Episode Details

Sexual side effects from psychiatric medications are incredibly common, affecting up to 60% of patients, yet they are vastly underreported due to shame and clinical silence. This episode cuts through the stigma to explore the three headline problems: loss of libido, erectile dysfunction, and anorgasmia. We break down the neurochemical mechanisms behind each issue, rank the worst-offending drugs like paroxetine, and walk through practical treatment options—from simple dose reductions to medication swaps and the controversial "drug holiday" strategy. If you or someone you know has ever wondered why their medication is affecting their sex life, this is the conversation you’ve been waiting for.