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Sexual Side Effects of Antidepressants Affect Men and Women Differently

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listen to this audio Psychiatry, Psychotropics and Female Sexuality

Psychiatric illnesses that affect sexual functioning and managing sexual side-effects of psychiatric medications. Assistant Clinical Professor, Department of Psychiatry, UCLA School of Medicine. From the 2002 Women's Sexual Health Conference.

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Prozac and its pharmaceutical peers -- officially known as selective serotonin reuptake inhibitors, or SSRIs -- have been gaining a reputation for inhibiting sexual desire. So, in 1998, when Lisa Piazza, M.D., of Cornell University Medical College, placed a group of 25 depressed people on SSRls, the surprise was not that the sexual functioning of the men got significantly worse -- but that of the women significantly improved.

After six weeks of treatment, Piazza found that sexual desire, psychological arousal, and overall sexual functioning improved for the women, while ease of orgasm, satisfaction from orgasm, and overall sexual functioning deteriorated for the men.

Side effects from SSRI treatment may simply be less common in women, says Piazza. She also points out that the women had greater sexual impairment compared to the men at the beginning of the study, as a result of their chronic depression. Their low starting point left ample room for improvement.

Next: Many Women Though Do Suffer Sexual Side Effects From Antidepressants

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Last updated: 10/05

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