“…4 However, more rare side effects have also been described, including painful ejaculation, 5 hypersexuality and spontaneous erections, 6-8 gynecomastia, 9 mastalgia, 10 and galactorrhea. [11][12][13][14] Multiple antidepressants, particularly those with demonstrated capacity to inhibit serotonin reuptake, have been shown to commonly adversely affect libido, sexual arousal, and orgasm, and it is thought that this is caused primarily by a disruption in mesolimbic dopamine activity mediated by serotonin-2 (5-HT 2 ) agonism. However, in this patient, sexual desire was actually substantially increased, the first time this has been documented in the literature in a female patient.…”