Overview
Zoloft（Sertraline）是一种选择性5-羟色胺再摄取抑制剂（SSRI）。它用于治疗一系列心理状况，包括抑郁和焦虑。这些条件会导致勃起功能障碍（ED）。但是，Zoloft也可能导致ED。
Read on to learn more about the relationships among ED, Zoloft, and mental health.
SSRIs such as Zoloft work by increasing the amount of the neurotransmitter serotonin that is available in your brain. While increased serotonin can help relieve your symptoms of depression or anxiety, it can also cause problems for your sexual function. There are several theories for how antidepressants such as Zoloft cause ED. Some of them suggest that these drugs can do the following:
- decrease feeling in your sexual organs
- reduce the action of two other neurotransmitters, dopamine and norepinephrine, which reduces your levels of desire and arousal
- block the action of nitric oxide
一氧化氮使您的肌肉和血管放松，这使足够的血液流向您的性器官。如果没有足够的血液流向您的阴茎，就无法获得或保持勃起。
The severity of sexual problems caused by Zoloft varies from person to person. For some men, side effects decrease as the body adjusts to the medication. For others, the side effects don’t go away.
If your ED is caused by depression or anxiety, it may improve after Zoloft starts to take effect. If you haven’t been taking Zoloft very long, wait a few weeks to see if things improve.
如果您认为您的ED是由Zoloft造成的，请与您的医生交谈。如果他们同意，他们可能会调整您的剂量。较低的剂量可以减少药物对您的性功能的影响。您的医生可能还建议您尝试另一种类型的抗抑郁药，而不是SSRI。找到适合抑郁症，焦虑和类似疾病的正确治疗方法需要时间。在定居正确的药物和剂量之前，通常需要对药物和剂量进行多种调整。
Your doctor may suggest other remedies if you find that your ED is not caused by depression or Zoloft. For instance, you may be able to take anothermedication to treat your ED symptoms。
Zoloft，抑郁和焦虑只是可能导致ED的几件事。正常的性功能涉及您身体的许多部位，它们都需要正确地一起工作以引起勃起。勃起涉及您的血管，神经和激素。即使您的心情也可以发挥作用。
Other factors that can affect your sexual function include:
Age
学习表明ED倾向于随着年龄的增长而增加。到40岁时，大约40％的男性在生活中的某个时刻经历了ED。到70岁时，这个数字高达约70％。性欲也可以随着年龄的增长而减少。
勃起功能障碍and your age: Is it inevitable? »
健康状况
Certain health conditions put you at increased risk of developing ED. Examples of these conditions include:
- 糖尿病
- heart disease
- 高血压
- 佩罗尼氏病
- 多发性硬化症
- Parkinson’s disease
- 脊髓损伤或伤害勃起涉及神经和动脉的伤害
Medications
某些药物也可能导致ED。这些包括：
- other SSRIs such as citalopram (Celexa) and fluoxetine (Prozac)
- 抗组胺药
- 利尿剂，例如氯噻嗪和氯噻酮
- pain medications such as opioids
Learn more about medications that can cause ED »
生活方式
生活方式factors can also affect your ability to have an erection. Smoking, drinking, and drug use can be part of the problem. Stress and obesity can also add to sexual dysfunction.
如果你和你的医生认为生活方式的问题the cause of your ED, make changes accordingly. If you smoke, try to quit. Cut down on alcohol use. And if you have a substance abuse problem, seek help. Also, make time for some physical activity every day. It helps with blood flow, weight control, and stress reduction.
There are many possible causes for ED, and if you’re taking Zoloft, it may be the culprit. The only way to know for sure is to talk to your doctor. They can help find the cause of your problem and help you resolve it. They can also answer any questions you may have, such as:
- Is there another antidepressant that might work better for me?
- 如果Zoloft没有引起我的ED，您认为是什么？
- Are there lifestyle changes I should make that might improve my sexual function?