Men's Sexual Health

Can Anxiety Medication Cause Erectile Dysfunction?

Linda Girgis | MD

Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 20th, 2026.

Yes, certain anxiety medications can cause erectile dysfunction as a side effect. SSRIs like sertraline and paroxetine affect up to 70% of users with sexual side effects, including reduced libido and difficulty maintaining erections. Benzodiazepines such as lorazepam and alprazolam can also impact sexual function by reducing testosterone levels and affecting blood flow. The mechanism involves altered neurotransmitter activity that affects both mood and sexual response pathways. However, not all anxiety medications carry the same risk - buspirone and some newer antidepressants like bupropion may have fewer sexual side effects. If you experience erectile dysfunction while taking anxiety medication, discuss alternatives with your healthcare provider rather than stopping treatment abruptly.

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