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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by peacetoy on December 7, 2005, at 5:23:30
Hi, I've recently tapered off Effexor, after trying it for 6 weeks, as it wasn't cutting it. I also felt it was totally killing my libido and sexual function.
However, I now seem to have a new sexual side effect! I have increased sensitivity and greater ability to get an erection than on the Effexor, but I now have greatly premature ejaculation. It's as if my body has got used to the delaying effect of the Effexor (and Prozac, which I was on previously), and now I'm off it, I get stimulated too quickly. There's a case report on PubMed about this:
Anyone else have that experience? I'm not keen on the idea of going back on SSRIs just to delay ejaculation, especially as I believe they've gradually killed my libido and affected my sexual function over the years....
Posted by med_empowered on December 7, 2005, at 6:46:51
In reply to premature ejaculation after discontinuing ADs, posted by peacetoy on December 7, 2005, at 5:23:30
Premature ejaculation can be dealt with non-chemically. My guess, based on my own experiences with ADs, is that you kind of adjust to sexual activity with the drugs; when you go off, you go through a period where your behavior is the same, but your body is more or less back at baseline. So, it would make sense in that scenario to first try to deal with the premature ejaculation through other, non-chemical means before going back to ADs. Good luck!
Posted by xbunny on December 7, 2005, at 8:21:21
In reply to premature ejaculation after discontinuing ADs, posted by peacetoy on December 7, 2005, at 5:23:30
> I now seem to have a new sexual side effect! I have increased sensitivity and greater ability to get an erection than on the Effexor, but I now have greatly premature ejaculation. It's as if my body has got used to the delaying effect of the Effexor (and Prozac, which I was on previously), and now I'm off it,
I also have this side effect. When I first started Prozac it gave me greatly delayed ejaculation (and greatly increased sex drive) but after some time taking it I adjusted and all was normal. When I quit Prozac I found I had and still have to this day premature ejaculation. I think the reason is exactly as you suggest, that the body becomes acustomed to the delay and modifies itself. Its very frustrating fortunately my wife is very understanding and we still have a very pleasant and full sex life. Togther we have found several sexual positions which gives me less stimulation but is still good for her. I would suggest trying to find some of your own they are out there and it can be fun finding them. :-)
Buns
Posted by blueberry on December 7, 2005, at 14:45:27
In reply to premature ejaculation after discontinuing ADs, posted by peacetoy on December 7, 2005, at 5:23:30
High dose viagra is now being used for that, even when there are no erection problems.
Posted by spriggy on December 7, 2005, at 17:51:17
In reply to Re: premature ejaculation after discontinuing ADs, posted by blueberry on December 7, 2005, at 14:45:27
I am so confused why these meds affect our libido's??
For some weird reason, on Klonopin, it has kicked mine up a notch (or two, or three- yeah, one lucky husband).
It puzzles me though.
Posted by med_empowered on December 7, 2005, at 23:51:38
In reply to Re: premature ejaculation after discontinuing ADs, posted by spriggy on December 7, 2005, at 17:51:17
I think part of the problem is that SSRIs are so potently serotonergic that they adversely affect dopamine...if you'll notice, sexual side effects are less of a problem with TCAs, which dont inhibit serotonin reuptake as much as the SSRIs. Benzos can affect libido either way...some people lose desire and don't perform as well sexually; some people experience a bit (or a lot of) "disinhibition" and become more interested in sex.
This is the end of the thread.
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