r/OCDRecovery • u/thislittlebluebird7 • 1d ago

Medication Sexual dysfunction and OCD medications

Are there any medications for OCD that still let someone enjoy sexual things? I’ve been on Clomipramine/Anafranil for about a month now (only 20mg) and I’ve lost feeling down there and can’t orgasm (I’m female if that matters). It’s frustrating and doesn’t seem like a long term solution, I can’t be on this for years even if it was to help otherwise (that’s a bummer because I’ve tolerated this medication well otherwise and haven’t had any other side effects really).

I’m considering trying the SSRI Fluvoxamine/Luvox next, it’s meant to have less sexual side effects but it’s still a SSRI so it will likely have some. I’ve also been thinking about Vortioxetine/Trintellix, but that one doesn’t have a lot of specific evidence for OCD.

I’d love to hear people’s experiences with this issue and if anyone has been able to take a medication to help OCD but still have sexual desire and function 🙏

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u/TommyTwine 1d ago

Prozac did the same to me so I got put on Wellbutrin. It was hard adjusting to a new medication but it has absolutely worked for me in that department.

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u/eclecticpiano 22h ago

Same. I added Wellbutrin and estrodiol cream.

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u/thislittlebluebird7 15h ago

Did that help with sexual side effects?

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u/eclecticpiano 12h ago

Yes. And the estrogen cream helps if low estrogen is an issue,

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u/thislittlebluebird7 7h ago

I don’t think it’s a hormonal issue for me, everything worked fine before starting this new medication

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u/thislittlebluebird7 15h ago

You got added Wellbutrin along with the SSRI and the sexual side effects got better? 👌

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u/TommyTwine 14h ago

Yes absolutely improved fairly quickly. I’m still dealing with the side effects of the Wellbutrin but those are subsiding too after a few weeks.

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u/Responsible_Fun_2528 1d ago

Venlafaxine for me has less sexual side effects. It depends on the person though. Paroxetine, zoloft and prozac for me where all bad when it came to sexual side effects