OCD medications and sexual dysfunction
Are there any medications for OCD that still let someone enjoy sexual things? I’ve been on Clomipramine/Anafranil for about a month now (only 20mg) and I’ve lost feeling down there and can’t orgasm (I’m female if that matters). It’s frustrating and doesn’t seem like a long term solution, I can’t be on this for years even if it was to help otherwise (that’s a bummer because I’ve tolerated this medication well otherwise and haven’t had any other side effects really).
I’m considering trying the SSRI Fluvoxamine/Luvox next, it’s meant to have less sexual side effects but it’s still a SSRI so it will likely have some. I’ve also been thinking about Vortioxetine/Trintellix, but that one doesn’t have a lot of specific evidence for OCD.
I’d love to hear people’s experiences with this issue and if anyone has been able to take a medication to help OCD but still have sexual desire and function 🙏
Posted Aug 11, 2026, 11:21 AM UTC