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Page: << Prev | 1 | 2 "The libido response in women is such a complex problem. If women are unhappy in a relationship, it can affect libido. If it hurts, it can affect libido. If she doesn't feel good about herself, it can affect libido. It's hard to tease all of those factors out," said Dr. Judi Chervenak, a reproductive endocrinologist at Montefiore Medical Center in New York City.
And, she added, "There's no definitive answer to date on how antidepressants cause a lack of libido. It could be because they're affecting dopamine, and women may be experiencing changes in dopamine that indirectly affect vaginal lubrication and arousal and cause decreased blood flow."
Of the current study, Chervenak said, "It's an enticing study, and it makes me want to know more. Does it make me want to prescribe Viagra right off the bat? Not at this point. I'd suggest first that patients keep a symptom diary, so we can figure out what their issue is. Is it arousal? Is it decreased blood flow? Is it an orgasm problem?"
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"Another possibility might be to work with their psychiatrist," she added. "Would it be better to change the antidepressant or to taper the dose? What about a drug holiday? Although you have to be careful, and people can't do that on their own, because there can be potentially devastating problems if you come off these medications too quickly."
"This study has opened up many questions, and hopefully, we'll learn more in the future," concluded Chervenak.
Meanwhile, a spokeswoman for Pfizer, which manufactures Viagra, told the Associated Press that the company has no plans to seek approval for using the drug as a treatment for female sexual dysfunction. The company ended its own research on Viagra for women in 2004, she added.
More information
To learn more about antidepressants and their potential side effects, visit the National Institute of Mental Health.
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