Health & Emotions

SSRI + Orgasm Difficulty: How to Get Your Orgasm Back

April 17, 2017


SSRI + Orgasm Difficulty: How to Get Your Orgasm Back

Difficulty reaching orgasm because of your SSRI medicine can be a common issue.

SSRI medications including:

  • citalopram (Celexa)
  • escitalopram (Lexapro)
  • fluoxetine (Prozac)
  • fluvoxamine (Luvox)
  • paroxetine (Paxil)
  • paroxetine mesylate (Pexeva)
  • sertraline (Zoloft)
  • vortioxetine (Trintellix, formerly called Brintellix).

are likely to cause sexual side effects.

SSRI’s can be known for libido loss and/or loss of orgasm in women. SSRIs flood the brain with serotonin, overloading the receptors that control sexual arousal and decreasing sexual desire or acquired anorgasmia (meaning you could orgasm before and it has now become difficult).


There are a couple things I would recommend to help counter this:

1) Switching.

Wellbutrin is known for having the least problematic effect on sexual health, but I would say switching should be your last resort as finding a medication that works for you is pretty tricky. I would hate for your daily life to be disrupted on account of an uninformed or unnecessary switch. I would chat with your psychiatrist about this, it’s super common and they might have some helpful tips for you!

2) Re-learning your body.

Different life changes can change your body, anything from a new medication to a new outlook on life. I would spend some time (alone) taking things slow. Touch yourself from head to toe while being aware of how things feel, if they are different, pleasurable, or not. You can then take this knowledge and apply it to the bedroom with a partner.

3) Experimenting.

Eva by Dame products is certainly my highest recommendation for couples. It has two “wings” that stay under the labia and rest on your clit. It stays out of the way for penetrative sex, is hands-free, and gives both of you a nice sensation.

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  3. Jagadish

    Hiii..I'm in relationship wd a married womenfor the past 4 yrs...ours is long distance relationship we hd been in physically with protection when v both i want to hve sex wd her wdout any protection. there any problem in this are any side effects. ..we both love each other a lot.and v want to enjoy our second life....plzzz help me ...

    • Sasha

      Feel free to email me at!

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