It is crucial to keep yourself and your loved ones safe during the COVID-19 outbreak. Yet addiction may pose even a higher danger than the virus.

Learn about recovery during the pandemic:

Xanax and Sexual Function: Is There a Connection?

xanax and sexual life

Important InformationThis information is for educational purposes only. We never invite or suggest the use, production or purchase of any these substances. Addiction Resource and it’s employees, officers, managers, agents, authors, editors, producers, and contributors shall have no direct or indirect liability, obligation, or responsibility to any person or entity for any loss, damage, or adverse consequences alleged to have happened as a consequence of material on this website. See full text of disclaimer.

Xanax (generic name alprazolam) is one of the most widely prescribed medications for insomnia, panic, and anxiety. It belongs to a class of drugs known as benzodiazepines which act by producing a depression of the central nervous system in the human body. They also produce a rapid euphoric effect, which is why they have the potential for abuse and dependence. Alprazolam is frequently sold on the illicit market.
In addition to its anxiolytic and sedative effects, alprazolam has a number of side effects, including effects on sexual function in both men and women. Sex on Xanax may not be the same in terms of drive and performance. Read on to find out the intimate relationship between Xanax and sex.

Help Line Woman

Hope Without Commitment

Find the best treatment options.
Call our free and confidential helpline

Most private insurances accepted

Marketing fee may apply

Table of Contents

Sex and Benzodiazepines: What to Expect in Bed

Men and women having sex in bedroomThere have been reports that Xanax and other benzodiazepines can lower sex drive. The sexual side effects of benzodiazepines are complicated by the fact that many people who receive a prescription for these drugs have underlying anxiety. Severe anxiety can lead to a lack of interest in sex. In fact, some experts believe that treating the anxiety with benzos can actually calm a person down and allow them to enjoy sex.
Does Xanax affect sex drive? Does taking Xanax before sex affect performance? It is well known that benzodiazepines have a powerful effect on the human brain and body, both of which are essential for optimum sexual performance in men and women. There is evidence to suggest that alprazolam and other medications in this class of drugs may cause erectile dysfunction (ED).
ED is the inability to achieve or maintain an erection. There are a number of reasons for a man to suffer from erectile dysfunction, such as age, lifestyle, and coexisting medical conditions. Yet, there is a definite connection between Xanax and ED. Scientists believe that benzodiazepines induce a depression of the nervous system, direct suppression of nerve signals, and possible alterations in hormones, all leading to changes in penile blood flow. In this manner, benzos have an impact on erectile function.
Does Xanax increase sex drive? Is it a good idea to get high on Xanax before sex? It is believed that drugs that increase dopamine production in the brain heighten sexual desire. Benzodiazepines have the opposite effect. They enhance the effect of a neurotransmitter called GABA and inhibit the release of dopamine, thus leading to reduced libido.  This class of drugs is associated with disinhibited behavior and a lack of impulse control, but not undesirable sexual urges.

However, using Xanax for recreational purposes may cause severe side effects and addiction development.

Sexual Side Effects of Xanax

Alprazolam has been shown to reduce anxiety in approximately 75 percent of people who are prescribed this medication. Yet, although the drug works wonders in treating panic disorders, depression, and anxiety, it does have some negative effects in the bedroom. Having sex on Xanax can be problematic for both men and women. It is noteworthy, however, that each individual reacts differently to the drug and not everyone will suffer the sexual side effects of alprazolam.
Does Xanax lower sex drive? The drug is associated with a number of undesirable sexual side effects, ranging from impotence to poor libido. It is known that sex and Xanax are related, but the relationship is not completely understood. Some studies report almost 15 percent of men taking alprazolam report reduction in their libido. Sexual problems with alprazolam may include:

  • Reduced desire to have intercourse
  • Erectile dysfunction
  • Inability to achieve strong erections
  • Lack of morning erections
  • Delayed ejaculation
  • Inability to orgasm

A quick search of sex on Xanax Reddit shows many people report feeling too worn out for intercourse while on this medication. Moderate to heavy benzo use is frequently called a libido-killer.

If one is experiencing sexual problems while on treatment with alprazolam, speak to a counselor or consult physician about possible alternatives.

Alprazolam and Male Sex Problems

Man is taking Xanax pill at homeWhat is the relationship between Xanax and sex drive? About 8 percent of men who are not on alprazolam experience a decreased sex drive. In comparison, almost double the number of men (approximately 14 percent) on regular alprazolam suffer from reduced libido. Yet, nearly 8 percent of men report Xanax sex drive is improved when taking this medication for panic disorder.
Does Xanax affect sex drive for men? What are the sexual side effects of alprazolam in males? Men who use alprazolam report two main problems with sex – changes in their sex drive and sexual dysfunction. The impact of the drug on male sexual function depends on the dose and length of treatment. In fact, the severity of symptoms can be strong enough to affect compliance with treatment. Men being treated for phobias and panic attacks with low doses of the drug are at a lower risk of suffering from sex problems. The relationship between erectile dysfunction and anxiety is a complex one. Anxiety can lead to ED and ED can make anxiety worse. A physician can help determine what came first, the anxiety or the ED.
Is it dangerous to take Xanax before sex? While this is not proven, studies have shown that benzodiazepines have adverse effects on sexual and genitourinary function in men including:

  • Urinary flow and continence
  • Libido
  • Erections
  • Ejaculation
  • Orgasm

Are there other complications of sex on Xanax for male? Some antidepressants are associated with priapism, a urologic emergency consisting of a painful, prolonged erection in the absence of sexual stimulation. In up to 40 percent of cases, a drug is the culprit for causing priapism.

Alprazolam and Female Sexual Function

Female sexual function and Xanax are intimately related. Does Xanax increase sex drive in women? Interestingly, in contrast to men, alprazolam may actually treat sexual problems in women. The most common triggers of sexual dysfunction in women are psychological factors such as depression, anxiety, and stress, rather than physiologic dysfunction. It is not surprising then that alprazolam, which is an effective treatment for anxiety, can help improve a woman’s sexual function.
Does Xanax affect sex drive? A typical dose of 0.5 mg taken 2-3 times a day for anxiety can produce a positive outcome. It is noteworthy that benzodiazepines in the elderly should be prescribed with caution and all patients should be monitored periodically. It is also advisable to avoid mixing alcohol and alprazolam as both substances are potent sedatives.
Is Xanax for sex a good idea? While very effective as a treatment for generalized anxiety disorder, it is important to remember that Xanax is a highly addictive drug.

Women who become dependent on this medication may experience an inability to reach orgasm among other serious side effects. To benefit from the positive effects of alprazolam, it is important to take the medication exactly as prescribed.

There is no doubt that Xanax affects sexual function in both women and men. This potent drug works by acting on neurotransmitters in the human brain. While it is a highly effective treatment for anxiety, panic disorders, and insomnia, alprazolam can produce a number of sexual side effects.

In addition, the drug has a high potential for addiction, which is why it should be used under strict medical supervision.
Help Line Woman

Hope Without Commitment

Find the best treatment options.
Call our free and confidential helpline

Most private insurances accepted

Marketing fee may apply

Medically Reviewed By Michael Espelin APRN
Nena Messina

About Author

Nena Messina, Ph.D.

Nena Messina is a specialist in drug-related domestic violence. She devoted her life to the study of the connection between crime, mental health, and substance abuse. Apart from her work as management at addiction center, Nena regularly takes part in the educational program as a lecturer.


Leave a comment