Antidepressants work — some more effectively than others — in treating depression, according to authors of a groundbreaking study which doctors hope will finally put to rest doubts about the controversial medicine. Millions more people around the world should be prescribed pills or offered talking therapies, which work equally well for moderate to severe depression, say the doctors, noting that just one in six people receive proper treatment in the rich world — and one in 27 in the developing world.
While antidepressants help many people enjoy life once again, that enjoyment can come at the cost of one's sex life. That's what's happened to year-old Ana over the past year.
Sexual dysfunction is an underdiscussed adverse effect to selective serotonin reuptake inhibitors SSRIs and may increase the risk for discontinuation and nonadherence to antidepressant pharmacotherapy. Given the prevalence of depression, health care providers should educate patients about SSRI-associated sexual dysfunction in order to promote patient awareness and medication adherence.
When someone swallows his or her first antidepressant, it may come as a surprise how the psychiatrist chose that particular pill to prescribe: It's a best guess out of dozens of antidepressants on the market.
The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems.
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