Potential Irreversible Damage to Sexual Health Linked to SSRI Antidepressants | Dr. Irwin Goldstein
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SSRIs, selectoserotonin reuptake inhibitors, are one of the most widely prescribed medications in the United States.
They decrease the suicide rate of people with major depressive disorder and other mood issues and have been found to be really life-changing by psychiatrists and individuals with mood disorders.
The problem is they are recognized to raise serotonin, that's their mechanism, but serotonin is an inhibitor of sexual function.
So while using the medication, it's widely appreciated that individuals will suffer sexual health concerns.
But what is not appreciated is when they stop the medicine, the usual teaching is that everyone returns to their pre-medication sexual function.
And that's not what we're seeing in our sexual health clinic here.
So the name of the condition is post-SSRI sexual dysfunction, or PSSD.
And it's an awful condition.
It persists, causes frustration, embarrassment, humiliation.
It causes erectile dysfunction in young men, libido problems, genital sensation changes, orgasmic dysfunction.
It's kind of an awful thing, and it doesn't go away.
And it is used in a lot of minors who aren't part of the consent process since these medications.
You know, there's a recent study that looked at the date of the patient's initial prescription of the SSRI medication.
And three out of four patients are between the ages of 10 and 25 in this study.
That's kind of, it's just, I don't know, it's amazing.
Well, and of course it's incredibly important because even if some of these patients might actually even be pre-pubescent and so forth, like this is huge ramifications.
Well, they never experience normal sexual function.
These individuals in my clinic who have been given the medicines are youngest as age 11, I mean, they'll never experience what one would otherwise consider a normal sexual life for using the medication.