>When I hear people say "it killed my libido" I always think about the fact that hyper-sexuality can be a trauma response, and if your body is healing the hyper-sexuality is most likely also reduced.

That ... feels like an edge case, for a very narrow set of circumstances (history + one of several possible responses to that history).

Anti-depressants seem to have a clear effect on dopamine pathways that better explain what's going on here. I have been on several that have this effect very visibly (at least Cymbalta): whenever I'm close to climax (whether from sex or masturbation) there is a mental block against pushing through to that release.

Fortunately, there are many that avoid this effect now, notably Zoloft, Trintellix, and Wellbutrin.

Edit: Okay what the heck just happened? This comment went dead (flagkilled?), despite being good faith and productive, as best I can tell. I would really appreciate feedback on what I did wrong, from anyone who can still see it. I did it on a semi-throwaway account for (what should be) obvious reasons.