ADHD

Hey I can speak from experience to try and answer this question.

I’ve been taking lisdexamfetamine (Vyvanse/Elvanse) since 2017. It has absolutely impacted my sex drive. Though, not in the way most might expect?

So achieving orgasm is actually easier for me (overall) when I’m medicated, but the drive to have sex as frequently as before has decreased. However, I don’t really think it’s by way of the medication actively depressing my sex drive, but rather because it’s no longer necessary for me to seek stimulation by way of having sex.

So, now, it’s easier to go without sex without feeling ravenous. More specifically, I considered myself to have a fairly insatiable sex drive before, but since becoming medicated I now seek it out about half as much.

My partner and I still engage in sex two or three times a week, and sometimes it’s more, rarely it’s less. For contrast, in a previous relationship (prior to diagnosis) my need was to initiate sex every single day.

If my partner initiates, it can take a little time for me to get into the groove, but the desire for sex is still functioning just fine. Maybe the best way I can put it is: ‘I could still eat, I just don’t feel like I’m starving anymore.’

I hope that gives you some insight. I’m happy to clarify or answer more if needed.

Well, before talking about meds, remember that all bodies are unique, some side effects will affect people in different levels, TL;DR: YMMV, etc, etc...

I saw no negative sexual side effects on vyvanse. In fact, if there were any effects related to sex, it was that I could actually avoid distraction while there is an obviously important person to pay attention to.

Meds are a journey that you have to bravely dive into. If stimulants don't work for whatever reason, they are short acting and discontinuing the meds should leave you where you were before. I think its good to trail these kinds of things and see how they make you feel.

Vyvanse does cause sexual dysfunction with me, but only during the day when I likely won't be having sex anyways. In my experience, and from what I've heard from others is that once you're able to get hard, things go smoothly from there.

One trick I've found to counteract medication induced ED is Trazodone. I take it for insomnia, but it also makes me pretty much stay at half mast and get rock hard erections very easily no matter what medication I'm taking (besides Strattera, fuck Strattera) . When I know my wife is likely in the mood I'll take it a bit earlier to make sure I don't have any issues.

Also, kegels aren't just for women. They help improve blood flow that can help treat ED, help reduce your risk of prostate cancer, and potentially even make your dick bigger.

I'm on atomoxetine, along with finasteride and a double blind trial of sertraline, all three affect the sex, my drive is definitely a bit lower, and while I can get it up, it isn't as hard as it used to be. It's worth giving a go and seeing how you get on because they're not permanent changes, if you stop taking the medicine you go back to normal.

I take methylphenidat and have nearly no side effects. On the contrary I finally can enjoy things much more due to less dumb thoughts. I know its another med, but you'll have to try yours. Everyone reacts different to medication.

If the meds are effective, it can help you feel better about being able to accomplish things…

And so you spend less time inside your own head and that helps the sex drive.

Though I’d wait the 8 hrs for it to wear off 😝

Some ED on Concerta or Vyvanse. Not an inability, more of a sluggishness to achieve a good erection. However, this is now in the back of my mind, so it impacts my drive a bit as I’m conscious of it.

In short: not perfect but not ruinous either. I’m also 44 so it could be a little more noticeable for me than for a younger person?