Medications may be used in conjunction with psychotherapy. Such medications include antiandrogens (to lower sex drive), medroxyprogesterone acetate (Provera) and leuprolide acetate (Lupron). Selective serotonin reuptake inhibitors (SSRIs) may be prescribed to treat associated compulsive sexual disorders and/or to gain benefit from libido-lowering sexual side effects. Higher doses than are typically administered for depression are usually used. These include sertraline (Zoloft), fluoxetine (Prozac), fluvoxamine (Luvox), citalopram (Celexa), and paroxetine (Paxil).
Intensity of sex drive is not consistently related to the behavior of paraphiliacs and high levels of circulating testosterone do not predispose a male to paraphilias. Hormones such as medroxyprogesterone acetate and cyproterone acetate decrease the level of circulating testosterone thereby reducing sex drive and aggression. These hormones reduce the frequency of erections, sexual fantasies, and initiations of sexual behaviors including masturbation and intercourse. Hormones are typically used in tandem with behavioral and cognitive treatments. Antidepressants such as fluoxetine have also successfully decreased sex drive but have not effectively targeted sexual fantasies.
- Find a Therapist
- Topic Streams
- Get Help
RelationshipsLow Sexual Desire
Recently Diagnosed?Diagnosis Dictionary
- Psych Basics