Discover the sexual side effects Trazodone may cause

Dr. Constance Odom, MD

Medically reviewed by

Dr. Constance Odom, MD

Dr. Constance Odom, MD

About

Constance Tambakis Odom, MD graduated in 1987 with her Doctorate of Medicine from the New York Medical College, and was an Anesthesiologist Resident from 1988 to 1991 at the Brookdale Medical Center PGY II (CA-I)-PGY IV (CA-III). She is Board Certified by the American Board of Anesthesiology since 1998 and American Academy of Anti-Aging Medicine since 2002. Constance Odom, MD is affiliated with the American Medical Association, American Academy of Anti-Aging Medicine, American Society of Anesthesiology, Georgia Society of Anesthesiology, Hellenic Medical Society of New York, North Carolina Society of Anesthesiology, and Society of Ambulatory Anesthesia.

Credentials

Medical Director At:

• Nu Image Medical
• MetroMedispa P.A.

Staff Anesthesiologist at:

• Betsy Johnson Regional Hospital in Dunn, NC
• Onslow Memorial Hospital in Jacksonville, NC
• Duplin General Hospital in Kenansville, NC

Director of Anesthesia Services at:

• Jacksonville Surgery Center in Jacksonville, NC

Written by our editorial team.

Last Edited 4 weeks ago · 5 min read

08/19/2024

Trazodone is widely prescribed for managing insomnia and depression, but like many medications, it can have side effects. Among these, sexual side effects are a common concern. This article explores these effects, incorporating insights from medical research and real-world experiences shared by users.

What are the sexual side effects of Trazodone?

Sexual side effects are a known issue with many antidepressants, including Trazodone. While not everyone will experience these effects, they can be significant for some individuals. It’s not common for trazodone to cause sexual side effects, but there are reports of both increased and decreased sex drive in some people taking it. Overall, trazodone seems less likely to cause sexual side effects than other antidepressant medications.

Sexual side effects of trazodone for men

The sexual side effects of trazodone reported in men are mixed. Some men have experienced a lower libido (sex drive), while others have reported an increased libido. Other problems may include ejaculation issues, prolonged erections, and priapism.

• Decreased libido: Some patients report a reduction in sexual desire after starting trazodone. This decrease in libido can vary in intensity.

• Erectile dysfunction: Men may experience difficulty in achieving or maintaining an erection, a condition known as erectile dysfunction. 

• Delayed ejaculation: Another reported issue is delayed ejaculation, where reaching climax takes longer than usual. 

• Anorgasmia: Both men and women might find it difficult or impossible to reach orgasm, a condition known as anorgasmia. 

• Priapism: Although rare, priapism—an erection that lasts for several hours and is not related to sexual arousal—can occur. Priapism may be more likely in people living with conditions such as leukemia, multiple myeloma, or sickle cell anemia, or in those with penile conditions like Peyronie’s disease or penile fibrosis.

Real-world insights

A Reddit discussion highlighted some personal experiences with Trazodone, where users reported issues like delayed ejaculation and numbness that subsided over time. One user noted, “The Trazodone is definitely working. It helps with my depression and anxiety, and I can now fall asleep in 10 minutes. But I haven’t been able to ejaculate for 2 weeks.” Over time, these symptoms improved for some, but this highlights the variability in how individuals might experience side effects.

In another Reddit thread, users discussed the nickname "Trazodone" due to the erection-related side effects some men experience, emphasizing the drug's mixed effects on sexual health. These anecdotal reports underscore the importance of discussing any side effects with a healthcare provider, as experiences can vary widely.

How common are these side effects?

The prevalence of sexual side effects among trazodone users is variable. Research published in the study "Sexual Dysfunction with the Use of Antidepressants" notes that sexual dysfunction is a recognized side effect of many antidepressants, including trazodone. However, the severity and occurrence can depend on various factors, such as the dosage and the individual’s overall health.

According to the DailyMed database, while trazodone is often effective for its intended purposes, its impact on sexual health can be a concern for some users. These side effects, though not universal, are a potential risk for those taking this medication.

Managing sexual side effects of Trazodone

If you’re experiencing sexual side effects while taking trazodone, it’s important to know that there are strategies to manage them. Here are a few approaches to consider, but always consult with your healthcare provider before making any changes:

• Adjusting the dosage: Your healthcare provider may suggest a dosage adjustment to minimize side effects. Lowering the dose can sometimes reduce the severity of sexual dysfunction, but this should only be done under medical supervision.

• Timing of medication: Taking trazodone at a different time of day might help reduce sexual side effects. For instance, some patients find that taking the medication in the evening helps lessen the impact on sexual function.

• Exploring alternative medications: If trazodone’s sexual side effects are significantly affecting your quality of life, your doctor might recommend trying a different antidepressant with a lower risk of sexual dysfunction.

• Using supplements or treatments: In some cases, your healthcare provider may recommend supplements or other treatments specifically aimed at managing sexual dysfunction. Always discuss these options with your provider to ensure they are safe and appropriate for your situation.

Research and insights

The link between trazodone and sexual dysfunction is well-documented, but individual experiences can vary. The study "Sexual Dysfunction with the Use of Antidepressants" provides valuable insights into how trazodone and similar medications can affect sexual health, emphasizing the need for personalized treatment plans.

Additionally, research from DailyMed underscores the importance of monitoring and managing these side effects, particularly for those who may already be dealing with stress or other health conditions.

In conclusion, Trazodone may be beneficial for many individuals, helping to manage depression and insomnia effectively. However, it’s important to be aware of the potential sexual side effects and to address any concerns with your healthcare provider. Understanding these risks and taking proactive steps can help you maintain a balanced approach to your treatment.

Ready to take control of your health?
Learn more about how to manage trazodone side effects with guidance from Nu Image Medical.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your physician about the risks and benefits of any treatment. Nu Image Medical may not offer the medications or services mentioned in this article.