Libido-lowering medications impacting a man’s sex life

Libido-lowering medications impacting a man’s sex life

We’ve all heard of medication that can improve a man’s sex life (hello, Viagra) but rarely do we hear of the ones that can make it almost nonexistent.  If a man’s bedroom performance is called off each night, it’s time to take a look in his medicine cabinet a possible real reason why – over-the-counter and prescription medications. 

Most medications can cause side effects such as drowsiness, nausea, or breaking out in a rash, but affect sex life?  Some prescriptions and over-the-counter drugs can have an impact on sexual functioning, particularly for men.  Such medicines can affect libido or desire and others can affect the ability to become aroused or achieve orgasm.  On top of that, the risk of sexual side effects is increased when an individual is taking several medications. 

Let’s take a look at medications affecting a man’s sexual performance which might be the real reason why action in the bedroom has toned down.

·      Antidepressants

The common antidepressant medications of Prozac, Paxil, Zoloft, and Lexapro are doing more than just removing depressive thoughts – they also may be removing any sort of romance. 

A 2013 study found in the British Journal of Psychiatry found that antidepressants can be associated with the development and worsening of sexual dysfunction. A common complaint amongst men using antidepressants is delayed ejaculation or difficulty in reaching orgasm.  This is due to the SSRIs or selective serotonin reuptake inhibitors used in antidepressants influencing the neurotransmitters in the brain causing a delay in ejaculation.  These same SSRIs can also lower a man’s testosterone levels which further make it unlikely to climax.

Safer antidepressant options may resolve these issues. A frank discussion with a doctor can help guide patients with their decision.  The antidepressants Wellbutrin and Zyban have had good success with patients actually reporting an increase in libido and experiencing more intense orgasms.

·      Painkillers

Painkillers not only dull or eliminate pain but they may also cause a side effect men do not expect – kill production of testosterone killing your sexual function.

Opioids, the substance painkillers contain making them effective, work by acting on opioid receptors to produce morphine-like effects.  Not only do opioids manipulate brain chemicals but they also are telling a man’s testicles to reduce testosterone production. 

When testosterone levels drop, it will make it very hard for a man to achieve an erection let alone be in the mood for sex. 

Any man needing to take a painkiller long-term should have his testosterone levels first.  A man may need to balance out the amount of painkiller with testosterone to not only reduce pain but still have a sex life.

·      Blood pressure medication

The main issue with blood pressure medication is the possibility of causing erectile dysfunction in men.  Certain blood pressure medications such as beta-blockers and diuretics are known for creating this problem.

Beta-blockers lower blood pressure by blocking the effects of the hormone epinephrine, also known as adrenaline.  When you take a beta blocker, the heart beats more slowly and with less force thus reducing blood pressure. Diuretics work by causing the kidneys to remove more sodium and water from the body, relaxing the blood vessel walls.  In both cases, blood pressure wins out but the reduced blood flow to the penis loses as far as getting an erection.

There are other medications that can lower blood pressure without causing erectile dysfunction.  These include angiotensin receptor blockers (ARBs), ACE inhibitors, or calcium channel blockers that a man can discuss with his doctor if they are appropriate.

·      Sleeping pills

A sleeping pill that men should probably avoid is Trazodone. Not only is this medication used as both a sedative and an antidepressant, it is also known to cause priapism which is a very painful erection lasting longer than 4 hours and is considered a medical emergency.  When a man has an erection for that length of time or longer, blood is trapped in the penis and without treatment, it can cause tissue damage and even permanent erectile dysfunction.

If a man still wants to use trazodone for helping with sleep, he needs to follow trazodone’s dosage instructions fully to reduce the possibility of priapism. 

·      Marijuana

As more and more states either legalize pot for recreational or medicinal use, more men may find their sex life waning.

A 2011 in the Journal of Sexual Medicine warned of the potentially hazardous effects on male sexual health.  A survey published in this same journal found men who used marijuana daily were more likely to have both premature ejaculation and delayed ejaculation.

Pot smoking couples run the risk of lowering their chance to conceive a baby.  Studies have shown pot’s potential negative effect in lowering sperm count while also reducing the chance for sperm to fertilize an egg. 

Many individuals use marijuana as a means to enhance mood and reduce inhibitions. Even though some users report an increase in sexual desire, for others the opposite effect may occur.  When “stoned” or “high,” many men can have a substantially decreased sexual drive.  When under the influence, becoming aroused can be more difficult resulting in a disappointing sexual side effect of this substance.

Marijuana used for medicinal purposes that is causing this effect should be brought to the attention of a man’s doctor as there are other medications that can be considered in place of marijuana.