I have been on Fluoxetine for two months, and after that, I have had sexual dysfunction as a side effect. Please help.

Q. What is the treatment for sexual dsyfunction caused by Fluoxetine?

Answered by
Dr. Vishal Anilkumar Gandhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 06, 2023

Hello doctor,

I have been on Fluoxetine for two months. In the beginning, I had no sexual problems, but after the second or third week, I could get an erection, but I could not ejaculate. So my question is, how can I fix this problem? I know every SSRI has sexual dysfunction as a side effect, but it can be fixed with another medication or another antidepressant.

Thank you.



Welcome to icliniq.com.

I understand your concern.

It is a common side effect due to SSRIs (selective serotonin reuptake inhibitors) like Fluoxetine. You may have delayed ejaculation. You can try the tablet Cyproheptadine (Heptidine) 2 mg before having sex. It will work. If it does not work, then you can switch to another antidepressant with fewer sexual side effects, like the tablet Wellbutrin (Buproprion). Consult a specialist doctor, talk with them, and take medications with their consent. I suggest you go for a complete blood count, serum TSH (thyroid stimulating hormone), serum testosterone, prolactin, vitamin B12, and vitamin D3.

I hope that you get your answer.

Thank you.

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