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What medications and options do I have?

PrincessKLS1983 December 12th, 2015
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Okay so I've been treating my MDD for the past 4-5 years with medication and occasional therapy. Most of the medications I've tried before did not work and caused sexual dysfunction. I'm on viibryd now, I've been on it for the past 3 years and I didn't have a huge issue with orgasm during masturbation. However, lately I have prolonged orgasm and I can't squirt/ejaculate even when I feel the urge. I use a heavy duty massager too. Around the time I first started using sex toys and shortly and before I started using antidepressants, I was able to orgasm, moan, and squirt with just a tiny silver bullet and I can barely do with anything with a massager/dildo combo. It's frustrating.

6
December 13th, 2015
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Sadly, according to the Mayo Clinic, many of the most common SSRI's (serotonin re-uptake inhibitors), SNRI's (serotonin and norepinephrine reuptake inhibitors) and now less often prescribe tricyclic & tetracyclic, and MAOI's (monoamine oxidase inhibitors) have sexual side effects in their side effect 'foot print'.

That being said I have personally found that, at least with SSRI's and SNRI's, the side effects aren't always permanent and sometimes lessen in 7 or 8 weeks. Speak with your prescriber. Sometimes it is helpful if you engage in sexual activity before you take your medication. Sometimes it is a matter of adjusting your dosage and finding the right balance.I am also on Wellbutrin which some studies claim help counteract the sexual side effects of other antidepressants. Although there are medications specifically designed for men (Cialis & Viagra), I am not aware of any such medications approved for use with women.

According to the Mayo Clinic, antidepressants with the lowest rate of sexual side effects include:

Bupropion (Wellbutrin, Aplenzin, Forfivo XL)

Mirtazapine (Remeron)

Vilazodone (Viibryd)

It really stinks when something pleasurable that can actually be a distraction (for some people) from things that contribute to their distraction is impeded upon by medication designed to help you.

I am a male, so I have no idea if this is of any assistance whatsoever, but I find that I need a considerable increased in 'warm up time'.

Speak with your prescriber about your concerns (and of course any side effects). I hope you find a solution that works for you.

Emma88 May 18th, 2017
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"Although there are medications specifically designed for men (Cialis & Viagra), I am not aware of any such medications approved for use with women."@JeffWM

I'm also not well informed on these medications, but I know that Viagra is quite effective and is available online through multiple websites. A good friend of mine orders his pills through viagra next day delivery service. He says it is a reliable online pharmacy.

alexbr April 29th, 2018
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I am 30 this year and have struggled with some form of ED or the other for the last 3 years. My doc put me on Cialis, which for the seems to be a god-send, and completely revitalized my sex life with my partner. Before taking Cialis, each night was a nightmare. What I understood about having ED. It actually happens to many, so it's vital not to feel isolated. You are not alone.

Canadian Pharmacy Cialis

marinalee March 2nd, 2019
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Unfortunately, some antidepressants can oppress libido in the most unpredictable ways, seems like you

ivoryZebra1269 March 28th, 2019
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@marinalee

Men arent any more lucky than women, using erection medication can cause serious health issues in young males that can end up forcing them to rely on things like that even after they stop the SSRI. The best solution is to work with your doctor. They can prescribe something with typically less sexual side effects, or a supplementary med such as Wellbutrin (I'm not sure how well that works with females overall but I've heard good things).

ivoryZebra1269 March 28th, 2019
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@PrincessKLS1983

I think someone already mentioned Wellbutrin, but it is something to consider. To be honest, 7cups isnt the place for anything medical related, this is something to talk to your doctor about. It might seem awkward to tell your doctor about orgasm problems, but they're there to help you with these things, I had to try 3 different SSRIs before I found the one that worked the best with the least side effects. If you want to talk to me or any advice on the subject, feel free to message me, I've been dealing with this issue for a few years now.