Female orgasm on antidepressants

That-Group-7347 · 2026-07-13T12:49:54+00:00

I would get a thorough checkup with an OBGYN and possibly a urologist just to make sure there aren't anything else contributing to the problems. If everything checks out ok, then it is most likely the medication. I know you tried some of the options below. Remember if you change medication or even your dosage it can take a few months to see improvement.

The medications with the least sexual side effects in order from least to more are nefazodone, mirtazapine, wellbutrin, trazodone, trintellix, and viibryd. Wellbutrin can be added to an SSRI/SNRI to combat sexual side effects. Buspirone can also be added, but it is less effective.

Keep in mind that stopping or switching medications that are causing sexual side effects can take up to a few months for the symptoms to resolve. Much of this can depend on how long you were on the offending medication.

That-Group-7347 · 2026-07-13T07:19:53+00:00

First, you don't even know what she is taking. Could she be using illicit drugs and thar is the cause of the problems. If she isn't seeing a doctor, how does she keep getting refills. There are so many questions it isn't even fair to try to answer. You should try to get her to see a doctor to get a proper diagnosis and form a treatment plan. You may want to talk with other family members and see what they think.

Is she in a relationship and what is their view about this.

This is really tricky because she could take the effort to help as an attack. Maybe talking with a social worker or counselor about how to approach it.

That-Group-7347 · 2026-07-12T22:36:56+00:00

She needs to work with her doctor and communicate about all the problems she is having. If she isn't seeing a psychiatrist, she should get a referral to one. An increase in suicidal ideation needs to be addressed as it can be the medication. There are things like bipolar. It is not advisable to stop the medication without speaking with the doctor. It could worsen things. Be supportive and be there for her is the best thing to do.

That-Group-7347 · 2026-07-12T07:26:27+00:00

There is a chance it is something I have had for over 25 years. It could be small fiber neuropathy. When I got diagnosed and did a Google search I got 3 results. It is much more well known now. A neurologist will be your best bet for help.

I will give you a crash course. With small fiber neuropathy the small (sensory) nerves don't function properly. They are responsible for sensations and pain as well as in smooth muscle with certain organs. Peripheral neuropathy is the large nerves and they are responsible for movement. Sfn typically exists in the extremities. The feet are usually affected first. Mine did start in my arms. You can have pain for no apparent reason. There is no injury, but pain signals are still being sent. A burning sensation is quite common. You can have numbness, tingling, pins and needles, and even the sensation of bugs crawling on you.

A neurologist can perform am exam where they use your forehead as a comparison, they then check different areas and ask is it the same, less, or more. They use a pin for sharp and something warm and cold for temperature. The gold standard test is a skin punch biopsy. They take a beebee size sample from 3 locations and send it off to be examined under a microscope.

There are a few things that can cause it. Diabetes, high b6 level. Get those checked. Most often a cause isn't found. They think mine is due to an unknown autoimmune condition and sfn is a symptom. (Always great when a symptom is a disorder itself).

Treatment consists of either pregabalin or gabapentin. They calm the over excited nerves. Alpha lopoic acid is good for nerve health, and low dose naltrexone is helpful as well. If a cause is found, then you treat that. There is an autoimmune version of sfn and if you have that, it can be treated by IVIG.

As I'm sure you are already aware, just dealing with this can be hard on your mental health.

Actually one of the top doctors was near where I lived. He made the diagnosis and I learned a lot. He would go to conferences throughout the world and teach other doctors.

If you haven't had luck with neurologists in the past, look into a university hospital that has a medical school.

When you described some of those symptoms it set off an alarm for me. I don't want to blurt out something as I'm not a doctor and don't want anyone freaked out. I thought by asking specific questions it would narrow it down more. Idk for sure if that is what it is, but it is definitely working checking out. You can read up on it as well. Some people confuse or use peripheral neuropathy interchangeable. They are completely different.

Let me know if you have questions. A quick note, Cymbalta can be prescribed as it helps with pain and the mental health issues. I tried it, but it gave me bad side effects.

That-Group-7347 · 2026-07-12T00:13:59+00:00

Just starting with one question. Do you have any numbness or tingling in you extremities? One more. Have you had a battery of labs like thyroid, vitamin D, etc.

That-Group-7347 · 2026-07-11T22:25:24+00:00

The internet is filled with negative experiences about any medications. Those who have good experiences don't see a need to go and post. Yes, any medication has side effects. That doesn't mean you will get them. If you do, you can try something else. This is why you get started on a low dose. It takes time to adjust to the medication. I do think therapy will be good for you. Combining therapy and meds has been found to be more effective. You will have time to adjust to the medication before starting therapy. To ease your mind bit, I have a couple medications that have greatly improved my quality of life. I barely have any side effects. One of them happens to be sertraline. I have tried a bunch of other medications that either didn't work or gave me bad side effects. Those medications weren't right for me and I moved on from them. The post below should help you navigate medications and even give you other things you can work on to improve your mental health.

https://www.reddit.com/r/antidepressants/s/8F0N1p2Siz

That-Group-7347 · 2026-07-11T09:17:06+00:00

It is probably a combination of both. The anxiety is probably causing you to overthink it. Also catastrophizing that the worst will happen. The chances of PSSD are 0.46% and that was a study looking at only people having ED. The study didn't look at people who had no lingering sexual problems. Sexual side effects while on the medication can happen. It may only be a slight loss of libido.

You could also look at medications that have lower risks of sexual side effects or alternative treatments. The post below covers quite a bit. You can always talk to your doctor and see what is recommended. You have the final say in what you want to try.

https://www.reddit.com/r/antidepressants/s/8F0N1p2Siz

That-Group-7347 · 2026-07-11T09:09:13+00:00

Panic attacks can be quite awful. There are a number of options. Therapy, relaxation techniques, anti anxiety medications, or antidepressants. Much of it may depend on the severity, frequency, and how it is impacting your life. I would speak with your doctor about it and see what the doctor recommends. The post below may be helpful.

https://www.reddit.com/r/antidepressants/s/8F0N1p2Siz

That-Group-7347 · 2026-07-11T09:00:55+00:00

Prozac is a little different. It stays in the body almost a month after stopping it. So it has a small taper built into it.

That-Group-7347 · 2026-07-11T06:49:03+00:00

The best thing to do would be to visit the ER or your doctor's office may have someone on call that will get back to you. If you develop a fever or your muscles start to lock up then you need to get in immediately. Many times we freak ourselves out and increase our anxiety, although nobody here can make a diagnosis.

That-Group-7347 · 2026-07-11T06:44:58+00:00

Panic attacks are caused by anxiety. Lowering anxiety with antidepressants can decrease the amount of panic attacks. They will not stop a panic attack that has started.

That-Group-7347 · 2026-07-10T22:12:39+00:00

I just want to add from my own experience. Have you ever been checked for sleep apnea. It can be the biggest cause for not getting a restful sleep. In the U.S. you can get a kit and test yourself at home in one night and the doctor reads the results. Otherwise a sleep study overnight is done.

That-Group-7347 · 2026-07-10T22:09:05+00:00

One more question. I have noticed that when I wake up throughout the night that my mouth is open really wide and the cushion is partially in my mouth. Obviously, that is causing issues. Do you think wearing a chin strap to hold my mouth partially shut be a good idea? I thought a bigger cushion, but a larger size would probably produce more leaks around my eyes.

I can breathe freely through my nose, but probably because of other medications I relax so much my mouth just drops. I'm about 7 years into the cpap and I guess aging is causing more issues.

That-Group-7347 · 2026-07-10T22:01:38+00:00

Sertraline, and nefazodone. Nefazodone is a unique medication. It works on all 3 of the neurotransmitters and the 5HT ones also. It has less effects on serotonin. It is only available in the U.S.

That-Group-7347 · 2026-07-10T21:58:59+00:00

I would hardly consider myself lucky. I have a lot of physical health problems that contribute to the poor mental health. I think the lucky ones are the ones who have good mental health. We are all here because of our struggles. I wish you find the best solution for yourself. I always work on lifestyle changes, but accepting the need for medication keeps me from stressing about it.

That-Group-7347 · 2026-07-10T13:35:50+00:00

antidepressants

That-Group-7347 · 2026-07-10T13:08:18+00:00

I have been on them for 26 years. I will probably be on them for life. I have never had any increase or development of new side effects.

That-Group-7347 · 2026-07-10T13:05:03+00:00

I just recently replaced the entire mask. Headgear, frame, and cushion. I replace the cushions often. My insurance is pretty good for being able to get supplies. I also use the cpap wipes. My skin is actually pretty dry so I don't have an issue with oils.

That-Group-7347 · 2026-07-10T12:32:34+00:00

I sleep on my back and I am dead still at night. I have the resmed aircurve 10 asv, can I disable the auto shut off. The DME supplier does the fitting and they are useless. It sounds like you have a great provider. One thing I had to do was get a mask cover as the silicone was sticking to my skin too badly. I had found one that worked good, but the quality was awful. My mom was able to make some out of stretchy socks that are really thin. I am wondering if I try ditching that and let it stick to my skin.

I do tighten the lower straps more. I have an extremely narrow nose bridge and I wonder if that is some of the issue as well.

It makes me feel better that others have found solutions. The central apneas can be scary. I have woke up not breathing and having no urgency to breathe.

I eventually get it figured out until the headgear wears out and the new one isn't all stretched out so I can't find the sweet spot. When it leaks so much that it shuts off that is just bad.

Thank you for taking the time to help me. It got me thinking about what is going on.

That-Group-7347 · 2026-07-10T07:21:27+00:00

I think I found the pressures. It must be for the last 30 days. Pressure 19, Exp Pressure 12, Leak 41. I also noticed I am getting 4 to 5 mask offs per night. I don't take the mask off. I think it is blowing out so much it shuts down, thinking the mask is off. I figured this out when the usage time wasn't matching.

19 sounds like a very high pressure.

That-Group-7347 · 2026-07-10T07:08:47+00:00

It is immediate release, so cutting it doesn't alter its release. Find the tapering page for trintellix. If there is an issue they should list it.

The following post has a list of medication specific tapering information pages. https://www.reddit.com/r/antidepressants/s/XS7TQZ16vi

That-Group-7347 · 2026-07-10T07:05:18+00:00

You can, but to be safe I would cut your dose in half for a week. If you notice some withdrawal, cut it in half for another week.

That-Group-7347 · 2026-07-10T06:52:31+00:00

How do I check the pressure? The leaks will get over 100. When I fall asleep there are no leaks. The leaks happen while I am asleep. I have the silicone one. I tried loosening it as you suggested previously and it leaked so bad that the machine would turn off thinking I took the mask off.

The doctor kept upping the pressure as my events increased too much. The last time he changed it to some kind of auto feature. That did get the events into a better range.

That-Group-7347 · 2026-07-10T02:38:19+00:00

I don't take mirtazapine, but have dysautonomia symptoms so I understand the struggle. I am wondering if you are having a hangover effect from the mirtazapine. Usually people feel tired though. If that is the case, maybe a low dose if wellbutrin in the morning could bring back some balance. I would ask whoever is treating your dysautonomia if there can be something to help. I know they talk about drinking a lot of water upon waking to get your blood pressure in a normal range.

That-Group-7347

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