sovietxrobot wrote:I can't answer your questions but I have some anecdotal evidence that supports your theory. Venlofaxine was terrible for me and I think had some kind of hormonal influence- I had night sweats, weight gain, much higher susceptibility to illness and injury, and much less muscular endurance. I tried horny goat weed, which has estrogenic properties, and it immediately aggravated my PSSD and brought back the symptoms of vastly decreased muscular endurance (I believe this is due to decreased nitric oxide). I had my prolactin checked and it was just outside of normal range, although my doctor said that was normal due to being on escitalopram. But it could also have been elevated due to lowered dopamine availability.
I agree that there is certainly a sex hormone connection, beyond just low testosterone.
Look what I found about Horny Goat Weed:
We found that CMS procedure significantly increased CRF expression levels in the brain regions, and decreased GR and 5-HTR1A in hippocampus and frontal cortex, with sucrose intake reduction representing the hedonic deficit in rats. Icariin restored these alterations in CMS rats. These results confirmed the hypothesis that icariin exerted antidepressant-like effect via its regulation of central CRF system.
https://www.ncbi.nlm.nih.gov/pubmed/19631474