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Are anti-depressants causing her lack of desire?

by Dr Patti Britton

question
Dear Dr Patti
My marriage is falling apart because I have no desire for sex. I have tried everything – videos, toys, lingerie. My libido began to slip after my first baby, now five years old, and literally vanished after my second who is now three. I feel terrible about having so little desire and needless to say, my husband’s not thrilled. We still have sex and I have little difficulty achieving orgasm, which is pleasant, but most of the time, I can’t be bothered with the whole messy thing. I am on Prozac, an anti-depressant and the pill; things are alright otherwise. There are the usual stresses but nothing overwhelming. Please help!
R


answer
Dear R
I am sorry to hear that your sex life is on the rocks. It seems to me that a whole constellation of events and concerns may be dampening your libido. First, caring for two toddlers can deplete anyone’s energy and sex takes both energy and stamina.

My primary concern, however, is that you are on an anti-depressant. This family of medications (Selective Serotonin Reuptake Inhibitors or SSRIs) can have a negative effect on the sex drive, as well as, for some women, the ability to have an orgasm. Ask your GP about experimenting with other SSRIs to test whether your prescription is affecting your pleasure. Next, ask yourself if there is some underlying reason why you are not particularly interested in having sex with your husband. Do the two of you bond emotionally before hopping into bed? Since you had children, have you taken the time to become comfortable with your new role, and body, as a mum?

This is a good time to contemplate your sexuality. How do you feel about your body? Often women suppress their sexual desires after becoming mothers as a way of coping with their role as a provider for their young as well as sexual beings. Take some time to examine and acknowledge your feelings, and let the old you come out again.

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