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"Eros and Essence: Embracing Sexual and Spiritual Wholeness" · Aug 23, 2026

When medications affect sex

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Dr. Sorah Dubitsky · "Eros and Essence: Embracing Sexual and Spiritual Wholeness"

In this video, Caro Freire and I continue the conversation begun in last week’s Substack post about how prescription medications and recreational substances may affect sexual functioning. In just 12½ minutes, we cover eight common medications and substances—including antidepressants, antihistamines, blood-pressure medications, opioids, erectile-dysfunction drugs, alcohol, MDMA, and cannabis—and explain what changes to notice.

The important question is not simply, “Is this drug good or bad for sex?” A substance may increase desire or sensuality while making erection, lubrication, ejaculation, or orgasm more difficult.

These effects are not trivial. They can affect intimacy, self-esteem, relationships, and quality of life. People may wonder, “What is wrong with me?” or blame a partner when a medication may be contributing to the change.

Please do not stop taking a prescribed medication. Instead, notice whether your sexual functioning changed after beginning a medication and discuss the change with your physician.

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Watch How Drugs Can Affect Your Orgasm/Sex Life

You can also download our free Drugs, Medications, and Sexual Functioning Guide using the link in the video description. Please share the video and guide with anyone who may find this information helpful.

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