Dr. Rachel Rubin

So, OK.

Medicine can have sexual side effects.

It right.

It just that's the way that it works.

And so antidepressants can have sexual side effects.

We see a lot of low libido.

We see a lot of delayed orgasm.

And so if it matters to you, then it should matter.

And we should have a tool tools in our toolbox to help with this problem.

And the challenge is, if you're depressed, it also has sexual side effects.

Anxiety has horrible sexual side effects.

And so it's that balance between treating your mental health, supporting you, working with a team to figure out what do you, the person, need and what side effects are acceptable and what medicines can we use to limit the bad side effects and promote the good effects, right?

It becomes working to figure out with your doctor of what matters to you.

Right.

If you take an antidepressant and it's changed your orgasm and that upsets you, then you have every right to go to your doctor and say, I miss my orgasm.

Is there something else I could take or is there something I could add?

And how do we sort of quantify this?

And this affects both genders significantly.

And one, there was a recent New York Times article that really went into, you know, giving all these drugs to kids and teenagers is how are we having those informed consent discussions with them when we never talk to kids about sex at all?

And I think they did a really good job of painting the complexity of the issue because we're not saying don't medicate someone who is in deep need of mental health support.