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In particular, some fluoxetine evidence suggests that SSRIs can cause such untoward sexual experiences .
Reliable estimates of the incidence and severity of untoward experiences involving sexual desire, performance, and satisfaction are difficult to obtain, however, in part because fluoxetine patients and physicians may be reluctant to discuss them .
Accordingly, estimates of the incidence of untoward sexual experience and performance, cited in product labeling, are likely to fluoxetine underestimate their actual incidence .
In fluoxetine patients enrolled in US Major Depressive Disorder, OCD, and bulimia placebo-controlled clinical trials, decreased libido was the only sexual side effect reported by at least 2% of patients taking fluoxetine (4% fluoxetine, <1% placebo) .
There have been spontaneous fluoxetine reports in women taking fluoxetine of orgasmic dysfunction, including anorgasmia .
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