If one SSRI diminishes your libido/ability to climax, will all SSRIs negatively impact your libido/ability to climax?
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Therapist here, and someone who has had this experience.
Some medications will impact libido/climax, and another, even if in the same class, may not. The mechanism of how different SSRIs do their thing can vary.
I had a medication that caused inorgasmia and effectively “reverse” ejaculation (it would go into my bladder, then get peed out later). It was the weirdest experience. Switched to a different SSRI and it completely went away. No issues on the new medication.
It can also be a psychosomatic experience related to being depressed, exacerbated by an SSRI.
Working with a psychiatrist or ARNP trained in psychiatric medication may be the best route if you’re just going to your primary care currently.
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