End Your Depression!
How to fight depression and its effects on your sex life
Sexual Problems and Depression
If you are depressed and have sexual problems as well, you're not the only one. Sexual problems, such as erectile dysfunction (ED) or lack of orgasm - anorgasmia - often exist alongside depression. Happily, doctors can treat sexual problems at the same time as depression.
How are sexual problems and depression linked?
The brain is a very sensitive sex organ. Indeed, sexual desire begins in the brain and flows along neural pathways thanks to special chemicals known as neurotransmitters. These increase communication along nerve cells and work to stimulate blood flow to the sexual organs. But when a person's depressed, brain chemicals become out of balance.
Many women and men who are depressed speak of low or absent sexual desire. Of course this can be troubling for sexual partners in intimate relationships. It is, of course, vital to examine any sexual problems that may be causing frustration or anger between the members of a couple, because sex is a highly accurate indicator of the state of a relationship.
Indeed, in my experience, sex is one of the first things to disappear from a relationship when a couple are experiencing some kind of communication problem. The best indicator of the state of a relationship is provided by feelings of contempt between the partners.
This can be approximated to the number of time positive and negative interactions occur - the ratio needs to be at least 5 positive communications for every 1 negative. However, the good news is that specific treatments are available for depression and the sexual issues which may be either cause or effect. For example, if a couple are experiencing delayed ejaculation, it generally means that there will be concomitant issues of anger, guilt, shame and mistrust.
Are sexual problems caused by antidepressants?
Antidepressants can be very useful to help improve mood or sense of self-worth, but it is also true that some antidepressants - especially selective serotonin reuptake inhibitors (SSRIs) can have some bad side effects which cause sexual problems.
Antidepressants will boost emotional mood in many people with depression by affecting brain chemical balance. But since these chemicals are associated with the sexual responses of men and women alike, antidepressants effect on them can cause sexual dysfunction. In particular, erectile dysfunction and premature ejaculation are affected by these compounds. The sexual side effects of antidepressants appear to increase as the dose of medication increases.
What sexual problems are linked with antidepressants?
Sexual problems that you may experience on antidepressants include:
How can these sexual problems be treated?
There are several ways to manage the side effects of these antidepressant medicines while still allowing treatment of the depression. Some of the more recent antidepressants work differently, and as a result may not affect your sexual function. A doctor may change your prescription to some other type of antidepressant, so that your sexual ability is less affected. And there are some medications which can be prescribed together with antidepressants that may improve a person's sexual function.
Without you telling him about sexual issue like this, a doctor is obviously unable to help. So it's essential to talk openly with your sexual partner and your medical doctor. Ask your doctor for advice! And as for your partner, when they understand that the sexual problems associated with depression medication can be treated, they will be more supportive; as a result people with sexual problems who are on antidepressants continue taking them.
How does depression affect a person's sexuality?
The brain is our most sensitive "sex organ." Sexual drive or desire starts in the brain so any mood problem affects our sexual functioning. About 35 percent to 45 percent of people with depression experience some kind of sexual problems. Of course, the severity of the sexual problem depends on the severity of the depression and whether or not you have any anxiety. For those people who have a more severe form of depression, as many as 60 percent have sexual problems.
Most men and women have difficulty discussing their depression-induced sexual dysfunction, symptoms of which may include decreased libido, erectile dysfunction, and ejaculation problems. Patients tend not to report sexual problems resulting from medications. And it's often the case that only the partner complaining can make them
admit there is a problem. Even then, it may be rationalized away, as the product of social values and practices, and this is especially true in the elderly. Sexual problems may not be the subject of enquiry by doctors: in one study patients taking SSRI were four times as likely to mention sexual dysfunction when asked directly by their doctor.
Thus baseline information about sexual dysfunction is essential, and that includes around low libido, so that the effect of treatment can be assessed. There must be adequate assessment of sexual function before and after treatment is initiated.
More information on depression and sexual function
Depression affects every part of our lives - including our sexual relationships - and if your partner is depressed, your sexual and emotional relationship may suffer very badly. Of course the irony is that a good relationship is really helpful for anybody with depression, because they need expression of support and closeness more than ever.
So if your partner has depression, they will feel withdrawn. They will have low energy, perhaps so little they cannot do all they normally do with the family or in their relationship. This can cause the partner who isn't depressed to feel unwanted or unloved. They may misinterpret the depressed person's moods as anger or evidence that the depressed person wants to end the relationship.
But being the partner of someone who is depressed is extremely challenging. This is especially true around sexual issues: if you're desperate and your loved one cannot focus on anything positive, they may also find their depression affect all their bodily systems, most marked around sleep and sex.
You may wish to check out the symptoms
of any illness which causes you to lose your libido or feel ill -
especially if they interfere with sexual activity due to
the discomfort they cause. I have found hiatal hernia and acid reflux to
be high on the list of such problems.
Both the illness and antidepressant medicines such as Prozac can affect sexual function. One of the most common effects is that orgasm is delayed or doesn't happen at all. If this happens, and you want to have sex, ask the doctor about changing medication. Depressed people can help their relationship by making an effort to show appreciation to their partner.
If you have premature ejaculation, you may be wondering if depression can be caused by the condition. I think it can, in some cases, because the inability to control ejaculation may be deeply shaming for a man. If your experience of sex is unsatisfactory, because of ejaculatory difficulties, you may wish to discover more about premature ejaculation treatment methods.
Here are some self help ideas for depression