Can opioid pain medications reduce vaginal feeling?
Yes, opioid pain medications can reduce vaginal feeling and sexual response by depressing the nervous system and altering hormone levels.
Detailed Medical Explanation
Opioids, including morphine, codeine, oxycodone, and fentanyl, act on the central nervous system to reduce pain, but can also cause numbness, reduced libido, and delayed orgasm. Chronic use affects hormone balance, especially lowering oestrogen and testosterone. These changes can decrease sensitivity and sexual satisfaction. NHS: Opioid medicines.
Clinical Context
Women using opioid medications who notice changes in vaginal or sexual sensation should discuss this with their prescriber. Alternatives or supportive therapies may be available.
Evidence-Based Approaches
NICE recommends regular medication review and hormone assessment for women on long-term opioids with sexual dysfunction (NICE CKS).