This study suggests that reduced sex drive is the most common side effect, but it impacts about 1/10. I can find no evidence that it is permanent (though see comments below!); stopping the drug should return most folks to normal.
Compare this treatment to incarceration: would you prefer to be less horny and free, or in jail? See also the patient reports in the article, talking about finally having some control in their lives.
As someone who’s battled chronic depression since 1989, I can tell you that of all the antidepressants I have tried (just about all of them) only one triggered erectile dysfunction and it went away once I stopped taking the pill. None reduced my sexual appetite, some actually increased it (one dramatically). The most common sexual side effect I found was difficulty climaxing, which combined with increased sexual appetite made for some extended and amazing sex.
The “can’t rule out” fallacy, often referred to as the appeal to ignorance, occurs when someone argues that a lack of evidence against a claim is taken as evidence for its truth. This fallacy suggests that if something cannot be disproven, it must be true, which is a flawed way of reasoning.
And impotence I’m sure. So, a two-fer
This study suggests that reduced sex drive is the most common side effect, but it impacts about 1/10. I can find no evidence that it is permanent (though see comments below!); stopping the drug should return most folks to normal.
Compare this treatment to incarceration: would you prefer to be less horny and free, or in jail? See also the patient reports in the article, talking about finally having some control in their lives.
You can be both horny and impotent at the same time. I’d still prefer to be free, of course.
Most, but not all: https://link.springer.com/article/10.1186/s12991-023-00447-0
As someone who’s battled chronic depression since 1989, I can tell you that of all the antidepressants I have tried (just about all of them) only one triggered erectile dysfunction and it went away once I stopped taking the pill. None reduced my sexual appetite, some actually increased it (one dramatically). The most common sexual side effect I found was difficulty climaxing, which combined with increased sexual appetite made for some extended and amazing sex.
Scientists can’t rule out that a soft pp might be the main causal variable