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Re: 20%?

Posted by Gaillardia on October 16, 2002, at 15:02:01

In reply to Re: 20%? » Gaillardia, posted by pharmrep on October 16, 2002, at 14:20:35

Once again anecdotally, because I am not citing any structured study here, I have seen hundreds of people on SSRI's from their outset. I agree that Paxil, and I think Zoloft too, are at the top when it comes to sexual s/e's. However, it is a rare occurrence when someone does NOT have sexual s/e on an SSRI in my observation. I do ask about prior experiences with sexual response, always asking "Is this a change from normal for you?" I'm actually being conservative saying 80%, but considering the people who were sexually dysfunctional previously, or for whom sexual response is not an issue, almost all people experience a decrease in sex drive and ability to have an orgasm/ejaculate. And when you say that decreasing sexual s/e is not the point, come into the ranks with me. That is definitely the main reason that people want to take something else! When people suffering from depression have to chose between decreasing their symptoms of depression and having orgasms, it becomes a very difficult choice! I am not hostile here, I just wish I could tell you exactly how many times I have struggled with that issue with clients, and they have longed for an antidepressant that worked without often severe impact on their sex life. --Gail


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poster:Gaillardia thread:109458
URL: http://www.dr-bob.org/babble/20021012/msgs/123899.html