Perimenopause, Hormones & Medication Impact

If you're on antidepressants and your sex drive has completely disappeared, I want you to know that you're not broken, and you don't have to choose between feeling mentally well and having a fulfilling sex life.

SSRIs like Lexapro, Zoloft, and Prozac are genuinely life-changing for so many people, but nobody warns you that they can tank your desire, make orgasms nearly impossible, and quietly wreck your relationship in the process.

In this episode, I'm breaking down exactly why this happens, and more importantly, what you can actually do about it. From simple timing hacks to alternative treatments that are showing real promise.

In this episode, you'll learn:

• Why SSRIs suppress desire and arousal on a hormonal level — and the one hack that can reduce side effects as soon as tonight

• How to rebuild your sex drive when both you and your partner are medicated (yes, this is more common than you think)

• The alternative treatments — TMS therapy, ketamine, and psilocybin — that are helping people get off antidepressants entirely

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Chapters:

0:00 - Intro

0:31 - Sarah's Story: The SSRI Sex Drive Dilemma

3:50 - Why SSRIs Kill Your Libido (The Science)

6:50 - How Common Is This? Depression & Sex Stats

14:00 - Side Effects Breakdown: Vulva vs. Penis Owners

15:50 - Practical Hacks: Timing, Alcohol & Cannabis

20:53 - Alternative Treatments: TMS, Ketamine & Psychedelics

25:31 - Both Partners on SSRIs? How to Rebuild Intimacy

31:58 - The 36 Questions Study That Reignites Closeness

33:37 - Perimenopause, Hormones & Anti-Depressants at 48

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