in peoples experience which of the ssris cause the most sexual dysfunction at dose equivalents and do ssri just stop performance or do they affect arousal as well
I can't say which is worst, but I take sertraline and it is really bad for sex. For me, it doesn't stop the erection but it stops ejaculating. Very frustrating. A PA in a urologist's office told me that sertraline is what they prescribe for guys who have a premature ejaculation problem, and as long as I'm on it, forget about that.
I have heard that all SSRIs can have sexual side effects, but Wellbutrin has the least. But Wellbutrin doesn't do much for my depression. I have read (I think on Mayo Clinic website) that there are 4 anti-depressants that are not associated with sexual side effects: Bupropion (Wellbutrin), Mirtazapine (Remeron), Vilazodone (Viibryd) and Selegiline (Emsam). But I just saw a post on this site from a woman who said she had sexual side effects from Viibryd.
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