Sex, pregnancy & antidepressants
Taking antidepressants can affect sexual activity. It is also important to know about potential risks of taking antidepressants whilst pregnant or breastfeeding.
Sex
Problems may be due to an untreated underlying medical or psychiatric illness. It may also be the result of drug treatment. Both depression and the drugs used to treat it can cause disorders of desire, arousal and orgasm.
Antidepressant drugs can cause sedation, hormonal changes, and sexual dysfunction. How much it affects you depends on individuals and also on each different drug. Among the more common problems you may experience are decreased libido, problems with erection, impaired ejaculation, less able to achieve an orgasm and poor vaginal lubrication.
Antidepressant drugs can cause sedation, hormonal changes, and sexual dysfunction. How much it affects you depends on individuals and also on each different drug. Among the more common problems you may experience are decreased libido, problems with erection, impaired ejaculation, less able to achieve an orgasm and poor vaginal lubrication.
If you are experiencing problems you should consult your doctor and ask for either the dose to be reduced or to change to a different drug.
Pregnancy
Patients who are already receiving antidepressants and are at high risk of relapse are best maintained on depressants during and after pregnancy. Those who develop a depressive illness during pregnancy should be treated with antidepressant drugs if psychological management has failed or is not available.
There is most experience with amitryptyline, imipramine (constipation and sedation can be a problems with both), and fluoxetine (increased chance of early delivery and low birth weight). Experience with other drugs is growing and a change in treatment may not be necessary, or wise.
Finally, newborn babies may experience withdrawal symptoms such as agitation and irritability. The risk is assumed to be particularly high with paroxetine and venlafaxine.
Pregnancy & mental illness
