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Sexual Side Effects: How to Have Sex if Medication is Getting in the Way of Your Pleasure

Published on by Amy

Unfortunately, sexual side effects are incredibly common with numerous types of medication. Mental health medications including SSRIs and MOAIs, blood pressure medications, ADHD medications, and certain hormonal therapies are just some of the commonly prescribed medical treatments that can affect sexual function.

Sexual side effects can include loss of desire, low arousal, erectile issues, pain during sex, and anorgasmia. Obviously, not everyone who takes medication experiences these issues and not everyone will experience them to the same extent. They can also naturally occur as a result of ageing, stress, physical health issues, and so on. But they are super common. In this post, I’ll share some strategies that can help you to manage them and continue to access sexual pleasure, if you want to.

Note: I am not a medical professional, so I have kept my advice here to sex and relationships advice, not medical advice. If you have any medical concerns or queries, see your doctor.

Talk to Your Doctor About Sexual Side Effects

You shouldn’t have to choose between the right medication and a happy and pleasurable sex life. You should be able to have both! So if you’re suffering from sexual side effects, talk to your doctor.

A good provider will work with you to find a medication solution that helps you without damaging your sex life. This might mean adjusting your dose, trying a different drug, or implementing other strategies to combat the sexual side effects. If your doctor dismisses you or doesn’t think sexual pleasure is important, go to a different doctor.

Sex matters. For many of us, it’s a quality of life issue. You deserve to get medical support and be taken seriously.

Get Creative and Expand Your Definition of Sex

Perhaps you can’t or don’t want to change your medication right now (or ever), but you also want to start enjoying sex again. If so, I invite you to think about your definition of sex. When you think of sex, are you thinking exclusively about penetrative intercourse or another specific activity?

Getting creative, exploring different kinds of touch, and expanding your definition of sex can all be great ways to sidestep sexual side effects and find new ways to access pleasure and sensuality.

What if sex didn’t need to involve penetration? What if there was no pressure for anyone to have an orgasm, and you could just enjoy touch and sensation without racing towards any particular goal? If it didn’t matter whether a cock got hard or a pussy got wet? Paradoxically, removing the focus from things like penetration, erection, or orgasm can actually make those things easier. Don’t underestimate the power of taking the pressure off.

Intimate connection doesn’t even need to involve your genitals! What if you spent an entire session just kissing and making out, focusing on nipple play, trading massages? What if a kink scene, whether that involves flogging or shibari or candle wax or sensation play or power exchange, was the main event rather than an appetiser? When you step away from what you assume sex is, you discover all the things pleasure can be.

Experiment with Toys

Sex toys are amazing for so many reasons! (That’s why I turned talking about them into a career.) One of the ways they’re amazing? They can help to overcome or navigate sexual side effects by offering different kinds and intensities of sensation.

If you’re struggling with a loss of sensation, powerful vibrators can help. When I suffered from anorgasmia due to antidepressant medication, a wand vibrator helped me to break through the block. Some people with a clitoris find that the focused intensity of suction toys works well when sensitivity is low. If you have a penis and your medication makes it difficult to get or stay hard, a toy like the Hot Octopuss Pulse – which can be used from either erect or flaccid – can be a great choice. If you want to have penetrative sex, a strap-on, fucking machine, thrusting toy, or dildo can facilitate it.

If pain during sex is an issue, toys and accessories can also help. The OhNut is an amazing invention that limits the depth of penetration with a penis or dildo, and dilators can help to gently stretch and relax your vaginal tissue.

Explore Self-Touch

Learning to navigate sexual side effects and adjusting to your body’s new normal can be a process. Whether or not you have a partner, this is a great time to explore self-touch. You might want to experiment with masturbating in different ways (such as in a new position or with toys), experiment with mindful masturbation, or perhaps just touch your body in whatever ways feel good to you.

Talk About Your Sexual Side Effects with Your Lover(s)

Too many of us have, at some point, struggled through sex that was not pleasurable or even sex that was painful. Perhaps we felt pressured, perhaps we didn’t want to let our partner down, or perhaps we believed that maybe we’d “get into it” if we just kept going. I understand the urge, but you deserve so much more than suffering through uncomfortable or painful sex.

A partner who loves and respects you will want to understand your experience and support you. Great sex with a partner is a collaborative process. It begins with honesty and vulnerability, so – as long as you’re in a safe and trusting relationship – talk to your partner(s) about how you’re feeling, what’s going on for you, and how you’d like to address it. If you want them to do or not to something specific, ask for it. If you just want their patience and understanding while you adjust, ask for that.

Fight Shame and Self-Blame

Sexual side effects often bring a lot of shame. You might feel as though there’s something wrong with you, or worry that you’re letting your partner(s) down. Some people even feel as though their masculinity, femininity, or sense of sexual identity is threatened.

There is absolutely no shame in what you’re going through right now. Sexual problems are still hugely stigmatised and, unfortunately, so are certain types of medication (such as antidepressants). However, please try to avoid getting into a shame cycle or blaming yourself. But sexual side effects are incredibly normal, and most of us will be on medication that will impact our sexuality at some point in our lives.

If you’re struggling with shame, reach out to others who have had similar experiences, ask your partner(s) for reassurance and support, or talk to a therapist.

Check Out These Resources to Help You Navigate Sexual Side Effects

Wherever you are in your journey with medication and navigating sexual side effects, these are a few resources I recommend. As always, pick the ones that sound most useful to you!

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