Depression can potentially wreck havoc on a man’s sex drive and ability to maintain an erection. This can happen both psychologically and physically, and often, the result is an inability to achieve an erection, also known as erectile dysfunction (ED). These two heath problems have an intertwined relationship; depression can cause ED, and conversely, ED can cause depression. In this article we will further examine the relationship between ED and depression and go over some treatment options.
Depression causes many men to feel withdrawn, self-conscious and apathetic. These feelings can create anxiety in the bedroom, making it difficult to achieve and/or maintain an erection, and taking a toll on a man’s sex life altogether. Many depressed men also report a lowered sex drive and sometimes, a lack of interest in sex altogether.
In addition to its psychological symptoms, depression can also affect sexual performance and libido by altering brain chemistry. Depression causes biological changes in the brain that can alter the behavior of neurotransmitters like dopamine and norepinephrine, often inhibiting the brain’s ability to react to sexual stimuli. This may make it difficult for the body to send appropriate signals to the penis and trigger an erection.
Further, treatment for depression can also contribute to erectile difficulty. Many men are prescribed selective serotonin reuptake inhibitors (SSRI) to treat depression. These medications, however, often do not come without side effects. According to a 2006 article in the American Journal of Psychiatry, 30 to 50 percent of men who take SSRIs exhibit some symptoms of ED.
Depression and ED often occur in conjunction with one another, but there are many treatments available for both health issues. In treating ED, oral medications may be effective. But for those who cannot them, intracavernous pharmacotherapy (ICP) is often a preferred option and may be appropriate in conjunction with medications to combat depression. Further, other treatments like vacuum suction devices, hormonal replacement therapies and sexual counseling may help improve sexual performance. While depression and ED often occur in conjunction, the good news is that they may be able to be treated simultaneously.
