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Concerns Grow Over Declining Sexual Activity and Potential Medication Links
Mounting evidence suggests a noticeable decrease in sexual activity among the population, raising questions about contributing factors, including the potential impact of common medications. Recent studies indicate a downward trend in the frequency of sexual encounters, particularly among younger generations, prompting experts to investigate various explanations, ranging from lifestyle changes to physiological influences. This article delves into the possible connection between reduced libido and a range of prescription and over-the-counter drugs, shedding light on how these medications might affect sexual desire and function.
The ‘Sex Recession’: A Generational Trend
Data reveals a concerning trend in declining sexual frequency. Research conducted in Australia in 2014 demonstrated that individuals in relationships were engaging in sexual activity an average of 1.4 times per week, a decrease from 1.8 times a week a decade prior.
This “sex recession” appears particularly pronounced among Gen Z, with only 37 percent reporting sexual activity at least once a month, a figure comparable to individuals aged 75 and older. While numerous theories attempt to explain this decline β citing increased screen time and less stable long-term partnerships β physiological factors, such as medication side effects, may also play a significant role.
Medications and Libido: A Hidden Connection
Experts suggest that the contents of our medicine cabinets could be contributing to decreased sexual desire. While the effects of antidepressants, specifically Selective Serotonin Reuptake Inhibitors (SSRIs), on libido are widely acknowledged, a broader spectrum of medications may also impact sexual drive.
Dr. Sara Whitburn, Chair of RACGP Specific Interests Sexual Health Medicine, emphasizes that the mechanisms by which different drugs affect libido vary. However, understanding the potential impact of various medications is crucial.

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“Discussing your medication options with your General Practitioner, who understands your individual health profile, is essential,” Dr. Whitburn advises.
Common Medications Potentially Affecting Sex Drive
Several frequently used medications have been identified as potentially influencing sexual desire and function. Here are some examples:
Finasteride (Propecia, Proscar) and Sexual Function
Finasteride, a common treatment for male pattern hair loss, is widely prescribed. Despite its popularity in the multibillion-dollar hair restoration industry, erectile dysfunction is a recognized, though uncommon, side effect. Studies suggest that finasteride may almost double the risk of erectile issues in men compared to placebo users.
While hair loss treatments can significantly improve quality of life for some men, it is vital to consider potential sexual side effects.
“Finasteride presents a complex scenario,” explains Dr. Whitburn. “It interferes with androgens, including testosterone, which can influence libido. However, libido is multifaceted and influenced by various stimuli, including visual, olfactory, tactile, auditory, and cognitive factors.”
Hormonal Contraceptives and Libido Changes
Hormonal birth control methods, such as combined oral contraceptive pills, Depo-Provera, and hormonal intrauterine devices (IUDs) like Mirena, can potentially disrupt a woman’s natural