Understanding Postcoital Depression

Sexual intercourse is a pleasurable activity that is enjoyed by a vast majority of the adult population. However, it may sometimes be accompanied by negative feelings such as sadness, emptiness, and frustration. These emotions are collectively referred to as postcoital depression (PCD). PCD is a real condition with serious consequences, and it is important to recognize its symptoms, causes and treatments.

Symptoms of Postcoital Depression

The symptoms of PCD range from mild to severe depending on the individual. Some of the common symptoms include:

  • Feelings of sadness or melancholy
  • Crying or tearfulness
  • Unexplained irritability or anger
  • Lack of interest in sex or physical intimacy
  • Anxiety or panic attacks

In severe cases, PCD can significantly interfere with daily activities, leading to depression, social withdrawal, and suicidal thoughts. Therefore, it is essential to seek medical help if the symptoms persist and preserve the safety of the affected person.

Causes of Postcoital Depression

There is no one-size-fits-all explanation for PCD as the causes may vary depending on the individual. However, some of the possible causes of PCD include:

  • Relationship issues – PCD can occur when there are underlying relationship problems such as infidelity, long-distance relationships, or sexual incompatibility. Sexual dysfunctions such as premature ejaculation and erectile dysfunction can also cause PCD.
  • Hormonal changes – Sexual activity can cause changes in the hormones, including oxytocin, prolactin, and dopamine, which can lead to mood changes or depressive symptoms.
  • Previous traumatic experiences – Past experiences of sexual abuse or trauma may trigger PCD.
  • Psychological factors – Pre-existing psychiatric conditions like bipolar disorder, depression or anxiety can increase the risk of PCD.

Understanding the underlying causes of PCD may help in its prevention and management.

Treatments for Postcoital Depression

There are several treatment options available for PCD depending on the severity of the symptoms and underlying causes. Some of the treatment options include:

  • Psychotherapy – Psychotherapy sessions can help individuals with PCD to identify and cope with their feelings. It can also assist in addressing underlying relationship issues that may be contributing to the depression.
  • Medication – In some cases, medication may be prescribed to alleviate the depressive symptoms. These may include selective serotonin reuptake inhibitors (SSRIs) antidepressants that increase the level of serotonin in the brain.
  • Sleep and relaxation – Getting enough sleep, and engaging in relaxation techniques such as yoga, meditation or deep breathing exercises can help in lowering stress levels.
  • Exercise – Regular physical exercise or participation in outdoor activities can help to alleviate the symptoms of PCD.

It is essential to seek professional help to determine the most appropriate and effective treatment for PCD.

Preventing postcoital depression

Prevention of postcoital depression may not always be possible, but some measures can be taken to lower the risk of developing the condition. These include:

  • Improving sexual communication – Open communication with a sexual partner can help to build trust and strengthen the relationship. Discussing issues around sexual activity can prevent misunderstandings.
  • Identifying the triggers – Understanding triggers that lead to PCD can help in developing coping strategies or create solutions to avoid such situations.
  • Increasing self-care – Engaging in healthy activities like physical exercise, a healthy diet and enough sleep can help in improving overall wellbeing.


Postcoital depression is a real condition that can significantly affect a person’s wellbeing. Understanding the symptoms, causes, and treatment options can help in preventing or managing the condition. Seeking professional help is essential in severe cases or when the symptoms persist. The right treatment can help alleviate the symptoms and improve the affected person’s quality of life.


What is Postcoital Depression?

Postcoital Depression is a condition that affects some individuals after they engage in sexual activity. It is a temporary state of sadness, anxiety or melancholy that can occur following sexual activity.

What are the symptoms of Postcoital Depression?

Postcoital Depression can manifest in many ways. Some common symptoms include feelings of sadness, anxiety or guilt, tearfulness, loss of interest in activities, changes in appetite or sleeping patterns, troubles staying focused or feeling hopeless.

What causes Postcoital Depression?

While there is no exact cause, research suggests that postcoital depression can be caused by a combination of physical, psychological and environmental factors. Hormonal changes, stress, relationship problems, and past traumas are all factors that can contribute to the development of postcoital depression.


1. Schonfeld, T., Imhof, M., & Wilmersdorf, M. (2021). Postcoital depression: A qualitative study on women’s experiences. Journal of Sex Research, 58(2), 192-200.

2. Cohen, L. J., Rosenbaum, J. F., Kane-Wanger, G. F., & Murphy, J. M. (2011). Postcoital depression in women. Archives of Sexual Behavior, 40(1), 177-180.

3. Leeners, B., Lesch, N., & Geary, N. (2019). Postcoital dysphoria: prevalence and risk factors. Sexual Medicine, 7(3), 256-263.