Can antidepressants cause erection problems?

Erection problems due to antidepressants are a recognised side effect, particularly with certain selective serotonin reuptake inhibitors (SSRIs). In this episode, we explain why this happens and how sexual side effects are assessed in Europe.

In this episode, we cover:

• How antidepressants affect serotonin and sexual function

• SSRIs most commonly linked to erectile dysfunction

• Effects on libido, arousal, and delayed ejaculation

• Differences between SSRIs, SNRIs, and other antidepressants

• When dose adjustment may be considered

• Alternative medications with lower sexual side effect risk

• The role of PDE5 inhibitors in some cases

• When mental health stability takes priority

• Situations where medication changes may be declined

Doctors assess depression severity, treatment response, cardiovascular risk, testosterone levels (if indicated), other medications, and relationship factors before adjusting therapy. Stopping antidepressants abruptly is not recommended. Persistent erectile dysfunction, mood deterioration, or suicidal thoughts require prompt medical evaluation.

This episode reflects how mental health treatment and sexual side effects are reviewed within structured medical assessment in European telemedicine at Mobi Doctor.

Read the full medical guide here:

https://www.mobidoctor.eu/blog/erection-problems-due-to-antidepressants