What should you know about Lexapro and loss of libido?

Reduced desire may begin after starting Lexapro or changing the dose. Some people also notice delayed orgasm, difficulty reaching orgasm or changes in arousal. Depression itself can lower interest in sex, while burnout, relationship strain, poor sleep and anxiety can add to the effect.

Hypothyroidism and type 2 diabetes are examples of health conditions that may affect sexual function. Timing matters, but it does not prove that Lexapro is the only cause. A private, non-judgemental discussion can help separate overlapping factors.

Tell the prescriber exactly what changed, when it started and how it affects you. Continue Lexapro as prescribed until you receive advice; stopping suddenly can cause withdrawal symptoms or a return of the treated condition. Do not add sexual-health medicines or supplements without checking for interactions.

If you have a partner, explain that medication and health changes can affect desire and that pressure may make intimacy harder. A clinician can discuss options while considering your mental health, other medicines and personal priorities.

Arrange a medication review if the change is distressing, persistent or affecting a relationship. Seek urgent help for thoughts of self-harm, severe mood change, confusion or an allergic reaction. Prompt assessment is also sensible when loss of libido comes with marked thirst, weight change, severe fatigue or other new symptoms.

Ask whether Lexapro timing fits the change, whether depression or another condition may contribute, what options protect your mental-health progress, and how any adjustment would be monitored.