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Sexual Dysfunction – Need Psychiatric Op
Hello Doctor,
I have had persistent sexual function problems for the past 6 years, including difficulty getting and maintaining erections, reduced morning erections (about once a week), and reduced spontaneous arousal.
Around the time my symptoms started, I had a minor accident. During an erection, I heard a "pop" sound followed by a sudden loss of erection. There was no pain, swelling, bruising, or deformity. A flaccid penile ultrasound was reported as normal.
I have depression and am currently taking Venlafaxine. I have consulted two urologists, and both felt my symptoms were mainly psychological. They did not recommend a dynamic penile Doppler, stating it would not change the treatment plan.
My sexual function is still significantly different from before and is affecting my quality of life. From a psychiatric perspective, could depression or Venlafaxine fully explain these symptoms, or do you think I should pursue further evaluation with a urologist?
Answers (4)
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Given the initial loss of erection incident, please do consult a Urologist, just to rule out a structural/vascular issue.
Venlafaxine may cause the sexual dysfunction, in which case it would be prudent to have a consultation with your Psychiatrist, to make a well-rounded treatment plan.
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In case there is alcohol/tobacco use, consider cutting down.
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Based on the history provided, depression itself can significantly reduce libido, spontaneous sexual thoughts, morning erections, and erectile quality. Additionally, venlafaxine is well known to cause sexual side effects, including decreased libido, delayed orgasm, and erectile dysfunction.
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Discuss antidepressant-associated sexual dysfunction with your psychiatrist and continue treatment for depression, as improvement in mood often contributes to improvement in sexual functioning.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.