Like 60% of SSRI users, I suffer from SSRI-induced sexual dysfunction. There are several types. Some problems have to do with physical functioning, some with cognitive sexual functioning, and some with both. Some people have problems while on SSRIs and get it back. Some have problems while on SSRIs, and never get it back, even when they discontinue. Strangely, some people have few/no problems while on SSRIs, only to have problems manifest once they discontinue. Without getting into the details of my 2.5 decades of SSRI use, back in 2012, I stopped taking 30mg of Prozac cold turkey. It wasn't my intention to discontinue, I simply forgot due to tremendous pressure. I was also suffering a marked uptic in IBS symptoms at around this time also. My discontinuation, as is often the case with SSRIs, was asymptomatic for the first month. Thereafter, I experienced absolute hell. My body could not regulate temperature properly, I had severe sleeping problems, etc., etc. My sexual function, physical and cognitive, went to nothing. In about a year, I fully regained physical sexual functioning (I'm a male, BTW). However, ever since the withdrawal, I have been left with some cognitive issues. It took several years before I could think properly. I have nowhere near the appreciation for aesthetics that I once had. I don't ever drink alcohol, simply because it no longer has any sort of euphoric effect on me. Most troubling, I have almost no libido. It's not just that I'm "not in the mood". I am (was?) attracted to women. Now, a woman's body isn't even slightly arousing. Looking at a woman's body is like looking at a fancy car: I can appreciate the beauty of the form, but am not sexually attracted to it. Furthermore, all physical interaction means little to nothing. Hugging a loved one means little. I used to have a pet. I would pet the pet for his benefit, not for mine. I no longer got much out of the experience. When I started experiencing the withdrawal, I immediately went back up to 20 mg/day under a doctor's supervision. Over years, I've been able to decrease to my current dose of 10mg/day. The only way I can taper off of the medication is to be in a calm place in life, and to get physical exercise. Otherwise, the anxiety is overwhelming. Even so, I have historically decreased my dosage by about 0.4 mg/month (a very slow taper). Going any faster causes problems. I am very much dependent on the SSRI, and can't stop at this point. It seems pretty common among SSRI users, to have a "loss of sexual desire", as it's often phrased. Though I've never done any sort of psychedelic drug, I've looked to the experiences of LSD users to find some answers (since SSRI meds and LSD are chemically similar, and act on the same receptors). There are lots of LSD users that claim cognitive problems decades after use also. Online, sufferers of "PSSD" (Post SSRI Sexual Dysfunction, i.e., sexual dysfunction that persists after having discontinued SSRIs) claim almost no improvement. Yes, there are many that regain functioning that has been lost once the medication is discontinued. However, of those whose problems persist, recovery is vanishingly rare. In fact, online cases of recovery (of which I've found three after quite a bit of searching seemed dubious or incomplete. Now to the TMS part... I have read that those that also have fibromyalgia (i.e., extreme TMS) often exhibit sensitivity toward medication. I hold out some hope regarding my condition, as I am still on the SSRI. My sexual desire was a large part of my life. Looking at this from a TMS perspective, and just from the perspective of getting on with life, I think that I need to come to terms with the fact that I might have been permanently chemically castrated. I can't seem to, though. I suppose that I have not sufficiently mourned my loss. My problem is that if my sexuality doesn't recover, I don't have much motivation to recover from my TMS. I feel that life would be pointless without the sexual component of my being. I would like to know if these problems could be TMS. Unfortunately, they're very rare. It's not similar to someone having a bone x-rayed, being told that their fine, and then being able to focus on the emotional aspect. I have no reason to believe that this won't be permanent. My other major issue, as mentioned in another thread, is a life-long inability to concentrate. The sexuality issue and the concentration issue are together the biggest problems I have, even though I currently can hardly walk. Luckily, another user claimed to have been able to overcome concentration problems with a TMS approach. Maybe someone can help me out. Thanks.