Sexual Side Effects and Family Planning

Methadone and Suboxone have sexual side effects. Some men experience impotence, loss of desire and delayed ejaculation depending on age, dose and a combination of other medications. A small percentage of women experience a loss of menstruation and loss of desire. And, opiate dependent people tend to have unwanted children. 90% of pregnancies among opioid-using women are unintended. And they are five times more likely to have an abortion than the general population. Listen in to a group of people who are in recovery from opiate dependence talk about this issue.

Discussion Guide:

What do you know about the sexual side effects of opiate use?

Have you experienced these side effects with Methadone and Suboxone?

Have you been surprised by a pregnancy?

When you were in substance abuse treatment, did a counselor talk to you about family planning and the sexual side effects of Methadone or Suboxone?

Where did you learn about contraception?

When you were abusing opiates, did you use birth control responsibly?

Supplemental Reading:

Integrating Family Planning and Substance Use Disorder Treatment Services: Is It a Good Idea? Robinowitz, N., Muqueeth, S., Scheibler, J., Salisbury-Afshar, E., Terplan, M. (2016).

CRC Health,