Sexual Problems

Changes in sexual function and drive can occur as part of Parkinson’s, and also possibly as side effects of certain medications, particularly antidepressants. Medications for erectile dysfunction (ED) and lubrication for pain with sex (especially for women experiencing vaginal dryness) can be useful, but often lifestyle changes and alternative therapies are especially effective. Consider scheduling sex for times when your medication is at its most effective or try experimenting to see what other ways you can show affection. Engaging in talk therapy or visiting a specialist (like a gynecologist or urologist) can be helpful as well. Finally, be open with your partner and try not to be embarrassed (especially when talking to your doctor). Sexual problems are very common in people with Parkinson’s and if you don’t disclose them, you won’t be able to address them. Hypersexuality and compulsive sexual behavior are side effects of dopaminergic agonists and can often be treated by reducing dosage.

Generic Name
Trade Name
Patient Assistance
Sildenafil, tadalafil, vardenafil Viagra, Cialis, Levitra Used to treat erectile dysfunction (ED). Can worsen orthostatic hypotension. Other possible side effects include headache, stuffy nose, and nausea. Product Website Pfizer Savings Program More Information
Apomorphine Apokyn See chart for information about dopamine agonists. Some evidence of benefit for erectile dysfunction.

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