FEMALE SEXUAL DYSFUNCTION IN ANXIETY PATIENT
Female anxiety patient can have different sexual dysfunctions. There is bilateral relationship between anxiety and female sexual dysfunction. All four phases of sexual responses get effected by anxiety. It has impact on autonomic nervous system involved in sexual response .Women with anxiety has arousal or orgasmic dysfunction. SSRIs are used extensively for anxiety disorder can cause serious sexual dysfunction. Pharmacotherapy of anxiety without SD is challenging task.
Pub med reasech was made using key words female sexual dysfunction, SSRI,s anxiety .
Anxiety disorders are twice as high in female population .Female with anxiety can have 3.5 time more orgasmic or arousal disorder than non anxious patients. In patients taking SSRI,s all phase of sexual responses but in particular arousal in female.
Sexual dysfunction in female on antidepressant are troublesome which might become cause for non adherence. There are many strategies to combat this problem. Add on medication to counter these side effects. These include buspiron, and bupropion. There are medicine that are effective on anxiety but have minimum side effects .These medicines include vilazedone, vortioxetine, mirtazepine, agomelatine, thianeptine, buspiron. 5HT1a as a receptor as oppose to 5HT2a and 5HT2c does not cause sexual Vilazedone, vortioxetine and buspiron act on it. Mirtazepine an agomelatine are antagonist at 5HT2 and have anti anxiety effect with less SD. Thianepine act via dopamine ,is devoid of SD. Bupropion act on dopamine and nor adrenaline so can undo SSRI induced SD. Non pharmachological modality include CBT, relaxation exercises, water therapy can be used