Psychiatrist Questions Psychiatrist

Are these 3 symptoms/issues related?

I'm a 37 year old female in reasonable health. I take Seroquel at night for sleep. I haven't menstruated in a few years, and I'm not sexually active.

I was wondering if these 3 features of mine are at all related:
#1 = I rarely genuinely laugh (only a couple of times a year it seems).
#2 = I have zero sex drive (even masturbating doesn't cross my mind very often; a month or two or more might pass w/o any sexual desire showing up)
#3 = I can't sleep w/o medicine (I can be up for 60+ hours before my body finally crashes [remaining 99% functional, aware, and "sharp" the whole time], and even then, only sleep a few hours before I'm wide awake again).



Female | 37 years old
Complaint duration: All my life
Medications: Seroquel
Conditions: Depression

5 Answers

Yes these symptoms can be from the use of seroquel for sleep. If it is being used solely for sleep not mood disorders then another medicine should be tried
You are right to ask if all 3 of these issues/symptoms may be related; and they may. My first step would be to check your foundational hormone levels of 1) Estradiol, Progesterone, Total and Free Testosterone, 2) Full thyroid panel: TSH, Free T3, Free T4, thyroglobulin antibody and thyroid Peroxidase antibody, 3) AM Cortisol and Vitamin B12 and 4) Fasting blood glucose (FBS) and fasting insulin (4hr fast). Knowing the results of these tests and whether your hormone levels are in balance or out of balance is crucial to know; taking medication doesn’t help reset your body’s balance. Ask your healthcare provider to do these blood tests for you; if they are unwilling or unable to do this for you, then you need to find someone who will do these tests for you.
Could be side effects of Seroquel. Try another medication. Consult your physician.

Sincerely,

Dr. Janice Alexander, RN, MD
Are you underweight? I am wondering whether you have an eating disorder. If your weight is normal, I would recommend that you see an endocrinologist. Perhaps you have a hormonal issue. In any case, you deserve to feel better that you do at present.

Marlene N. Kasman, PhD 
 
This link connects two of the three...it appears all three are connected: sleep to sex drive, sex drive to depression
https://www.psychologytoday.com/us/blog/the-truth-about-exercise-addiction/201808/the-connection-between-sex-and-sleep#:~:text=When%20the%20body%20becomes%20stressed,%2C%20infertility%2C%20or%20erectile%20dysfunction.
or
https://www.healthline.com/health/treating-hsdd/low-libido-and-depression