SSRI induced sexual dysfunction not seen nor read which one SSRI was used let's know to be updated It only shows a c/o depression which has a/w sexual activity Consider to consult psychiatrist Yes tab sildinafil or tadafil may be considered with counseling
NEED'S .. TADALAFIL .. MULTIVITAMINS ANTIOXIDANTS .. DRUG HOLIDAY .. MEDITATION .. CBT .. COUNSELING ..
Drugs like sildenafil/tadalafil might be helpful for men. Bupropion could probably help both. Scheduling sex and planning a "drug holiday" might work for some. However, for how long you can stop the SSRI would depend upon the condition for which the patient is being treated and the drug he/she has been prescribed.
Still controversial !!! Sildenagil or tadalafil is being used over the contour. I want to add something on my own experience tab confido 2 tab bd for 2 months and psychological support/ counselling Much helpful
U CAN PRESCRIBE SILDENAFIL OR TADALAFIL FOR SEXUAL DYSFUNCTION. YES, U CAN PLAN A "DRUG HOLIDAY" WHICH CAN HELP TO SOME EXTENT. BUT, IT DEPENDS UPON THE CONDITION FOR WHICH PATIENT IS TAKING SSRI, AS TO UPTO HOW MUCH DURATION IS DRUG HOLIDAY IS BETTER. IN ADDITION TO THIS, YOGA MEDITATION, COUNSELLING, CAN ALSO PLAY A MAJOR ROLE IN TREATING SSRI INDUCED SEXUAL DYSFUNCTION. TAKE AN OPINION OF SEXOLOGIST & PSYCHIATRIST.
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Friends today I am disscussing about a very serious problem now a days women are facing. Reasons can be many Low Sex Drive in Women: Hypoactive sexual desire disorder (HSDD), now known as female sexual interest/arousal disorder, is a sexual dysfunction that causes a lowered sex drive in women. Many women will pass off the symptoms of HSDD as the inevitable effects of aging or changes in their body. If your sex drive is affecting your quality of life, it may be time to talk to your doctor. What are the symptoms of HSDD? While it’s healthy for sexual desire to fluctuate, a woman with HSDD will usually experience a lack of sexual desire for six months or more. If changes in sexual desire are so extreme that it’s affected your relationships or self-esteem, it could be HSDD. Symptoms associated with HSDD include: little to no interest in sexual activity few to no sexual thoughts or fantasies disinterest in initiating sex difficulty getting pleasure from sex lack of pleasurable sensations when the genitals are stimulated How do doctors diagnose HSDD? Unlike other medical conditions, there is no specific test to diagnose HSDD. Yet, there are a few methods used by doctors to diagnose the condition. Start by telling your doctor about your symptoms. Your doctor may ask questions about how your low sex drive is impacting your well-being. Your doctor will try to identify an underlying cause for the condition. These causes could be physical, emotional, or a combination. Physical causes of HSDD can include: arthritis coronary artery disease diabetes decreased estrogen or testosterone levels hormonal changes during or after pregnancy fatigue or exhaustion due to a grueling work, family, or school schedule taking certain medications that affect sex drive Emotional causes of HSDD include: a history of anxiety, depression, or low self-esteem a history of sexual abuse trust issues with a sexual partner Your doctor may also conduct a pelvic exam to identify any changes that might have affected your sexual desire. A blood test to check for affected hormone levels might be performed, as well. However, sometimes there is no specific underlying cause for HSDD. This does not mean that HSDD cannot be treated. How do doctors treat HSDD? There are various methods used to treat HSDD. To find the right treatment, it’s key to understand the underlying cause of your symptoms. Your doctor may ask if you’re currently taking any medications. Certain medicines can negatively affect sex drive. For example, some antidepressants may cause a lowered sex drive. In such cases, a doctor may suggest a prescription with fewer side effects. Do not stop taking antidepressants without a doctor’s approval. If it seems that emotional issues are the root of your symptoms, your doctor may suggest counseling. Not only can a specialist teach you how to communicate better with your partner, but they can also help you identify sexual techniques for a more pleasurable experience. It’s common for premenopausal and postmenopausal women to experience changes in estrogen levels. This is due to a reduction of blood flow to the vagina. If lowered estrogen levels are causing your symptoms of HSDD, estrogen therapy may be suggested. Your doctor will recommend applying a cream, suppository, or ring that releases estrogen in the vagina. This can increase blood flow without the unwanted side effects that come with taking an estrogen pill. Another treatment option is the FDA-approved pill flibanserin (Addyi). This medication has been shown to boost sex drive in women with low sexual desire. However, the drug is not for everyone; side effects include hypotension (low blood pressure), fainting, and dizziness. Lifestyle changes could also relieve stress and help improve a woman’s libido. These include: exercising regularly setting aside time for intimacy sexual experimentation (such as different positions, role-playing, or sex toys) avoiding substances that affect sexual desire, like tobacco and alcohol practicing stress-relieving techniques, such as mindfulness-based interventions Don’t underestimate the effect a decreased sexual desire can have on your well-being. If you feel symptoms of HSDD have impacted your quality of life, talk to your doctor. There are treatment options available. Onsomodium, staphisgaria, sepia, Berberis vulg. Are few homoeopathic medicines which can be used in such cases.Dr. Rajesh Gupta21 Likes28 Answers
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Friends today I am discussing about a very common problem facing by the patients having diabetes. Most of the patient complaint about sexual weakness having Type 2 diabetes. Type 2 Diabetes and Sexual Health Sexuality issues for both men and women With chronic illness, sex often gets put on the back burner. But sexuality and sexual expression are at the top of the list when it comes to quality of life, no matter what problems a person may face. People with type 2 diabetes are no different. It’s important to recognize and address sexuality issues that affect people with diabetes. Type 2 diabetes can cause sexual complications for both genders, and can also cause gender-specific issues. Sexuality issues for both men and women A common sexuality problem in people with type 2 diabetes is a decrease in libido, or loss of a sex drive. This can be frustrating if someone had a thriving libido and satisfying sex life prior to a type 2 diabetes diagnosis. Causes of a low libido associated with type 2 diabetes include: side effects of medications for high blood pressure or depression extreme fatigue lack of energy depression hormonal changes stress, anxiety, and relationship issues Diabetic neuropathy, a type of nerve damage associated with diabetes, can cause issues. Numbness, pain, or lack of feeling can also occur in the genitals. This can lead to erectile dysfunction. It may also inhibit orgasm or make it difficult to feel sexual stimulation. These side effects can make sex painful or unenjoyable. Communication between partners about sexual issues is important. A lack of communication can impact the sexual and intimate side of a relationship. An illness can make it easy for couples to “check out” of the relationship sexually. Sometimes it may seem easier to avoid talking about this issue rather than seeking a solution. If one partner becomes the primary caregiver of the other, it can also change how each person views the other. It’s easy to get caught up in the roles of “patient” and “caregiver” and let the romance can slip away. Sexuality issues for men The most widely reported problem men face is erectile dysfunction (ED). Some cases of diabetes are first diagnosed when a man seeks treatment for erection dysfunction. Failure to achieve or maintain an erection until ejaculation can be caused by damage to: nerves muscles vascular structures About half of men with diabetes will experience ED at some point. Side effects of certain medications can alter testosterone levels, also causing erectile dysfunction. Other conditions that accompany diabetes can also contribute to ED, including: obesity high blood pressure depression, low self-esteem, and anxiety not enough exercise Retrograde ejaculation is also another sexual issue men may experience as a complication of type 2 diabetes. This is when semen is ejaculated into the bladder instead of out of the penis. It’s caused by your internal sphincter muscles not working property. These muscles are responsible for opening and closing passages in the body. Abnormally high glucose levels can result in nerve damage to the sphincter muscles, causing retrograde ejaculation. Sexuality issues for women For women, the most common sexual issue that comes with type 2 diabetes is vaginal dryness. This can be caused by hormonal changes or from reduced blood flow to the genitals. Women who have diabetes have increased rates of vaginal infections and inflammation, both of which can make sex painful. Nerve damage to the bladder can cause incontinence and make sex embarrassing. Women with diabetes are also more likely to have more frequent urinary tract infections. This can make sex painful and uncomfortable. How to prevent type 2 diabetes from hijacking your sex life Sexual problems that occur with type 2 diabetes can be frustrating, embarrassing, and cause anxiety. You may feel that giving up on sexual expression is easier than finding ways to cope or adjust. Here are some tips you can try to maintain an active sex life despite having type 2 diabetes: Fight low energy and fatigue If low energy and fatigue are a problem, try having sex at a different time of day, when your energy is at its peak. Nighttime may not always be the right time. After a long day, and with the added fatigue that comes with diabetes, the last thing you may have energy for is sex. Try sex in the mornings or afternoons. Experiment to see what works best for you. Use lubricants to overcome dryness Use lubricant liberally to deal with vaginal dryness. Water-based lubricants are best and there is a plethora of brands available. Don’t be afraid to stop during sex to add more lubricant. Improve libido through medication Hormonal replacement therapy can help both men and women with issues such as: decreased libido vaginal dryness erectile dysfunction Ask your doctor if this is a possibility for you. Hormone replacement can come in the form of: Maintain good overall health for a healthy sex life. For people with diabetes, this includes maintaining proper blood sugar levels. Sex is exercise in the sense that is uses energy, so be aware of your glucose levels. If you’re on medications that increase the amount of insulin in your body, hypoglycemia can also occur during sex. Consider checking your blood sugar levels before engaging in sexual activity. Also keep in mind that what’s good for your heart is good for your genitals. Sexual arousal, vaginal lubrication, and erection all have a lot to do with blood flow. Engage in a lifestyle that promotes good heart health and proper blood circulation. This includes participating in regular exercise. This can also have the added benefits of improving your energy level, mood, and body image. Don’t let incontinence be a barrier Many type 2 diabetes patients experience incontinence. Embarrassed? Don’t be. Everyone urinates. If you experience urine leaks and are uncomfortable sharing your body with someone sexually, you should feel free to talk about it. Padding the bed can go a long way to help. Lay down a couple of towels or purchase urine pads from a medical supply company to help ease the situation. Talk about it Discuss sexuality issues with your doctor. Sexual dysfunctions can be an indicator of disease progression or a sign that the disease isn’t under control. Don’t be afraid to discuss sexual side effects of medications. Ask if there are different medications that don’t have the same side effects. Also, feel free to ask about erectile dysfunction drugs. Some men are candidates for ED drugs and some aren’t. Penile pumps may also be an option. Pay close attention to your relationship. Find other ways to express intimacy when desire isn’t at its peak. You can express intimacy that doesn’t involve intercourse with: massages baths cuddling Make time for each other to be a couple that is not focused on caregiving. Have a date night where the topic of diabetes is off limits. Communicate with your partner about your feelings and possible sexual issues that may occur. Consider support groups or counseling to help with the emotional issues associated with illness or sex. Homoeopathic medicines Agnus Castus: Homeopathic medicine Agnus Castus is used in cases where there is complete inability to attain penile erection during the sexual act. Homeopathic medicine Agnus Castus can be used in cases of erectile dysfunction and sexual weakness where the male has a mental aversion to indulge in sex, along with decreased physical strength. Caladium: Homeopathic medicine Caladium is of great help for treatment of erectile dysfunction when the male is unable to have an erection despite having a sexual desire or urge. Lycopodium: Homeopathic medicine Lycopodium is of great help for both young people and elderly people suffering from erectile dysfunction. Tribulus Terrestris: The main indication for using Homeopathic medicine Tribulus Terrestris is the presence of urinary troubles along with erectile Dysfunction. Nuphar Luteum: Homeopathic medicine Nuphar Luteum can be beneficial for all those males with erectile Dysfunction in whom the desire to indulge in sexual activity is totally absent. There is no sexual desire with relaxed genitalia.Dr. Rajesh Gupta13 Likes21 Answers
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29yr Male patient sexually active from last 6yrs and history of mastrubations since the age of 15yr complaining premature ejaculation within seconds of intercourse prostatic fluids comes out while talking opposite sex .He is No alcoholic non smoker...weight56kgs..Blood picture is below..How to deal with these cause what will be better treatment? Right know I have adviced him kegel exercise and some TCAs..Dr. Shahbaz Khan1 Like15 Answers
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33 y/o male presented for a well male visit with numerous painless, firm scrotal nodules. Onset 8 years with progressive growth of additional nodules. The nodules are present only on the scrotum. Both testicles were freely mobile and of normal size and shape without adherence to surrounding tissue. The patient denies any discomfort, urinary s/s, or sexual dysfunction. Family history positive for maternal DM. PMH is negative. Patient takes no medications.Dr. Rama Chauhan2 Likes21 Answers
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7 CAUSES OF IMPOTENCE---Embarrassing condition that men fear the most. It is linked to masculinity. Inability to get and maintain erection can significantly affect man's self-esteem. In order to avoid preventable causes, it is important to understand what may cause the condition. 1-HEART TROUBLES:--There are number of heart-related conditions which can cause erectile dysfunction(ED) like high blood pressure, high levels of bad cholesterol, clogging of arteries, heart disease etc 2--DIABETES--: impotence as a complication of diabetes is common among men. Erectile dysfunction in men is closely related to high blood sugar levels. Men with diabetes have difficulties with normal erections. Diabetic males are three times more likely to get ED and that too early in life. This is a big damage to sex life. 3--BRAIN DISEASES AND HORMONES TROUBLE:--- Diseases like stroke, Parkinson’s disease, and multiple sclerosis have been found to be associated with ED. Problems of pituitary gland lead to high prolactin (hormone) levels low testosterone (hormone) levels and low testosterone levels might lead to impotence. 4-- INJURIES AND TRAUMA:-- Nerve damage due to spinal cord injuries and trauma to pelvic area may cause erectile dysfunction. Additionally, surgeries involving colon, prostate, rectum (usually done for cancer treatment) and some orthopedic surgeries can lead to ED. Vasectomies do not cause erectile dysfunction. 5--MEDICINES AND DRUGS:-- Antidepressants, allergy medication, blood pressure pills, Parkinson’s disease treatments affect the erection and cause dysfunction in men. The effect of these drugs varies in men. Some might suffer sexual dysfunction and impotence while others may not. 6--IT'S IN THE MIND TO:-- Depression, stress, relationship issues amongst couples, performance anxiety, lack of communication are some of the mental conditions which can mess with the sexual feelings, desires and performance and can lead to or make erectile dysfunction worse. This is called as psychological impotence. 7--CHOOSE GOOD:-- All the causes of impotence are not preventable, but making smart choices like exercise, balanced diet, saying no to alcohol and smoking can make a big difference. Improvement in relationships, counseling, and right habits can help outwit the chances of developing erectile dysfunction.Dr. Raj Pandey Mishra6 Likes16 Answers