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===Sexual dysfunction=== {{See also|Selective serotonin reuptake inhibitor#Sexual dysfunction}} Sexual dysfunction, including loss of [[libido]], [[anorgasmia]], lack of vaginal lubrication, and erectile dysfunction, is one of the most commonly encountered adverse effects of treatment with paroxetine and other SSRIs. While early clinical trials suggested a relatively low rate of sexual dysfunction, more recent studies in which the investigator actively inquires about sexual problems suggest that the incidence is higher than 70%.<ref>{{cite journal | vauthors = Clark MS, Jansen K, Bresnahan M | title = Clinical inquiry: How do antidepressants affect sexual function? | journal = The Journal of Family Practice | volume = 62 | issue = 11 | pages = 660β661 | date = November 2013 | pmid = 24288712 }}</ref> Symptoms of sexual dysfunction have been reported to persist after discontinuing SSRIs, although this is thought to be occasional.<ref name=Csoka2008>{{cite journal | vauthors = Csoka AB, Csoka A, Bahrick A, Mehtonen OP | title = Persistent sexual dysfunction after discontinuation of selective serotonin reuptake inhibitors | journal = The Journal of Sexual Medicine | volume = 5 | issue = 1 | pages = 227β233 | date = January 2008 | pmid = 18173768 | doi = 10.1111/j.1743-6109.2007.00630.x }}</ref><ref name=Csoka2006>{{cite journal | vauthors = Csoka AB, Shipko S | title = Persistent sexual side effects after SSRI discontinuation | journal = Psychotherapy and Psychosomatics | volume = 75 | issue = 3 | pages = 187β188 | year = 2006 | pmid = 16636635 | doi = 10.1159/000091777 | url = http://www.mediafire.com/view/hn31cmg4n28bq3x/06_pssd_Csoka.pdf | access-date = 10 January 2016 | url-status = live | s2cid = 33448116 | archive-url = https://web.archive.org/web/20160205095921/http://www.mediafire.com/view/hn31cmg4n28bq3x/06_pssd_Csoka.pdf | archive-date = 5 February 2016 }}</ref><ref>http://pi.lilly.com/us/prozac.pdf {{Webarchive|url=https://web.archive.org/web/20160303230434/http://pi.lilly.com/us/prozac.pdf |date=3 March 2016}} Page 14.</ref>
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