Sexual Health - Women Forum - Sexual dysfunction - can Prozac cause lack of orgasm?

Womens Health > Sexual Health - Women Forum > Sexual dysfunction - can Prozac cause lack of orgasm?

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Q: Sexual dysfunction - can Prozac cause lack of orgasm?

asked by: DoctorQuestion on August 31st, 2007

After being orgasmic all my adult life, suddenly (10 years ago) they became so faint that I could hardly tell I was having one, even though I knew I was. This has continued now for 10 years (I am 58). I have seen three OB/GYN and no diagnosis. This is NOT psychological. I am wondering if it could be related to my petuitary, as beginning when I was 28 (30 years ago) I had discharge from breasts and continued to have discharge when examined. Smear showed I had a slightly elevated petuitary count (I don't remember the test). I also wonder about the medications (Prilosec/Pravacid/Prozac) that I took around the time I started menopause (age 48). I read they all can cause sexual dysfunction. I believe I had a hormone workup a 3 years ago and the ranges were okay. I did try testosterone, but it didn't really help. My menopausal friends still have orgasms, so I don't think that is why. Could it be blood flow? I do get aroused and have no vaginal dryness. Any ideas?

Replies(1)

Dr. Nikola Gjuzelov , MD

replied on November 28th, 2007

Sexual Health - Women Answer A3341

According to your description, it seems that you are probably experiencing anorgasmia, in other words you can’t reach an orgasm. This particular episode of anorgasmia is probably a secondary condition because you have had orgasms in the past.

Main reasons for anorgasmia are not enough foreplay or psychiatric disorder. Some antidepressant drugs like Selective Serotonin Reuptake Inhibitors (SSRI) can cause anorgasmia. Prozac (Fluoxetine) is one of the SSRIs. Besides using Prozac, climax can also contribute to the appearance of this sexual dysfunction. You can consult a psychologist or psychiatrist about your condition.

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