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Psychiatric disorders and sexual dysfunction.

Marcel D Waldinger1

  • 1Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of BetaSciences, Utrecht University, Utrecht, The Netherlands.

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|May 25, 2015
PubMed
Summary

Psychiatric medications can cause sexual dysfunction in patients. Open communication with healthcare providers is crucial for managing these common medication side effects.

Keywords:
PSSDSSRIatypical antipsychoticgenital anesthesiamajor depressionpsychiatric disorderschizophreniasexual side-effectvortioxetine

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Area of Science:

  • Psychiatry
  • Pharmacology
  • Sexual Medicine

Background:

  • Sexual dysfunction is common in patients with psychiatric disorders.
  • Both the illness and its treatments (psychotropic medications) can cause sexual problems.
  • Schizophrenia, mood disorders, and eating disorders are associated with sexual difficulties.

Purpose of the Study:

  • To review the prevalence and causes of sexual problems in psychiatric patients.
  • To discuss the impact of psychotropic medications on sexual function.
  • To highlight the need for better communication regarding sexual side effects.

Main Methods:

  • Literature review of studies on sexual dysfunction in psychiatric populations.
  • Analysis of medication classes and their associated sexual side effects.
  • Discussion of methodological limitations in current research.

Main Results:

  • Antipsychotics and antidepressants (especially SSRIs) frequently cause sexual side effects.
  • Sexual side effects include decreased libido, erectile dysfunction, and orgasm difficulties.
  • These side effects are often dose-dependent and reversible, but can persist in rare cases.

Conclusions:

  • Psychotropic medications significantly contribute to sexual dysfunction in psychiatric patients.
  • Healthcare providers must proactively inquire about sexual health to identify and manage side effects.
  • Further research with improved methodologies is needed to better understand and address these issues.