Lexapro and sex?
(22F) Hey friends. So I have been diagnosed with depression, anxiety, and PTSD for several years now but things have progressively gotten worse with age, and my psychiatrist has recommended medication to help me have a higher quality of life. Lexapro is what we’ve decided on, but after some research it seems sexual dysfunctions can be a pretty common side effect for those who take it.
I️m nervous because for the first time in my life I am in an amazing, healthy relationship and having an extremely good sex life (i am an abuse survivor and sex has always been a touchy topic for me, but my current boyfriend has finally made me feel safe enough to enjoy and explore my sexuality)
Can you share your experiences with this topic?
helloimkat: Lexapro completely killed everything sexual for me. Couldn’t finish, zero interest in sex or anything. Luckily I wasn’t having sex at that time, so at least no one (except me) suffered from it.
That being said, don’t let that discourage you from taking it! After the adjustment period, it did wonders for my anxiety and depression. So I’d say it’s worth a shot.
Everyone reacts differently to it too. And if you do see any bad side effects, consult your doctor and they’ll probably switch you to something else, that will hopefully be a better fit for you.
UsernameCheckOuts: Escitalipram? Makes me all wonky. Can stay hard for hours but never come. Other times I can’t get hard. Other times everything’s normal.
jovialkitty: I started out on 10mg of Lexapro daily and during the adjustment period, my sex drive was gone. I typically have a really high sex drive so it was a pretty shocking difference. Not a huge deal to me at the time because I wasn’t seeing anyone, but I definitely noticed I thought about sex way less, hardly ever had the urge to masturbate, and if I ever did orgasm it was unsatisfying and took forever. This (and my other side effects) went away after about 3 months. Once my body was used to the medicine I was back to being horny all the time. That was about 3 years ago & I’m now taking 25mg daily. There have been no libido changes for me since those first 3 months.
I would make sure your partner understands that this is a totally normal SSRI side effect and you will likely be back to normal(ish) once your body is regulated. Patience is necessary.
Also, good luck! Lexapro has helped my anxiety so much since I started taking it. Definitely worth a few months long rough patch imo.
Totallynotthebanana: Lexapro killed me. Try wellbutrin? I was on both after the Lexapro because of some issues, but my sex drive came back
dbornotdb: It’s different for everyone who takes it. Don’t worry about it until when/IF it happens to you.
sn0wbreeze: Everyone’s experience is anecdotal, because you’ll never know how it’ll affect you until, well, it does. I was on lexapro and I didn’t feel any decrease in sex drive or any issue regarding that (Although I ended up switching medications for a different reason). Everyone’s experience with the medication will be different, yours included.
superbity: I’m on Lexapro and have a very active sex life… but it was definitely better before. For me personally I’m still able to get wet and orgasm, but I don’t think I get as mentally into it as I used to. Like my body still responds to sex but my mind doesn’t.
Still worth it though. Lexapro has done wonders for me.
altaccountthree: I’m on Wellbutrin and Buspar. Seems to work for me. No changes in boner quality or ability to cum.
Weed also works too for the above if you have the ability and interest. I have massive anxiety issues and one session a week is plenty for me in terms of treating it.
americaneedspennies: I was recently put on Lexapro and it has improved my sex life. Before I started taking medication I was rarely turned on and even if I was I would normally have a panic attack if my fiancé touched me. We are now able to start working on building a healthy sexual relationship again.
Medications effect different people in different ways.
ihavepurplesheets: I’ve been on 40mg of lexapro for the last four years due to my major depressive disorder. I will say, the first month on it was horrible. I was too nauseous all of the time to even think about sex. Everything evened out over time and, although I may be the exception to the rule, it hasn’t affected my sex life at all. I still have a sex drive and get super wet and am able to have regular orgasms. I will say I notice when I try to come close to the time I take my meds it can take a little longer, but since I take my medication in the morning and tend to get intimate in the evening it isn’t an issue.
Lexapro has been the only medication that has worked for me of the handful I’ve tried. When i was on prozac it was impossible to reach orgasm, like I would be right there but couldn’t get over the edge. Lexapro doesn’t do this for me.
GetBusy09876: My wife was on it when we first met and she could barely orgasm at all from her g spot and not at all from her clit. She got on something else – wish I could remember the name – and she’s very orgasmic now.
shannanigannss: I would try it first because not everyone responds to meds the same way. And if it does start affecting you then you can always stop and try something else. I was on Zoloft for my OCD symptoms and for a few months could barely orgasm and had no sex drive. It was terrible so I went off of it. However please talk to your psychiatrist before stopping a med because I didnt and experienced some pretty bad withdrawal symptoms from stopping Zoloft cold turkey.
ruff-rabbit: I just switched from Zoloft to Lexapro, hoping it will eliminate some of the sexual side effects. The literature states Lexapro should have less of them than Zoloft, but time will tell. Another thing the literature recommends is giving it time before deciding if it’s right for you. Apparently it takes a while to even out.
Wellbutrin seems to be the choice for eliminating the sexual side effects but if you have issues with irritation like I do it won’t really help with that.
Best of luck to you!
Zaliika: I had pretty much zero sex drive while on Lexapro, to the point that I actually begun questioning if I was asexual. Didn’t even want to be touched or hugged. But I’ve had friends who have been on it and been fine. Antidepressants work in different ways for different people, so hopefully you’ll be lucky!
TakeItOrLeaveItIDC: I don’t really have any experience with lexapro or medication aside from my wife who pretty much always indicates that it’s the worst thing she’s ever done and wishes she never had because now she can’t stop.
My personal experience (as someone who has more anxiety than depression but was SA at a young age) is that exercise and practicing some mindfulness meditation has been insanely beneficial.
At the end of the day I believe there’s a lot of science backing up exercise and mindfulness meditation for helping with both anxiety and depression.
I’m not a doctor and I would *never* counsel you to do x or y though – I would only caution you when it comes to SSRIs and things like that as they can be something you pretty much need to be on forever.
I know, technically, you can taper off them but the mileage varies and my wife finds the “brain zaps” and withdrawal symptoms to be completely unbearable.
Additionally, I tend to believe that pills *can* be a bit of a short cut when therapy and some lifestyle changes could have better results (or at least less negative side effects) when compared to the blanket approach of throwing pills at everything.
I’d never judge someone who needs the medication and obviously everyone’s situation is different so take all of this with a grain of salt, it’s all anecdotal and I am *not* a doctor of *any* kind.