Loss of Libido: the Impact of Psychiatric Medications - Psychiatry

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Loss of libido, or a decrease in sexual desire, is a common side effect associated with various psychiatric medications, particularly antidepressants and anxiolytics. In your case, it appears that the medications you were prescribed, such as the combination of "锐思定" (likely referring to an SSRI like escitalopram) and "烦多闪" (possibly a benzodiazepine), have contributed to your experience of reduced sexual pleasure and desire.

Psychiatric medications can affect neurotransmitter systems in the brain, particularly serotonin, dopamine, and norepinephrine, which play crucial roles in regulating mood, anxiety, and sexual function. SSRIs, for instance, are known to increase serotonin levels, which can lead to improved mood and reduced anxiety but may also dampen sexual desire and arousal. This phenomenon is sometimes referred to as "SSRI-induced sexual dysfunction." Similarly, benzodiazepines can cause sedation and may interfere with sexual arousal and performance.

The symptoms you described, including the absence of sexual pleasure during masturbation and a lack of interest in sexual stimuli, are indeed concerning. The tremors and physical weakness you mentioned could also be side effects of the medications, as these drugs can impact motor function and overall energy levels.

It's important to note that while some individuals may experience these side effects, others may not. The variability in response to psychiatric medications is significant, and what works for one person may not work for another. If you have already discussed your symptoms with your prescribing physician and they dismissed the possibility of these medications causing your sexual dysfunction, it may be beneficial to seek a second opinion or consult with a specialist in sexual medicine or a psychiatrist who has experience with medication-related sexual side effects.

Regarding your concerns about the potential for irreversible effects, it is generally understood that most medication-induced sexual dysfunction is reversible. Many patients report that their sexual function returns to baseline after discontinuing the offending medication, although this can take time. However, the timeline for recovery can vary widely among individuals. If you have stopped taking the medication and are still experiencing these symptoms after several days, it may be worth discussing this with a healthcare provider who can offer guidance and support.

It is crucial to address your feelings of distress and suicidal thoughts. If you are feeling overwhelmed, please reach out to a mental health professional or a crisis hotline immediately. Your safety and well-being are paramount, and there are resources available to help you navigate these difficult feelings.

In summary, loss of libido can be a distressing side effect of psychiatric medications, and while it is often reversible, it is essential to communicate openly with your healthcare provider about your symptoms. Seeking additional support and exploring alternative treatment options may help you regain your sexual health and overall well-being. Remember, you are not alone in this, and there are professionals who can assist you in finding a solution that works for you.