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[6] Sexual Side Effects of Fluoxetine in Men While erectile dysfunction gets the most attention, fluoxetine may also cause: Decreased libido or reduced sexual desire Delayed ejaculation Difficulty achieving orgasm (anorgasmia) Genital anesthesia (reduced sensitivity) Decreased morning erections Lower overall sexual satisfaction [6] These effects relate to altered serotonin-dopamine balance and slowed sexual response

study (2014[52]) had a single unprovoked seizure, one was three weeks after starting SFN, however the participant had an undisclosed history of recent seizure activity

doi: 10.1016/j.ymgme.2015.04.002

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