 [ Symptoms ] i am only 26 i have lost my libido since i used accutane [ Disease ] decreased libido and absent orgasm are side effects of accutane long term use i recommend seeing your dermatologist for changing or lowering the drug type or dose lowering stress and trying to get relaxed and meditate can help your orgasm abd libido a bit usually acne drugs should by stopped by your age as it disappears …when you stop it you will get your libido back gradually