Tired of sex?: Be careful, these drugs can lower your libido

According to sexual medicine specialist Lorenzo Soldieri, this condition affects both genders equally. “People usually think of men, but numerous studies have shown that these effects also affect women.” Doctor Lorenzi is head of the department of sexual medicine and sexology at the University Hospital of Geneva (HUG). It explains which medications can negatively affect your sex life.

Antihypertensive medications such as thiazide diuretics (Esidrex, Atacand plus) may cause decreased desire or impaired erectile function. “It’s a long-discussed typical condition in which men are primarily affected due to the more visible nature of the erection mechanism,” says Soldieri. Unwanted side effects may also occur in women, such as vaginal discharge.

Some women suspect that hormonal birth control has a negative effect on their libido. But according to Schlachti, there is no significant data on this topic: “The most likely hypothesis is that there are cases where the pill is more likely to cause such effects.” Changing the pill can often fix the problem.

Side effects of psychotropic drugs are well documented. Antidepressants, especially those from the serotonin reuptake inhibitor class (Deroxat, Cipralex, Fluctin), can cause decreased desire, erectile dysfunction, and even delay or prevention of orgasm. Less commonly prescribed neuroleptics called antipsychotics (Risperdal, Haldol, Zyprexa) can also affect sexual life.

However, Schlachti emphasizes that it is often difficult to distinguish between symptoms and the effects of treatment in mental disorders: “In depression, you lose your joy and interest. “Therefore, you need to distinguish whether sexual dysfunction is caused by the disease or the treatment,” explains the specialist. However, you should not stop taking the medication without consulting your doctor: “After a few weeks, antidepressants can restore the joy of life, which is a prerequisite for a satisfied libido.”

What can those affected do?

According to Schlachti, a thorough examination is recommended before stopping or changing a medication. This clarifies whether these are side effects of the medication, effects of the disease itself, or psychological effects of the disease. In any case, Schlachti encourages his patients to be patient for a few days or weeks, as side effects are sometimes only temporary.

If there is no improvement, Soldieri first reduces the dose: “If it is compatible with the treatment, this is often enough to eliminate the side effects.” Another option is to change the medication if an alternative is available. The doctor may also prescribe medications that reduce side effects or improve sexual function.

You don’t need to give up sex

Psychological support, perhaps with your partner, is often stated: “No one should have to give up their sexual life. It meets our basic need to love and be loved. And if something is wrong with this, it can be hurtful for both the person affected and their partner,” says Soldieri, who regularly sees couples at the counseling centre.

An accompanying conversation leads to better acceptance of the situation and greater calm. It can also open up new possibilities for sexual practices, from partner masturbation to the use of sex toys.