Menu Close. So, in some cases, sexual difficulties may stem not from the SSRI, but rather from the underlying depression. For women, these drugs haven't proven very helpful.

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May be an option for patients taking antidepressants with shorter half-lives and patients taking lower doses. In a retrospective series, clinic records of female SSRI-treated outpatients were reviewed for loss of or decreased libido, orgasmic disturbances anorgasmia or delayed orgasm , as well as clinical management patterns to alleviate sexual side effects. In this article, we discuss the epidemiology of sexual dysfunction and describe treatments with sildenafil.

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Management strategies for SSRI-induced sexual dysfunction. Hidden problem. Sexual side effects may subside at a lower, although still therapeutic, dose. Nonpharmacologic options should be considered before and during pharmacotherapy. Moreover, several months may pass before symptoms diminish adequately, making this strategy impractical for patients with substantial sexual dysfunction.

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When treating a woman with SSRI-induced sexual dysfunction, consider nonpharmacologic treatments both before and during pharmacotherapy Table 2. When possible, take a baseline sexual dysfunction measurement to assess if selective serotonin reuptake inhibitor use is correlated with onset or worsening of sexual dysfunction. The pharmacology of these agents explains their decreased propensity to cause sexual dysfunction. Anorgasmia is the most commonly reported sexual symptom.