Sex Please but We Are on Antidepressants

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January 5, 2022 | 3 Comments

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  1. I don’t know at what age children could be prescribed ADs without parents/carers involvement. NICE guidance covers ages 5yrs to 18yrs, (Young girls can be prescribed contraception without their knowledge or consent) But seems there are loopholes in the NICE guidance whereby consent and level of information given is at the discretion of the prescriber. How would the level of consent or information provided be documented on records? How would the possibility of sexual adverse effects be explained to a child or a youngster? Or even if the parent/carer is involved in the consenting the child/youngster may not be told about the potential efects. If the prescriber decides all the information is not appropriate , then they are deprived of information which may alert them to the cause of adverse effects in puberty or later life.

    Depression in children and young people: identification and management
    NICE guideline [NG134]Published: 25 June 2019
    Guidance

    1.1 Care of all children and young people with depression
    Good information, informed consent and support
    1.1.1Children and young people and their families need good information, given as part of a collaborative and supportive relationship with healthcare professionals, and need to be able to give fully informed consent. [2005]

    1.1.2Healthcare professionals involved in the detection, assessment or treatment of children or young people with depression should ensure that information is provided to the patient and their parents and carers at an appropriate time. The information should be age appropriate and should cover the nature, course and treatment of depression, including the likely side effect profile of medication should this be offered. [2005] information and consent should be handled with regard to children and adolecents.

  2. Thank you so much for publishing this article! I really can relate to that. I only had the privilege to have a healthy sexual relationship after I started taking AD. And yes, it was impossible to have orgasms with my partner. I still could have it alone sometimes though, so the doctor and I felt the problem was more related to my body image issues and lack of self-esteem.
    After a couple of years with sertraline or fluoxetine (this one is the worst!), I tried bupropion, and it helped a lot with my libido, but I still couldn’t have orgasms with my partner. (I also started having restless leg syndrome, which could be a side effect of bupropion or a withdrawal symptom from tapering off sertraline). In part because of that better libido, I ended up cheating on my boyfriend and ended the relationship, which was a very bad mistake. I got depressed, and bupropion didn’t help. So, I changed to venlafaxine, which helped a lot with the depression symptoms and the sexual issues, but not completely. I think I have tried almost everything you can imagine of to be able to orgasm with a partner: years of regular psychotherapy, bupropion, testosterone, yohimbine, BDSM, ménage a trois, sexual toys etc.
    After I started taking trazodone (to help with the insomnia from venlafaxine), stopped taking the oral contraceptive, and started doing pelvic floor exercises by myself, I really noticed a difference: I started to have multiple orgasms, which was like a miracle to me at that time. But……only when I’m alone. I’m 46 now, and it’s still like this. So, can I blame the AD? I cannot say.
    I really believe this has to be discussed and investigated, since so many girls start using AD before they can experience a healthy sexual relationship. There must be so many people with this same dilemma: is it the drug or is it just “me” (my self-consciousness, the neural pathways I built since I started masturbating etc.)
    So again, thank you so much for bringing up this subject.

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