What is Post SSRI's (Antidepressants) Sexual Dysfunction

He works at one of the well-known Universities in my hometown.

Dr. Healy gets deep!




David Healy is a psychiatrist, scientist, psychopharmacologist, and author. Before becoming a professor of Psychiatry in Wales and more recently in the Department of Family Medicine at McMaster University in Canada, he studied medicine in Dublin and at Cambridge University.

He is a former Secretary of the British Association for Psychopharmacology. He has authored more than 230 Peer Reviewed Articles and 25 books, including The Antidepressant Era and The Creation of Psychopharmacology from Harvard University Press, Let Them Eat Prozac from New York University Press, and Mania from Johns Hopkins University Press and Pharmagedden.


His latest book, Shipwreck of the Singular –Healthcare’s Castaways, shows how improvements in medicine, which contributed to increasing our life expectancies, have turned inside out and are leading to shortened life spans.




 
What are the treatments?
This is for PFS which is not necessarily the same thing, but for this one very vocal guy, the answer was just get on TRT with an ample dose of cream and be patient:


So the answer might be something like: let your brain marinate in a soup of jacked up T, DHT, and E2 for however long it takes to respond with some libido. It probably won't work for everyone, but it worked for at least that guy. It's the same strategy I'm trying for what I think is post-accutane sexual dysfunction. Crank the levels up, live your life, check back in a year.
 
This is for PFS which is not necessarily the same thing, but for this one very vocal guy, the answer was just get on TRT with an ample dose of cream and be patient:


So the answer might be something like: let your brain marinate in a soup of jacked up T, DHT, and E2 for however long it takes to respond with some libido. It probably won't work for everyone, but it worked for at least that guy. It's the same strategy I'm trying for what I think is post-accutane sexual dysfunction. Crank the levels up, live your life, check back in a year.
Okay interesting, I have PFS and am doing HCG mono therapy right now. Let us know if you get improvements! I will do too
 
 
My overall function still isn't great, but I have had flashes or windows of major improvement, particularly lately while experimenting with adding hCG to my TRT. I'm working on dialing in the combination.
Yeah I experience the same. Starting a new regimen gives me windows of improvement but it doesn't really stick either...
 
My overall function still isn't great, but I have had flashes or windows of major improvement, particularly lately while experimenting with adding hCG to my TRT. I'm working on dialing in the combination.
Have you had trouble convincing doctors that you have post Accutane sexual dysfunction?
 
Have you had trouble convincing doctors that you have post Accutane sexual dysfunction?
I'm sure I would if I bothered to share that. I find doctors totally useless at solving anything there isn't a well known treatment algorithm for, so I see no value in discussing it. You would have better luck with ChatGPT at this point if you want creative medical problem solving.
 
I'm sure I would if I bothered to share that. I find doctors totally useless at solving anything there isn't a well known treatment algorithm for, so I see no value in discussing it. You would have better luck with ChatGPT at this point if you want creative medical problem solving.
Absolutely. It's hell if you want to talk about improving libido or talk about syndromes they don't even know like PFS.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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