Erectile dysfunction

Question

How to solve the erectile dysfunction when on antidepressants and I m having marriage in the coming month plz give me suggestions about curing it and how to consummate a marriage especially when on antidepressants

Dr. SHAIKH FAWAAZ LATEEF · Accepted Answer

Hello 
With regards to your concern 
Erectile dysfunction is more when there is habit of recurrent masturbation in teen ages.
So to avoid this stop pornography viewing.
Follow kegels exercises 
Follow semen squeeze techniques 
Enhance more foreplay with your partner 
As the antidepressants are being taken they will interfere with your sexual health.
Discuss with your psychiatrist and try to come at a proper solution.

Dr. Alan Reji · Answer

Experiencing erectile dysfunction (ED) while on antidepressants is common, as some medications can affect sexual performance. Since your marriage is approaching, it’s best to consult your doctor about adjusting the dosage or switching to a lower-risk antidepressant (like bupropion), which has fewer sexual side effects. You can also discuss taking ED medications such as sildenafil (Viagra) or tadalafil (Cialis), which are generally safe with most antidepressants but should be prescribed by a doctor. Regular exercise, a balanced diet, and stress management techniques like deep breathing can further improve circulation and reduce performance anxiety.

For your wedding night, focus on emotional intimacy and relaxation rather than performance pressure. Spend time on foreplay, which can enhance arousal and ease tension. Using lubrication can increase comfort and prevent dryness. Don’t rush—take your time to enjoy the moment. If ED persists, consider consulting a urologist or sexual health specialist for personalized treatments. Let me know if you need help finding a specialist or more tips on managing ED.

Dr. Aman Shaba · Answer

Erectile dysfunction (ED) while on antidepressants can be due to the medication itself or other underlying factors like anxiety, hormonal imbalance, or vascular issues. A detailed evaluation is necessary to identify the cause and plan treatment.

Assessment Needed:
Identify the antidepressant – SSRIs (like fluoxetine, sertraline, paroxetine) commonly cause ED, while bupropion or mirtazapine have fewer sexual side effects.

Classify ED type – Is it only antidepressant-induced, or are psychological (performance anxiety, stress) or physiological (low testosterone, vascular issues) factors also contributing?

Check for other causes – Diabetes, hypertension, smoking, and lifestyle factors should be assessed.

Management Strategy:
If antidepressants are the cause, discuss with your psychiatrist about adjusting the dose, switching to a lower-risk medication, or adding bupropion.

PDE-5 inhibitors (sildenafil, tadalafil) can help, but only under medical supervision.

Lifestyle changes like regular exercise, diet improvement, and stress reduction can improve function.

Psychosexual counseling can help manage performance anxiety before marriage.

Since your wedding is next month, early intervention with a psychiatrist and sexual medicine expert is essential for the best outcome.

Dr Aman Shaba 
Consultant Psychiatrist 
7992489808

Dr. Neeraj Agarwal · Answer