Reduced desire after a medicine change
All psychiatric servicesArea of care
Sexual Side Effects of Medicines
Review of reduced desire, erection, arousal or orgasm difficulties that began after a medicine was started or changed.
Confidential English and Hindi Detailed assessment
Understanding the concern
The experience matters as much as the label.
Psychiatric and other medicines can sometimes affect sexual functioning, but the underlying condition and physical health can produce similar changes. A medication review considers timing, benefit, dose, other treatments and safe alternatives without abruptly stopping useful treatment.
You do not need to identify the condition yourself before consulting. Begin with what has changed, how long it has continued and how it is affecting everyday life.
Erection or arousal difficulties
Delayed or absent orgasm
Considering stopping treatment because of side effects
What assessment considers
A symptom can have more than one explanation.
The pattern
When symptoms began, their frequency, severity and effect on work, study, sleep or relationships.
Health and medicines
Physical illness, prescribed medicines, substances and relevant investigations where needed.
Life context
Recent changes, stress, family observations, support systems and the person’s own priorities.
Safety and urgency
Any immediate concern involving self-harm, severe agitation, confusion or inability to remain safe.
How care may help
A treatment plan should make sense in real life.
Care is decided after assessment. Depending on the concern, it may include clear explanations, practical changes, psychotherapy guidance, medication or coordination with another specialist.
Questions people often ask before consulting
Should I stop the medicine before consulting?
No. Sudden discontinuation can cause withdrawal or recurrence. Continue it as prescribed unless your treating clinician advises otherwise.
Can treatment be adjusted without losing mental-health improvement?
Often there are options, but the safest choice depends on the medicine, condition, response and individual risk.
Urgent help: If there is immediate danger, suicidal intent, severe confusion, violent behaviour or inability to remain safe, contact local emergency services or go to the nearest emergency department.