There’s not a 100% definitely know cause, but the leading theory is that screwing around with the serotonin levels in the brain affects the hypothalamus. The hypothalamus is kind of the control center for other hormones. Mess with that and the other hormones necessary for arousal and orgasm are impaired.
For a lot of women (and for a lot of different reasons) an orgasm has more to do with what’s going on between her ears than between her legs. If there’s struggles enough to warrant SSRI’s, you gotta figure those are going to change a few other things too. I’m a dude but that’s been my experience, YMMV.
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