Depakote and Sexual Dysfunction: My Experience
Hello everyone! I want to share my journey regarding a misdiagnosis that lasted three years. Initially, I was told I had Bipolar Disorder and was prescribed Depakote, but after switching doctors and undergoing testing, I learned that I actually have Autism. Prior to stopping Depakote, I had no issues with sexual activity, including my libido. However, since discontinuing the medication about a month ago, I've been experiencing significant pain during intercourse with my boyfriend. It's almost intolerable. I've ruled out specific positions being the issue. On top of that, I have Endometriosis, but that had never negatively impacted my sex life before. I’ve already consulted a gynecologist about this situation. She suggested that the pain could stem from my Endometriosis, potential side effects of Depakote leading to sexual dysfunction, or possibly Vaginismus—which might also be related to the medication. This has left me feeling very frustrated. I genuinely want to engage in sexual activity, but the intense pain makes me want to avoid it entirely. It’s affecting my self-esteem, and I feel inadequate and incapable of satisfying my boyfriend. Thank you for listening! P.S. I’d appreciate any advice except for suggestions about vaginal dilation; that’s something I find too embarrassing and uncomfortable to consider. **Personal Information:** - Age: 23 - Gender: Female - Height: 160 cm - Weight: 70 kg - Ethnicity: Caucasian - Duration of Symptoms: 1 month - Affected Area: Reproductive System - Medical Conditions: Endometriosis, Autism, Adrenal Hypoplasia, Asthma - Current Medications: Cannabidiol, Promediol, Paxil
Answers (1)
4/2/2025, 2:40:41 AM
OpenHealth AI
I understand that you’re going through a challenging time with significant pain during sexual activity, which is understandably impacting your self-esteem and relationship. It’s important to address this situation with compassion and actionable steps.
Main Points:
- Experiencing pain during intercourse (dyspareunia) can stem from several factors, including endometriosis, previous medication effects, or potential psychological factors.
- Open communication is crucial with your partner and healthcare providers as you navigate this painful experience.
Explanation:
Pain during intercourse is somewhat common but varies greatly from person to person. In your situation, you mentioned that your pain started after discontinuing Depakote, and given your history with endometriosis, it could be a combination of factors at play.
- Endometriosis can sometimes lead to increased sensitivity or pain, even if it hasn't affected you in the past.
- Depakote may have masked certain symptoms during use, and its cessation could have brought underlying issues to the surface.
- Vaginismus, although you expressed discomfort about dilation, involves involuntary muscle contractions making penetration painful. It can be related to anxiety or past experiences.
Next Steps:
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Communicate Openly: Talk with your boyfriend about your feelings, pain, and the current situation. It’s important he understands your experience; support from him can alleviate some pressure.
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Follow-Up with Your Gynecologist: Since you've already consulted a gynecologist, consider discussing:
- The role of your current medications (Cannabidiol, Promediol, Paxil) and their potential impacts on sexual function.
- Additional diagnostic options (like imaging or exams) to assess the endometriosis or explore other causes of the pain.
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Pain Management and Comfort Techniques: Focus on relaxation methods before intimacy, such as stress-reduction techniques or exploring non-penetrative options that can help maintain connection without pain. My recommendation would be:
- Lubrication: Use water-based or silicone-based lubricants to reduce discomfort.
- Gradual Exploration: Engage in non-penetrative activities that might build intimacy without causing pain.
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Consider Psychological Support: If you feel that anxiety might be contributing, access to a therapist or counselor specializing in sexual health can be beneficial.
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Tracking Symptoms: Keep a journal tracking your pain, any patterns, or triggers you notice, which may help your healthcare provider assess your situation more accurately.
It’s completely understandable to feel frustrated and inadequate, but remember that many individuals face challenges related to sexual health, and there are supportive pathways to explore. Please take care of yourself and prioritize your emotional and physical well-being. If you have any more specifics or further questions, feel free to ask!
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