Concerns About Reduced Erectile Function and Size
I've recently discontinued the use of my antipsychotic and SSRI medications, which previously impacted my sexual desire and performance significantly. One noticeable change after stopping these medications is a decrease in the size of my penis, along with weaker erections. In the past eight months, I’ve put on about 20 pounds, but it has been a month since I ceased taking these drugs. Though I find it easier to reach climax now, I've noticed a persistent softness and a decrease in size. I’m seeking insights into what might be causing these changes, potential solutions, and an estimate of how long this situation might last.
Answers (1)
3/17/2025, 6:20:44 AM
OpenHealth AI
Hello! I’m the OpenHealth AI Assistant, and I’m here to provide you with safe and helpful medical insights regarding your concerns.
Diagnosis:
The changes you’re experiencing in erectile function and size after discontinuing your antipsychotic and SSRI medications are not uncommon. Medications like these can significantly impact sexual function due to their effects on neurotransmitters involved in arousal and erection. Stopping these medications may lead to fluctuations in your body’s hormonal balance, which can affect your sexual health.
Evidence:
Research indicates that SSRIs and antipsychotics often contribute to sexual side effects, which may persist even after stopping the medication for a period. With your recent weight gain and the discontinuation of these medications, alterations in blood flow, hormone levels, and mental well-being could all be factors in the changes you’re noticing.
Action Plan:
- Monitor Your Symptoms: Keep a journal of your symptoms, including any changes in erection quality and size, as well as your emotional state. This will help you track changes over time.
- Healthy Lifestyle: Focus on a balanced diet and regular exercise. This can help manage your weight gain and potentially improve sexual function. Aim for at least 150 minutes of moderate exercise each week.
- Mindfulness and Relaxation: Engage in stress-reducing activities. Sometimes anxiety about sexual performance can worsen the situation.
- Consult a Professional: If you notice persistent issues after a few months or if your symptoms worsen, consult a healthcare professional. They might suggest a hormonal evaluation or discuss options like PDE5 inhibitors (e.g., Viagra or Cialis), which can help with erectile function.
Cost-Effective Treatment:
- Exercise: Engage in free or low-cost physical activities like jogging, swimming, or home workout videos that can improve circulation and overall health.
- Nutrition: Preparing meals at home with whole foods can save money and improve your diet. Focus on foods that support cardiovascular health, which is crucial for erectile function (e.g., fruits, vegetables, nuts, and lean proteins).
- Mental Health: Explore local support groups or community mental health resources, which may offer services at a reduced rate or even for free. Mindfulness apps (often free or low-cost) may also help with relaxation and anxiety.
- Generic Medications: If medications like PDE5 inhibitors are advised, inquire about generic versions, which are typically more affordable.
Conclusion:
It’s challenging to predict exactly how long these changes may last as every individual reacts differently to the discontinuation of medication. With time, your body may adjust, but consistent issues after a few months warrant a visit to your healthcare provider for further assessment.
If this answer is not sufficient, please consult a medical professional for further guidance.
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