Antidepressants and sexual side effects: what you can do
Antidepressants can affect desire, arousal and orgasm. Learn which effects are common, why you shouldn’t stop suddenly, and options to discuss with your doctor.
Read articleUnderstanding delayed ejaculation
Ejaculation needs enough arousal, the right kind of stimulation and a mind that can let go. When any of these is missing, climax can be slow or absent. Many men with delayed ejaculation are perfectly aroused, but the stimulation of partnered sex simply feels different from what their body has learned to respond to.
Common contributors
- Idiosyncratic masturbation, such as very firm grip, fast speed or a specific position that partnered sex cannot replicate.
- Spectatoring, which means watching and judging yourself during sex instead of feeling.
- Relationship issues, including unspoken resentment, fear of pregnancy or pressure to conceive.
- Medications, particularly antidepressants.
- Physical factors, including diabetes-related nerve changes, low testosterone or surgery, which are less common but worth checking.
How we work on it
We start by understanding your history without judgement. Then we build a gradual plan. That may include changing masturbation technique, reducing frequency for a period, mindfulness practice and structured touch exercises with a partner. Progress usually comes from lowering pressure, not trying harder.
How Better Intimate helps
Map your arousal
We look at what reliably leads to orgasm and what doesn’t, including masturbation style, fantasy and focus.
Retrain gradually
Step-by-step changes that bring solo and partnered arousal closer together.
Remove the performance lens
Mindfulness and sensate focus shift attention from “trying to finish” to pleasure.
Check medications
If an antidepressant or other medicine may be involved, we help you raise it with your prescribing doctor.
Frequently asked questions
It is less common than PE but more common than most people realise, and it is often under-reported because men feel embarrassed or assume it is a “good problem”.
Yes. SSRIs and some other medicines commonly delay orgasm. Never stop a medicine on your own; we can help you prepare questions for your doctor.
It helps but is not required. Many men start alone and involve their partner once they understand their pattern.
Online help wherever you are
Sessions are private and online, in English or Hindi, with time slots shown in your local time.
- Online sexologist in IndiaAhmedabad · Bengaluru · Chennai · Delhi
- Online sexologist in USANew York City · Los Angeles · Chicago · Houston
- Online sexologist in UKBirmingham · Leeds · Leicester · London
- Online sexologist in UAEDubai · Abu Dhabi · Sharjah · Al Ain
- Online sexologist in CanadaCalgary · Edmonton · Vancouver · Surrey
This page is for education and is not a medical diagnosis. Better Intimate provides psychosexual counselling and does not prescribe medicines; we will suggest a medical check whenever one is needed.
