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orgasm, often co-exist with depression. Asking a depressed patient about libido sexkontakte quak and sexual function and tailoring treatment to minimize adverse effects on sexual function can significantly increase treatment compliance and improve the quality of the patient's life. Selective serotonin reuptake inhibitor-induced sexual dysfunction: efficacy of a drug holiday.

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These include decreasing the dosage of an ssri or tricyclic antidepressant, instigating medication holidays, adding or switching to bupropion, and using nefazodone as an alternative agent. This article exemplifies the aafp 2000 Annual Clinical Focus on mental health. The social organization of sexuality: sexual practices in the United States. The sexual side effects of antidepressants sometimes increase as the dose of medication increases.

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WebMD Medical Reference Reviewed by Michael Dansinger, MD on October 15, 2016 Sources sources: National Institute of Mental Health: "What is Depression?" American Academy of Family Physicians: " Depression in Older Adults: What it is and how to get help." National Alliance on Mental Illness. 28, 29 Patients who switched from sertraline to nefazodone in a double-blind clinical trial reported that their libido returned to baseline levels. Discovery of sexual problems is further limited by the frequent failure of physicians to ask about such problems. 19, 20 In a double-blind clinical trial of treatment with imipramine (Tofranil phenelzine (Nardil) or placebo, it was found that 30 to 40 percent of patients taking either antidepressant reported a decline in sexual desire, while 6 percent of those taking placebo experienced the same. Decreasing the dosage of the antidepressant may improve libido while maintaining adequate treatment of depression. Androgen enhances sexual motivation in females: a prospective, crossover study of sex steroid administration in the surgical menopause.

Then ask your doctor what might help your situation. Experimenting with erotica or sticking with some of the old stand-bys (flowers, candles, and sexy clothing) could get you both in the mood. 18 Up to one half of patients surveyed before and after starting therapy with the ssris fluoxetine (Prozac paroxetine (Paxil fluvoxamine (Luvox citalopram (Celexa) and sertraline (Zoloft) reported a decline in libido with medication use. They found that those who used condoms (and were therefore less exposed to semen) were more likely to be depressed than those who did not use condoms. Information from references 7, 9, 10, and 18 through. Nathorst-Boos J, von Schoultz B, Carlstrom. Discussing Libido, jump to section, patients have difficulty discussing sexual dysfunction (decreased libido, erectile dysfunction and anorgasmia) and acknowledging decreased libido may be particularly difficult.

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