On today’s episode, we will be discussing treatment of antidepressant-induced sexual dysfunction. This is a topic that is incredibly important in terms of medication management in our patients and the side effects from some of those medications, and it is a topic that is often overlooked. It can be embarrassing and anxiety-provoking for medical students, residents, and even attending psychiatrists to ask these questions of our patients. However, it is a vital aspect of our assessment, and even more so when so many medications can cause such an undesirable side effect. First, we will discuss the evaluation of these side effects during psychiatric assessment, followed by a discussion of the management techniques for antidepressant-induced sexual dysfunction.
- Sadock, Benjamin James. Sadock, Virginia Alcott. Ruiz, Pedro. Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/clinical Psychiatry. Philadelphia: Lippincott Williams & Wilkins, 2015. Print.
- Hirsch, Michael MD; Birnbaum, Robert J MD, PhD. “Sexual dysfunction caused by selective serotonin reuptake inhibitors (SSRIs): Management. UpToDate, June 2016. Web. 18 July 2017.
- Zajecka, J. “Strategies for the Treatment of Antidepressant-related Sexual Dysfunction.” J Clin. Psychiatry 62 (2001): 3-35. Print.
- Shifren, Jan L MD. “Sexual dysfunction in women: Epidemiology, risk factors, and evaluation.” UpToDate, 2016. Web. 18 July 2017.
- Cunningham, Glenn R MD; Mohit Khera MD MBA MPH. “Evaluation of male sexual dysfunction.” UpToDate, 2015. Web. 18 July 2017.
- Balon, Richard MD. “SSRI-Associated Sexual Dysfunction.” Am J Psychiatry 163:9 (September 2006): 1504-1509. Print.
- Montgomery SA, Baldwin DS, Riley A. “Antidepressant medications: a review of the evidence for drug-induced sexual dysfunction.” J Affect Disord 69 (2002): 119-140. Print.
- Rizvi, Sakina J PhD; Sidney H Kennedy MD. “Management strategies for SSRI-induced sexual dysfunction.” J Psychiatry Neurosci (2013): E27-E28. Print.