The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
So, you know, serotonin is kind of the anti to orgasm. And so, in fact, we will use SSRIs off-label for people who are having premature ejaculation. So it delays ejaculation, and then there's also other sexual dysfunctions we see with it. And it does happen, absolutely. It's dose dependent.
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so if you're talking about General sexual dysfunction that can affect a variety of phases anti-depressants but all psychotropics have some that all categories of psychotropics and these days people aren't just on anti-depressants the ssris and snris are probably most well known to cause multiphase dysfunction
um there's differences though I mean that's one of the areas that I consult with a lot because I work closely with Psychiatry here is that they're not all drugs are the same it is a class effect but there are better drugs and some and then there are other categories like for example bupropion which is more dopaminergic it is a different choice for a variety of reasons that's Wellbutrin that's the brand name for that as Wellbutrin so what are what are what within that class of drugs what what are the ones that are more likely to reduce desire so the classic ssris most of them fit in that and the they bundle together or they cluster together somewhere around 35 to 40 percent of what we call treatment emerging sexual dysfunction