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by xattt 1693 days ago
Sertraline (Zoloft) often causes more sexual side effects in males than it does in females. I have seen this used at the max dose to control hypersexual behaviour in a patient with dementia.
2 comments

I spent about 18 months on sertraline. Even on the 'therapeutic' dose that I started off with, it basically nuked my ability to perform. Could still get an erection easily enough, the frustration was being unable to do anything with it.

It wasn't that much better with fluoxetine, but with that I found that I could at least wait a few days to sort of build up the energy.

As with another poster here, I'm happy being open about this stuff too. The first hurdle is opening up about mental health, I think that already puts you on a good track to take the shame away from the sexual aspect.

It's also used to treat premature ejaculation. Side effects can be really useful in the right context.