Carrasco Psychological Health Services

Ultimately, depression can affect various parts of our lives. It can be considered the primary cause for people being disabled. Thus, depression can result in experiencing a loss of desire, taking longer to orgasm, and finding sex less enjoyable. Many people will then attempt to avoid sex when going through a depressed episode. It is actually recommended to attempt to continue with your sex life despite having depressive episodes. The idea is that sex can be enjoyable and you should try to do things that are enjoyable to get out of depression. During the depressive episodes you may have felt a lack of anticipation in regards to sex which could have affected the ability to have an erection or enjoy sex. This can be an uncomfortable moment which can affect a person later on. At times, one can experience some anxiety in the future about their performance because of the past experience. In therapy, we focus on recognizing that the anxiety about your sexual performance is itself causing your to struggle to perform rather than an actual physical condition.

If you have a partner you trust, it is recommended that you also talk to them about your struggle with depression and sex. It can be helpful to try different options like extending foreplay or not adding the extra pressure of expecting sex during every interaction. 

Essentially, I am hypothesizing that your depressed mood has improved but likely impacted your sex drive at some point. Now, you have may be developing more anxiety related to your sex performance because of those past experiences Thus, if you can take the pressure from trying to perform sexually, you will likely enjoy sex and experience less issues. The anxious thoughts about sex may still come up in your mind. It is important to allow these thoughts to come and go, passing by in your mind without trying to analyze these thoughts or predict possible outcomes.

As I said before there could be multiple other issues that could contribute to this concern. For example, I am unsure of your age but it is possible to experience issues with libido as males becomes older. Also, substance use and certain medications can also affect sex drive. If you are worried about any of these factors then it may be important to complete further evaluation with someone like your primary care doctor.