Effects of Aphrodite (an Herbal Compound) on SSRI-Induced Sexual Dysfunctions and Depression in Females with Major Depressive Disorder: Findings from a Randomized Clinical Trial

Medicina (Kaunas). 2023 Sep 14;59(9):1663. doi: 10.3390/medicina59091663.

Abstract

Background and Objectives: Almost by default, people with major depression disorder (MDD) also report sexual health issues. This holds even more true when sexual dysfunctions are SSRI-induced. Herbal compounds may have the power to counterbalance such sexual dysfunctions, though research is still scarce. Therefore, we assessed females with diagnosed MDD treated with a standard SSRI (sertraline) and reporting SSRI-induced sexual dysfunctions, and we asked whether compared to placebo, Aphrodite (a blend of ginger, saffron, cinnamon, thistle, and Tribulus terrestris) may favorably impact on sexual dysfunctions, and on symptoms of depression, anxiety, and sleep disturbances. Materials and Methods: A total of 41 females (mean age: 35.05 years) with diagnosed MDD, treated with sertraline (a standard SSRI) at therapeutic dosages, and reporting SSRI-induced sexual dysfunction, were randomly assigned either to Aphrodite or to the placebo condition. At baseline and four and eight weeks later (study end), participants completed a series of self-rating questionnaires covering symptoms of sexual dysfunction, depression, anxiety, and sleep complaints. Results: Symptoms of sexual dysfunction, depression, and anxiety decreased over time, but more so in the Aphrodite condition, compared to the placebo condition (significant p-values and large effect sizes). Over time, sleep disturbances decreased irrespective of the study condition. Conclusions: The pattern of results suggests that compared to placebo, Aphrodite appeared to improve symptoms of sexual dysfunction, depression, and anxiety among females with diagnosed MDD and SSRI-induced sexual dysfunction. Further and similar studies should investigate the underlying psychophysiological mechanisms.

Keywords: Aphrodite; SSRI-induced sexual dysfunction; Tribulus terrestris; anxiety; cinnamon; ginger; herbal medicine; major depressive disorder; saffron; sertraline; sexual dysfunctions; sleep disturbances; thistle.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Depression
  • Depressive Disorder, Major* / complications
  • Depressive Disorder, Major* / drug therapy
  • Double-Blind Method
  • Female
  • Humans
  • Selective Serotonin Reuptake Inhibitors / adverse effects
  • Sertraline / therapeutic use
  • Sexual Dysfunction, Physiological* / chemically induced
  • Sexual Dysfunction, Physiological* / drug therapy

Substances

  • Sertraline
  • Selective Serotonin Reuptake Inhibitors

Grants and funding

This research received no external funding.