Comment by bflesch

Comment by bflesch 3 days ago

9 replies

I have no experience about antidepressants myself so please excuse my stupid question.

When I hear people say "it killed my libido" I always think about the fact that hyper-sexuality can be a trauma response, and if your body is healing the hyper-sexuality is most likely also reduced.

It's like when you have a disease and then read the side effects of a medication and notice that a lot of the side effects are basically also something that can happen when your overall condition is improving but still some people report them as adverse effects and then these are added as side effects to the package label.

For example you take antibiotics but bacteria can have toxins in their body, and when the bacteria disintegrate you get more sick from the released toxins. It's called the Herxheimer effect: https://en.wikipedia.org/wiki/Jarisch%E2%80%93Herxheimer_rea...

When I started methyl-B12 supplementation I also had inflammation in sinuses for weeks but it was just from my immune system starting up again and being able to attack long-standing inflammation. Someone else would've put "fever", "headache" and "stuffed nose" onto the side effects medication label of methyl-B12.

subscribed 3 days ago

Stupid question - why do you keep suggesting that having a libido equals hypersexuality?

Is this your trauma speaking, or do you automatically associate any sexual needs with a pathology?

You've done it twice in this thread alone.

  • butlike 3 days ago

    I didn't read their comment as insinuating libido is 1:1 to hyper-sexuality. I read it as: "consider if you have a libido, and depression, you may also be hyper sexually."

    The situation is PersonA has determined they need an anti-depressant. So one thing is 'wrong.' It stands to reason that they may be using sex as a painkilling mechanism. After all, sex feels great. When the anti-depressant kicks in, the body may determine it doesn't have to use that painkilling method anymore, hence, the decreased libido. It doesn't mean having a libido is bad, it means that the person potentially was overdriving it.

    • bflesch 3 days ago

      Thanks for reframing it. That's what I was trying to say.

  • hu3 3 days ago

    I'm not whom you asked. But it's a resonable association for some cases.

    But I understand that it would have been better to ask and not associate because it's a fraction of the cases.

    • WarmWash 3 days ago

      If I told you that I often have a fire in my fireplace, it would be incredibly strange if you suggested that pyromania can be a trauma response.

      Either OP is confused about what libido means, or has some kind of heavy shame around sexuality.

      • hu3 3 days ago

        Yeah, I agree with your sentiment.

        Sex is awesome and liberating! Should be anything but shamed.

      • toxik 3 days ago

        That is not what this was. You have been firing your fireplace, now you put on a sweater and you suddenly don't want to fire so much. Maybe that's not bad, but a return to normal. That was the proposition. Is it true, who knows. Case by case question.

chubbyFIREthrwy 3 days ago

>When I hear people say "it killed my libido" I always think about the fact that hyper-sexuality can be a trauma response, and if your body is healing the hyper-sexuality is most likely also reduced.

That ... feels like an edge case, for a very narrow set of circumstances (history + one of several possible responses to that history).

Anti-depressants seem to have a clear effect on dopamine pathways that better explain what's going on here. I have been on several that have this effect very visibly (at least Cymbalta): whenever I'm close to climax (whether from sex or masturbation) there is a mental block against pushing through to that release.

Fortunately, there are many that avoid this effect now, notably Zoloft, Trintellix, and Wellbutrin.

Edit: Okay what the heck just happened? This comment went dead (flagkilled?), despite being good faith and productive, as best I can tell. I would really appreciate feedback on what I did wrong, from anyone who can still see it. I did it on a semi-throwaway account for (what should be) obvious reasons.