Erectile Dysfunction and Depression in men

Erectile dysfunction caused by depression

Sexual dysfunction is twice as likely for men with depression. Depression in men can cause sexual problems such as loss in desire, erectile dysfunction, or inability to orgasm. About a quarter of men with depression have difficulties with maintaining an erection or ejaculating. An even greater number of depressed men report a loss of sexual desire. Studies have shown that men with depression actually have lower brain activity in the regions that normally respond to sexual arousal.

Sexual dysfunction: a common side effect of antidepressants

Sexual problems can be caused by side effects from antidepressant medications. In fact, sexual side effects such as erectile disorders are one of the most common reasons that people stop taking antidepressants. Many patients decide to take a lower dosage or stop treatment altogether. A lower dose of antidepressants can lead to less sexual problems. Patients may also benefit from a short 48 hour break from medication. However, altering medication can lead to withdraw symptoms and depression relapse. Any adjustments in medication must be discussed with a doctor before making any changes.

All SSRI drugs have high rates of patients reporting side effects of sexual dysfunction. Most often, sexual problems caused by SSRIs do not go away. Compared to other SSRIs, Paroxetine (Paxil) causes the most sexual problems. A lower rate of ED is seen in Celexa. Wellbutrin may actually increase sexual function. Switching medications may improve sexual function, but there is a risk that a new antidepressant may not be as effective as the old treatment.

Viagra can be added to an antidepressant regimen to improve sexual performance. However, Viagra does not help treat a loss of sexual desire.

Depression caused by erectile dysfunction

Erectile dysfunction is not just a physical problem but also an emotional problem. Sexuality is very sensitive to emotional and psychological health. Men with impotence can eventually develop secondary depression. The inability to enjoy sex can lead to a drop in self confidence and can strain a relationship. Relationships can be strained when men withdraw from their partners, fearing that any physical contact will expose their ED problems. Therefore, men with erectile dysfunction can become withdrawn from relationships.

The successful treatment of ED can improve depressive symptoms in men. Unfortunately, most men do not seek treatment for ED. Treatments for ED can improve physical sexual performance but also emotional and depressive symptoms as well.