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Handbook of sexual dysfunction - part 4

Nếu không, trừ khi tham chiếu, thông tin trong phần này đã-được lấy từ Balon và Segraves (22) và Kaufman và Vermeulen (23). Nói chung, có thường là rất lớn Khó khăn trong Phân biệt các hậu quả của một rối loạn tình dục từ các tác dụng phụ của thuốc sử dụng trong điều trị. | 94 Maurice Unless otherwise referenced information in this section has been taken from Segraves and Balon 22 and Kaufman and Vermeulen 23 . In general there is often great difficulty in differentiating the sexual consequences of a disorder from side effects of the medication used in treatment. When thinking about a sexual desire problem attempting this separation requires care in determining that it did not exist before drug treatment began i.e. making sure that it is in fact acquired rather than lifelong . Likewise one would expect drug-related sexual problems to occur under all circumstances rather than some i.e. to be generalized rather than situational and that the desire problem would disappear if the drug is stopped but reappear if resumed. Last one would want to determine that the diminished sexual desire would not be better explained by the onset of an illness or exposure to an environmental stress. Antipsychotics This group includes those which are typical also called neuroleptics and traditional for example phenothiazines thioxanthenes and butyrophenones as well as atypical e.g. risperidone olanzapine quetiapine and clozapine . Men who are taking antipsychotic drugs generally complain of various sexual side effects including loss of sexual desire although interference with ejaculation seems particularly common . One factor that seems especially noteworthy is that many of the typical antipsychotics as well as risperidone in the atypical group result in an elevation in PRL which in turn has significant sexual consequences including a lessening of sexual desire see below . Antianxiety Agents Alprazolam Xanax was reported to sometimes result in diminished sexual desire in both men and women 44 . In that SSRIs are often used to treat anxiety the information on antidepressants immediately below is of relevance. Antidepressants The incidence of sexual dysfunction generally with antidepressants is estimated at 30-50 . All types of antidepressants TCAs MAOIs SSRIs