Psychiatric Diseases And Sexual Life
How does depression affect sexuality?
Reluctance is the most common sexual problem in depression. This situation may also manifest itself as difficulty in erecting in men, problems with ejaculation, inability to get wet or having an orgasm in women. In patients presenting with sexual reluctance, it is essential to investigate whether there is an underlying depressive condition.
Do depression medications cause sexual dysfunction?
Many antidepressants have side effects such as sexual reluctance and difficulty in orgasm. Again, antidepressant drugs may prolong the ejaculation period in men, although they are rare and may cause erectile dysfunction. First of all, it should be understood whether the current problem is depression or drug side effects. As mentioned above, depression itself is likely to cause many sexual problems. If the problem is a side effect of the drug, you should talk to your doctor and consider alternatives, such as changes in dose level or switching to another drug.
What kind of sexual problems does a panic disorder patient experience?
Many patients with panic disorders are afraid to have sexual intercourse for fear of having a panic attack during sexual intercourse. However, this risk is quite low.
Do drugs used in panic disorder cause sexual problems?
Selective serotonin reuptake inhibitors (SSRIs) group acting on serotonin may cause side effects such as anxiety (anxiety) and depression medications, decreased sexual desire and difficulty in orgasm. There are also side effects of these drugs to prolong ejaculation in men. When faced with such problems, an accurate profit-loss assessment should be made between the disease and the drug, and if necessary, a dose adjustment or a drug change can be made in consultation with the psychiatrist.
What kind of sexual problems are there?
Social phobia is a disease that is classified as ’Anxiety Disorders’. Interpersonal relations are one of the first problems when the level of anxiety is high. People with a high level of anxiety experience problems in finding a sexual partner in bilateral relations. It may also cause problems such as performance anxiety, hardening difficulties and premature ejaculation during intercourse, especially in men. If SSRIs are used for treatment, side effects such as decreased sexual desire and difficulty in orgasm may cause extra distress.
How does schizophreni affects the sexuality of patients?
There have been different interpretations of the sexuality of patients with schizophrenia since ancient times. There are reports that excessive sexuality triggers this disease until the 1970s. People don’t accept it today. Different types of disease affects sexual activity different ways. Weakness in patients’ social relationships, impulse control disorders, loss of interest and desire interfere with their sexual activities.
How do drugs used in schizophrenia affect sexual functions of these patients?
Approximately 85% of patients with schizophrenia have sexual problems related to their medication. Antipsychotic drugs can cause many sexual problems such as hardening, ejaculation, unwillingness, poor orgasm quality, menstrual irregularities, gynecomastia.
How does bipolar disorder affects sexual?
There is usually an increase in sexual activity in the manic or hypomanic phase of bipolar disorder. Patients become overly eager, seductive, and engage in inappropriate sexual acts. At this stage it is important to prevent them from harming themselves. During depression, there is usually a decrease in sexual activity. Patients are often reluctant to engage in sexual acts. They may experience erectile dysfunction, arousal problems and orgasmic difficulties.
There are no detailed studies on the effect of lithium, one of the drugs used as mood stabilizer in bipolar disorder, on sexual function. However, decreases in testosterone levels have affect due to reports, especially with age. In some cases there may be sexual reluctance and erectile dysfunction. Antiepileptic drugs used as mood stabilizers are also likely to decrease sexual desire. Valproic acid increases estrogen and androgen levels in both men and women. It may have positive effects on sexual desire, especially in women, but care should be taken in terms of polycystic ovary syndrome. Lamotrigine has not been shown to have a negative effect on sexual functions. There are a few case reports showing that topiramate and gabapentin cause orgasmic difficulties.