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SMSNA 2024 Insights: Psychotropic Medication Induced Erectile Dysfunction
A video from Michal Lew-Starowicz, posted on Jan 8, 2025.

Psychotropic medications, including antidepressants and antipsychotics, are known to potentially cause sexual dysfunction. Selective serotonin reuptake inhibitors (SSRIs), a common class of antidepressants, have been associated with side effects such as reduced libido, anorgasmia, and erectile dysfunction. These sexual side effects can persist even after discontinuation of the medication, a condition referred to as post-SSRI sexual dysfunction (PSSD).
Antipsychotic medications can also contribute to sexual dysfunction by blocking dopamine D2 receptors, leading to decreased libido and erectile issues. Additionally, these drugs may increase prolactin levels, further impacting sexual function.
Managing medication-induced sexual dysfunction requires a collaborative approach between patients and healthcare providers. Potential strategies include adjusting the medication dosage, switching to alternative treatments with fewer sexual side effects, or incorporating adjunct therapies to mitigate the adverse effects. Open communication with healthcare professionals is crucial to address these concerns effectively.
For individuals experiencing sexual dysfunction potentially related to medication use, monitoring relevant hormone levels through lab tests can provide valuable insights. Services like DiscountedLabs.com offer affordable blood tests without the need for a doctor's visit in several U.S. states, enabling patients to take proactive steps in managing their health.
In summary, while psychotropic medications play a vital role in managing mental health conditions, they may have unintended effects on sexual function. Awareness and proactive management of these side effects can significantly enhance a patient's quality of life.