFeed.org.
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Featured Image Credit: David-Prado / iStock.