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Sexual Dysfunction

Changes in sexual function and drive can occur as part of PD and possibly as a side effect of certain medications, particularly antidepressants. Medications for erectile dysfunction (ED) and lubrication for pain with sex can be useful, but often lifestyle changes and alternative therapies are especially effective. Hypersexuality and compulsive sexual behavior are side effects of dopaminergic agonists and can often be treated by reducing dosage.

Sexual dysfunction is common in PD for many reasons, and generally impacts men more than women. There are a variety of medication options to treat decreased libido or erectile dysfunction. Oral medications include sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). Mechanical treatments such as vacuum pumps, construction rings and penile implants are also options. Injectable medications include papaverine HCI, phentolamine and alprostadil.

Disclaimer:  The information provided on this Parkinson Association of Alabama Resource Center is for awareness and educational purposes only about Parkinson's medication. The PAA does not endorse any specific brand or type of medication. All discussions about medication should be between you, your care partner, and your medical teams.

Sources:

Davis Phinney Foundation. Parkinson's Treatments and Therapies. Chapter 7 - Medication. Page 124 Every Victory Counts. "Manual." Sixth Edition. 2021.

Parkinson's Foundation. Medications. A Treatment Guide to Parkinson's Disease. "Brochure."

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