Delayed ejaculation is a common sexual side effect of many antidepressants, especially SSRIs and SNRIs, which are often used to treat depression and suicidal thoughts. It occurs due to increased serotonin levels affecting sexual function. While this is not harmful, it can be distressing for some individuals. This side effect is not permanent and often improves with time, dose adjustment, or a change in medication under psychiatric supervision. It is not necessary to stop treatment, especially if your mood symptoms are improving.

There are multiple medications that does not have sexual side effects. Detailed history is required in consultation to plan further pharmacological treatment.

Your treatment can be modified a little to manage the side effects.

Hi.. all three medicines can cause delayed ejaculation by various mechanisms. Will need further history regarding the same to advise appropriately. Can consider switching to other medicines which don't have the above slide effects. Consult online for further evaluation and management

As per my opinion do not stop medications as on these medications, you have improvement in your low mood, anxiety, suicidal thoughts. Delayed ejaculation will not persist always or inevitable  with these medications. Wait for few weeks  more otherwise medication with no sexual side effects will be advised and rest medication as sizodon, lithium , will be continued, do not bother, it will resolve definitely

A lot of antidepressants, especially SSRIs have sexual side-effects including delayed ejaculaion.This is not harmful, but it is a common and understandable concern which can be quite distressing. Here’s what you can do: Don’t stop your medications on your own. Wait and monitor: Sometimes, the body adjusts over weeks, and sexual side effects may reduce on their own. Dose adjustment or switching medications: If the issue persists and affects your quality of life, we can reduce the dose or try a different antidepressant altogether.

Heyy I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.

There are antidepressants with minimal sexual side effects but for that you need to go for proper assessment for changing of medications

There are alternatives and antidepressants are given based on patient profile and side effect profile. If you are facing this problem,med can be changed

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