this post was submitted on 21 Oct 2024
13 points (81.0% liked)

Mental Health

4213 readers
160 users here now

Welcome!

This is a safe place to discuss, vent, support, and share information about mental health, illness, and wellness.

Thank you for being here. We appreciate who you are today. Please show respect and empathy when making or replying to posts.

The rules for posting and commenting, besides the rules defined here for lemmy.world, are as follows:

Rules

1-Posts promoting paid products and services of any kind are not allowed here.

2-All posts and comments must be helpful and supportive. Do not put vulnerable people at risk.

3-Do not DM or ask to speak privately to any of our members unless they specifically request it.

If a person from this community disturbs you in a comment, please report the comment. If you receive a DM you did not request, send a screenshot of the DM in a message to a moderator. This is a bannable offense.

4-Suicide, Self-Harm, Death-- Extended discussions are STRONGLY DISCOURAGED here. First, mods and community members are caring people, but not experts in crisis situations. Second, we want to avoid Lemmy becoming like many commercial social media platforms, where comments can snowball into counterproductive talk.

If you or someone you know needs more help than can be found here, please refer to the pinned resources.

If BRIEF mention of these topics is an important part of your post, please flag your post as NSFW and include a (trigger warning: suicide, self-harm, death, etc.)in the title so that other readers who may feel triggered can avoid it. Please also include a trigger warning on all comments mentioning these topics in a post that was not already tagged as such.

Partner Communities

- Therapy

Neurodegenerative Disease Support

ADHD

Autism

Fibromyalgia

TMJ

Chronic Pain

Bipolar Disorder

Avoidant Personality Disorder

Friends and Family of People with Addiction

To partner with our community and be included here, you are free to message the current moderators or comment on our pinned post.

Community Moderation

Some moderators are mental health professionals and some are not. All are carefully selected by the moderation team and will be actively monitoring posts and comments. If you are interested in joining the team, you can send a message to ZenGrammy for more information.

founded 1 year ago
MODERATORS
13
submitted 2 weeks ago* (last edited 2 weeks ago) by Psychonometry to c/mentalhealth
 

Mild NSFW warning: this post mentions sexual side effects of medication.

SSRIs are the most common type of antidepressant (examples are Prozac/fluoxetine, Zoloft/sertraline, Paxil/paroxetine).

If you have experience with them, do you think they're a good idea?

I came across a paper about side effects which I haven't heard discussed before. Many people know that SSRIs have sexual effects, but apparently they also affect fertility.

This paper describes SSRIs as "gonadotoxic", leading to effects like "decreased sperm concentration and motility, increased [DNA] fragmentation, and decreased reproductive organ weights".

The paper does say "this effect does seem to be reversible", so if you stop SSRIs, your sex organs should apparently go back to normal. But still, some people are on SSRIs for long periods of time, right?

I would be interested to hear others' thoughts, if you have any.

Edit: Thanks for the replies to this post, they're interesting.

you are viewing a single comment's thread
view the rest of the comments
[–] [email protected] 1 points 2 weeks ago* (last edited 2 weeks ago)

I didn't like SSRIs. I found the effects for me to be very, very marginal, and the side effects--weight gain, sexual dysfunction--to be very unpleasant. The Zyprexa I was given (an atypical antipsychotic, I believe) was even worse for weight gain and sexual dysfunction. I preferred bupropion, which had neither side effect. The effects were still very marginal, IMO.

A lot of people have a REALLY hard time getting off SSRIs if they it doesn't work, if the side effects are too serious, etc. Some people report 'brain zaps', and serious withdrawal. Like, really bad. It can take months for the withdrawal symptoms to ease or go away completely.

If it's for depression, I'd look into TCMS. It's probably more expensive up front, but supposedly you can have significant improvement in 50 or fewer sessions.