Hello dear See improvement will occur but it will require time Iam suggesting some methods for improvement Please follow them for atleast two months Do physical exercise atleast half an hour daily for 5 months Do meditation Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day Hopefully improvement will occur In case of no improvement in 2 month consult psychiatrist in person for better clarity Regards
While it’s good that you’re planning to speak with a psychiatrist, it’s important to tailor any medication to your specific need and symptoms, considering the complete context of your health. In terms of managing depression while minimizing sexual side effects, there are a few avenues you might consider discussing with your psychiatrist. SSRIs, like escitalopram or sertraline, are commonly used, but they can also occasionally affect sexual function. If they haven’t been effective or tolerated before, you could consider SNRIs like venlafaxine, which some people tolerate better in terms of sexual health. Bupropion is another option that is often noted for having a lower risk of sexual side effects and may even improve them. It works differently than SSRIs and SNRIs and could be beneficial for mood and energy improvement. Since you’ve had a history with trimipramine, which is a tricyclic antidepressant, it’s good you’ve noticed what didn’t work well and to see new options. Detailed conversation with your psychiatrist is key here to balance efficacy, side effect profile and any personal history with medication. Also, think about discussing lifestyle elements that help support medication like regular exercise, fair sleeping patterns, and nutritional considerations. Monitoring testosterone could be reasonable as part of investigating sexual health concerns, given your history. Finally, adjusting or changing medications should always be done with guidance from your healthcare provider to account for unique responses and potential interactions.
