So I've been on Lexapro (Escitalopram) for over a year now at 10mg. I tried weaning off the drug several months back but the withdrawal symptoms were horrible. This time I'm doing an extreme taper of dropping 2.5mg/month, might do more gradual than that if I can get prescribed the liquid version. Escitalopram takes a beating on my libido and the only scientific explanation I can come up with (even while on TRT) is that with any SSRI medication, the body increases Serotonin levels and decreases Dopamine levels. My libido is slowly coming back while tapering, just trying to understand why this really is the case.