Overcoming Sexual Desire Issues After Stopping Medication: A Guide - Psychiatry

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Sexual desire issues


Doctor, since I stopped taking Risperidone and Fluoxetine on June 27, it has been a month, and I feel that my libido has not yet returned.
I have a biological instinct to look at women, but I do not feel arousal or sexual desire.
Every day, I oscillate between the thoughts of never recovering and feeling like nothing is wrong.
I scare myself daily and feel like I'm going crazy.
Now that I have a moment to breathe, I’m asking you, doctor, how should I get through this difficult time?

Cang Zhilang, 30~39 year old female. Ask Date: 2023/08/02

Dr. Qiu Junda reply Psychiatry


Hello.
As mentioned before, I hope you will patiently return to the psychiatric and urology departments to discuss and collaborate on treatment with the physicians for early improvement.
Thank you.

Reply Date: 2023/08/02

More Info


Overcoming sexual desire issues after stopping medication can be a challenging experience, especially when the medications involved, such as Risperidone (referred to as 銳思定) and Venlafaxine (煩多閃), can significantly impact libido and sexual function. It's important to understand that these medications can alter neurotransmitter levels in the brain, which play a crucial role in regulating sexual desire and arousal. When you stop taking these medications, your body may need time to readjust and restore its natural hormonal and neurotransmitter balance.

Here are some strategies to help you navigate this difficult period:
1. Be Patient with Yourself: Recovery from the effects of medication can take time. It’s not uncommon for sexual desire to fluctuate after stopping psychiatric medications. Your body is adjusting, and it may take several weeks or even months for your libido to return to what it was before medication.

2. Consult Your Healthcare Provider: It’s crucial to maintain open communication with your healthcare provider about your experiences after stopping medication. They can provide insights into what you’re experiencing and may suggest alternative treatments or therapies to help manage your symptoms. If your current medications are affecting your sexual health, your doctor might consider adjusting your treatment plan.

3. Explore Therapy Options: Engaging in therapy, particularly cognitive-behavioral therapy (CBT), can be beneficial. A therapist can help you work through feelings of anxiety and frustration related to your sexual health. They can also provide coping strategies and help you explore any underlying issues that may be contributing to your current feelings.

4. Focus on Overall Well-being: Engage in activities that promote your overall well-being. Regular exercise, a balanced diet, and adequate sleep can improve your mood and energy levels, which may indirectly enhance your sexual desire. Physical activity, in particular, can boost endorphins and improve your body image, which can positively influence your libido.

5. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or yoga can help reduce anxiety and improve your mental state. These practices can help you become more in tune with your body and may enhance your sexual experiences when your libido begins to return.

6. Consider Sexual Health Education: Sometimes, understanding the physiological and psychological aspects of sexual desire can alleviate anxiety. Educating yourself about sexual health and function can empower you to navigate your feelings and experiences more effectively.

7. Avoid Self-judgment: It’s essential to be kind to yourself during this process. Sexual desire is a natural part of being human, and fluctuations are normal. Avoid labeling yourself negatively based on your current feelings or experiences.

8. Explore Alternative Avenues for Intimacy: If sexual desire is low, consider exploring other forms of intimacy with a partner, such as cuddling, kissing, or simply spending quality time together. Building emotional intimacy can sometimes rekindle physical desire.

9. Avoid Substance Use: While it may be tempting to use alcohol or other substances to cope with your feelings, these can often exacerbate issues related to sexual desire and overall mental health.

10. Support Groups: Consider joining a support group for individuals who have experienced similar issues. Sharing your experiences and hearing from others can provide comfort and insight.

In conclusion, while the journey to overcoming sexual desire issues after stopping medication can be daunting, it is essential to approach it with patience and a proactive mindset. Engaging with healthcare professionals, focusing on overall well-being, and exploring therapeutic options can significantly aid in your recovery. Remember, you are not alone in this experience, and support is available.

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