I’ve been on antidepressants for the majority of my adult life, trying three different medications before I found the one that works for me. I’ve had some shame about this over the years, but these days I am very pro-medication for those who need it. I’m not exaggerating when I say that my mental health meds saved my life on more than one occasion. Unfortunately, antidepressants are known to decrease sexual desire for many people, and my first two antidepressants also killed my libido.
Like any medications, antidepressants often have side effects. These can range in severity from mildly annoying to seriously debilitating. Sexual side effects are common and can include erectile dysfunction, loss of desire, anorgasmia, and more.
How Antidepressants Killed My Libido and Ability to Orgasm
My first antidepressant was Fluoxetine (Prozac), which killed my libido for the entire nine months I was taking it. Anything that had been pleasurable before just felt like… nothing. This wasn’t limited to sex, either. I also lost my appetite and all ability to derive pleasure from food.
On Citalopram, I lost my ability to orgasm while my body adjusted to the meds. Needless to say, this was incredibly upsetting and frustrating. Feeling like I had no control over my body and like I’d lost one of my greatest sources of pleasure was so damaging that I seriously considered coming off the meds that were otherwise helping with my depression.
The first time antidepressants killed my libido, was so thoroughly miserable (both from the depression and from the side effects of the meds) that I wasn’t even interested in reclaiming it. I’m pretty sure I didn’t have sex or masturbate for about nine months at one stage. In hindsight, this probably made things even worse, because my sexuality has always been one of the key ways that I access pleasure and joy. At that time, I didn’t own any sex toys, and any touch from either myself or my partner left me cold.
The second time antidepressants didn’t kill my libido entirely, but they did decrease it. They took the edge off the worst of the sadness and hopelessness, and I found myself wanting sex occasionally. But I couldn’t orgasm, either with my partner or by myself. Though orgasm is not necessarily the goal of sex, this quickly became frustrating and then maddening. I felt like my body was betraying me. Like I had to choose between having a properly functioning brain and a satisfying sex life.
Overcoming Anorgasmia with Sex Toys and Advocating For My Pleasure
The turning point in reclaiming by libido and orgasms came when my then-partner suggested trying a wand vibrator. It finally broke through the orgasm block and, once that dam broke, it became easier and easier to get there again. I invested in a wand for myself pretty quickly after that, and it became my go-to toy.
My third and current antidepressant, Sertraline, mercifully hasn’t decreased my libido or decreased my ability to orgasm. When I decided to go back on medication, I made it very clear to my doctor that losing my desire for sex (or my ability to orgasm) again wasn’t an option.
Wand Vibrators As a Tool Against Depression
Despite having finally found an antidepressant that doesn’t kill my libido, my mental health still has an impact on my sexuality. Contrary to popular belief, it’s still possible to feel horny at the same time as being depressed. Sad people need pleasure and orgasms, too! There have also been many times in my life when I haven’t felt horny, but I knew intellectually that an orgasm would make me feel better.
Sometimes, when I’m very very depressed, I feel as though there’s a kind of fog around me. The fog keeps me at least partly disconnected from everything and everyone around me. At its worst, it creates a sense of being somewhat outside and detached from my own body.
In this state, many types of touch that would normally be pleasurable struggle to penetrate the fog. When that happens, I need intense stimulation and lots of it. It’s times like this that I might crave certain BDSM activities even more than usual. It’s also times like this when knock-your-socks-off powerful wand vibes are a godsend. It might be possible to power through to orgasm with a lacklustre, buzzy vibrator but… why bother?
Whether my libido is being killed my antidepressants or decreased by depression itself, a good wand vibrator can wrench an orgasm from my body with very little active input from me. With a powerful enough wand, I basically just put it in the right spot and wait for the orgasm to happen. In this way, I can access pleasure and the positive physical and mental health benefits of orgasm even when I feel so low I don’t want to leave my bed.
What I Learned When Antidepressants Killed My Libido: Sexual Pleasure Matters
When someone is dealing with severe health issues, either physical or mental, it’s often tempting to see sexual pleasure as trivial. Certainly when I spoke to my doctor about antidepressants killing my libido and decreasing my ability to orgasm, they dismissed my concerns. Did I want sex or did I want to not be sad? Because I couldn’t have both.
Except I actually could. I needed and deserved to have both.
If you’re struggling with pleasure or orgasm due to health issues and medication, I want you to hear this: sexual pleasure matters. It’s not trivial and it’s not unimportant. If it’s important to you, then it matters. And you deserve to have what you need to feel sexually satisfied, whether that’s a change of medication, a super powerful vibrator, or just to change up what you’re doing.
Thanks to Honey Play Box for sponsoring this post. All views and experiences are my own!


