Post-SSRI sexual dysfunction: barriers to quantifying incidence and prevalence.

Autor: Healy D; Data Based Medicine, Wales, UK., Mangin D; Department of Family Medicine, McMaster University, Hamilton, ON, Canada.; Department of General Practice, University of Otago, Christchurch, New Zealand.
Jazyk: angličtina
Zdroj: Epidemiology and psychiatric sciences [Epidemiol Psychiatr Sci] 2024 Sep 18; Vol. 33, pp. e40. Date of Electronic Publication: 2024 Sep 18.
DOI: 10.1017/S2045796024000441
Abstrakt: While sexual dysfunction is a well-known side effect of taking selective serotonin reuptake inhibitors (SSRIs), in an undetermined number of patients, sexual function does not return to pre-drug baseline after stopping SSRIs. The condition is known as post-SSRI sexual dysfunction (PSSD) and is characterised most commonly by genital numbness, pleasureless or weak orgasm, loss of libido and erectile dysfunction. This article provides a commentary on the incidence and prevalence of PSSD based on a combination of academic literature as well as clinical and research experience. A number of obstacles to quantifying the occurrence of PSSD are outlined including difficulty in designing a suitable study method. Other contextual obstacles include patient embarrassment at raising sexual concerns, the response of healthcare professionals, inability to stop an antidepressant due to withdrawal issues in a proportion of patients and patient unawareness that their sexual difficulties are linked to prior medication compounded by variability of online information and a lack of information aimed at public education. A definition of PSSD with diagnostic criteria has been published. A MedDRA code for PSSD has also been introduced, but this is yet to be adopted by regulators.
Databáze: MEDLINE