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  #1  
Old 04-09-2011, 06:58
reef88 reef88 is offline
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Unable to reach orgasm

Im currently on 100mg of Zoloft, been on it for about 4 months almost. Ever since the 1st month I noticed that I would become very hard to cum when masturbating, which seemed pretty good when thinking about having sex.

Problem is now I have sex for +2 hours and don't cum at all, eventually give up, giving my girlfriend a couple orgasms, and nothing for me.

Anyone have any positive advice for my problem?

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Good topic of discussion
  #2  
Old 04-09-2011, 07:17
GreyPaws GreyPaws is offline
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Re: Unable to reach orgasm

My partner reports difficulty achieving orgasm, she was prescribed Sertraline about a month ago, and is currently taking 100mg daily, she has been on this dose for about a week. Before being prescribed the medication she had no problems achieving orgasm. We have not found a solution yet, and she will be addressing the issue with her doctor in the next few days. I will try and post any progress in this thread.
  #3  
Old 15-09-2011, 14:27
Troussman Troussman is offline
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Re: Unable to reach orgasm

Interesting. I have the same issue as you reef88, it does not take me nearly as long to cum as you are reporting however I do last about twice to three times as long as I did before taking my SSRI, which happens to be Luvox. Perhaps taking a break from any sexual activity for a few days or a week would make it better? Thats the only thing I can think of besides consulting with your Doc.
  #4  
Old 15-09-2011, 16:35
GreyPaws GreyPaws is offline
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Re: Unable to reach orgasm

A quick update on my partner. After consulting with her doctor regarding her inability to reach orgasm, she was prescribed Buspirone at a dose of 10mg twice a day. Her doctor claims that adding a Buspirone regimen to her Sertraline may alleviate the symptoms she described.

She has not started taking the Buspirone yet, as we had a positive sexual encounter, which resulted in her being able to reach a fulfilling orgasm, the weekend of my original post in this thread. Last weekend she was on her period (menstruation) so we did not have a chance to further explore the topic.

So far we have determined the following to be true in our relationship and situation:

It is far easier for her to reach orgasm in the afternoons, especially if the morning leading up to the sexual encounter between us is spent bonding and doing things as a couple (a hike to a local spot we like, a visit to a park, and lots of positive meaningful touches, that are not really sexual in nature)

It is vital to remove as much stress from the situation as possible, being vocal about the fact that its ok if there is no orgasm and taking pleasure in the sexual encounter itself is very helpful.

We are both comfortable with the use of sexual aid devices such as clitoral and vaginal vibrators.

Taking frequent breaks while trying to achieve orgasm is key, as the most problematic parts of these side effects are the feeling of almost reaching orgasm but not being able to get over the 9.0 out of 10 plateau before actually cumming (reaching full orgasm)

My partner has a nice high end set of Ben Wa Balls (Bermise Bells, Benoît balls) that seems to really help when used before sexual activity (for instance during our hikes in the morning)

We will try again this weekend without the aid of the Buspirone, if we are unsuccessful, she will begin taking the medication as prescribed and I will make updates in this thread.


on a side note, OP should consider changing the prefix to this thread from 'Health' to 'Side Effects' and the title from 'Unable to reach orgasm' to 'Sertraline - Unable to reach orgasm' so the thread has a chance to get more views and inform users of this particular side effect of the Sertraline medication.
  #5  
Old 18-09-2011, 07:36
reef88 reef88 is offline
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Re: Unable to reach orgasm

Quote:
Originally Posted by Troussman View Post
Interesting. I have the same issue as you reef88, it does not take me nearly as long to cum as you are reporting however I do last about twice to three times as long as I did before taking my SSRI, which happens to be Luvox. Perhaps taking a break from any sexual activity for a few days or a week would make it better? Thats the only thing I can think of besides consulting with your Doc.
I will give this a try before trying anything else. Thanks
  #6  
Old 18-09-2011, 12:44
alienesseINspace alienesseINspace is offline
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Re: Unable to reach orgasm

@Reef88, the SSRI I was taking for 3 years affected me similarly. I would find that orgasms were unattainable most of the time. Since I stopped mental meds in May, I have been depressed, anxious, and able to orgasm. I have a voracious sexual appetite now but I'm emotionally quite off.

Advice? My advice would be to definitely talk to the doctor as the above post mentioned. I didn't know there was another drug that could be added to the regimen to allow for sexual gratification. Good thread!
  #7  
Old 27-09-2011, 05:27
Davevanza Davevanza is offline
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Re: Unable to reach orgasm

Quote:
Originally Posted by reef88 View Post
Im currently on 100mg of Zoloft, been on it for about 4 months almost. Ever since the 1st month I noticed that I would become very hard to cum when masturbating, which seemed pretty good when thinking about having sex.

Problem is now I have sex for +2 hours and don't cum at all, eventually give up, giving my girlfriend a couple orgasms, and nothing for me.

Anyone have any positive advice for my problem?

Hi,
Zoloft ( Sertraline) is an SSRI, inhibiting the re-uptake of Serotonin ( 5HT1 is responsible for Penile erection/Mood/Sleep etc, 5HT2 responsible for the antidepressant effect mainly, 5HT3 is responsible for Nausea feeling mainly.
There is, OTC medication, called Periactin ( Cyproheptadine) 4mg, which is actually an antihistamine.
It Blocks all Serotonin receptors.

I myself have not used it, but from what I read, many Doctors are recommending it, to reverse the side-effects of SSRIs.

It is OTC here, in Australia, but not too sure in other countries.

Perhaps you should seek advice to your Doctor who prescribes you Zoloft, and from there he could further evaluate the side effects.


Kind Regards,
Davevanza
  #8  
Old 27-09-2011, 08:16
GreyPaws GreyPaws is offline
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Re: Unable to reach orgasm

Update:

My partner took the Buspirone as prescribed for about one week. Her side effects from adding the Buspirone to her treatment included stomach discomfort, nausea, slight cognitive impairment, and low energy in the morning. She discontinued taking Buspirone before any measurable benefits could be felt. The week long treatment of Buspirone did not help her with increased stimulation, and did not make it any easier to reach orgasm.

After an additional consultation with her doctor, she was prescribed Viagra to help with the sexual side effects caused by Sertraline. She is currently taking 150mg of Sertraline each morning, and 1mg of Clonazepam one hour before bed each night.

We will experiment with the Viagra sometime in the near future and I will report any new updates here.
  #9  
Old 27-09-2011, 13:30
msjaguarxj6 msjaguarxj6 is offline
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Re: Unable to reach orgasm

Unfortunately OP there is no real help when it comes to taking these ssris. The only thing that does work for people is viagra or cialis. I've been on sertraline as well for 5 years increasing my dosage. My libido was very low in the beginning, but it's gotten better through the years. I've never had a problem achieving orgasm though. That is why this is something where you have to figure out if the benefits outweigh the side affects, etc. Do you feel that you absolutely need to be on an ssri? Are your problems with achieving orgasm hurting your relationship?

Good luck on resolving this issue!
  #10  
Old 27-09-2011, 15:44
Mindless Mindless is offline
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Re: Unable to reach orgasm

I had the same problem when taking Paroxetine, and found Buproprion reasonably effective. In the end the adverse effects of SSRIs/SNRIs were too much, and I managed to switch to a trycyclic.
  #11  
Old 30-09-2011, 03:35
Troppo Troppo is offline
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Re: Unable to reach orgasm

I'm sure I have read that mirtazapine (Remeron) can counteract many side effects of SSRIs, possibly including the sexual ones, and that it has been safely combined with SSRIs (i.e. without serotonin syndrome). Even if this is true however, doing this definitely requires a doctor's close supervision.
  #12  
Old 30-09-2011, 04:19
sassyspy sassyspy is offline
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Re: Unable to reach orgasm

Like everyone else, I had the same difficulty with every SSRI I've taken. One of my 'favorite' (NOT!) responses from a doctor when I complained was, "It'll go away". Later, I wondered if he meant my inability to achieve orgasm would go away, or my 'equipment' would go away from lack of use!! But really, he was right. The problems did eventually go away, but it took 2 years!! So waiting it out is definitely not the best solution!
Now is way better than 10-15 years ago, because now there are a wide variety of chemical options the doctor can choose from to counteract the SSRI sexual side effects. When Prozac started the SSRI popularity wave, there was very little known, or treatment for, sexual dysfunctions.
Best of luck in your research!
  #13  
Old 02-10-2011, 04:36
Davevanza Davevanza is offline
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Re: Unable to reach orgasm

Quote:
Originally Posted by Troppo View Post
I'm sure I have read that mirtazapine (Remeron) can counteract many side effects of SSRIs, possibly including the sexual ones, and that it has been safely combined with SSRIs (i.e. without serotonin syndrome). Even if this is true however, doing this definitely requires a doctor's close supervision.
I agree with you. Mirtazapine blocks 5-HT2 and 5-HT3
  #14  
Old 03-10-2011, 03:18
Endless Summer Endless Summer is offline
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Re: Unable to reach orgasm

OP don't feel too bad, Zoloft had the same effect on AFOAF. Made it a lot harder at least, but not impossible, especially depending on timing, dosage level, and potential drug holidays to ease up on the side effect potential (which is something you might want to discuss with your psychiatrist if it is that big of an issue).

It works well for premature ejaculation I guess in that respect lol, but yes the sexual side effects of SSRIs are pretty universal and if your depression is manageable by other means, then go for it. Could always try something like Wellbutrin as well which works for some people though it made me anxious as hell and paranoid, so it didn't work for me haha.
  #15  
Old 27-10-2011, 21:41
reef88 reef88 is offline
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Re: Unable to reach orgasm

Quote:
Originally Posted by Endless Summer View Post
OP don't feel too bad, Zoloft had the same effect on AFOAF. Made it a lot harder at least, but not impossible, especially depending on timing, dosage level, and potential drug holidays to ease up on the side effect potential (which is something you might want to discuss with your psychiatrist if it is that big of an issue).

It works well for premature ejaculation I guess in that respect lol, but yes the sexual side effects of SSRIs are pretty universal and if your depression is manageable by other means, then go for it. Could always try something like Wellbutrin as well which works for some people though it made me anxious as hell and paranoid, so it didn't work for me haha.
I take Zoloft for my anxiety, not depression. I have been with my girlfriend a bunch of times and still haven't been able to orgasm. I've had sex for up to two hours and nothing. Eventually I just give up.

I'm gonna have to talk to my psychiatrist about this.
  #16  
Old 27-10-2011, 22:36
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Re: Unable to reach orgasm

When I was 17 I was prescribed Paxil to treat anxiety and depression and had the same problem. At the time I didn't really think much of it cause there are some perks to being able to keep going however once I stopped taking the meds the exact opposite problem happened to me. A small breeze could blow past me and well you get the picture.

Here it is almost ten years later and I still have problems with sexual stamina. Not sure if it was because I was prescribed it during puberty or if it is a common problem after coming off SSRI's. Either way I wish my doctor had told me of the possible side effects although I suppose I should have been more informed myself.
  #17  
Old 27-10-2011, 23:20
kailey_elise Gold member kailey_elise is offline
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Re: Unable to reach orgasm

I'm female, and when I was taking SSRI/SNRI drugs, I couldn't reach orgasm without a jackhammer to the clit for a good 45 minutes straight - then even if I *did* orgasm, it wasn't very satisfying.

A girlfriend told me that her doc 'scripted her Viagra for her Paxil-induced sexual dysfunction & it was awesome for her. I asked my doc & she prescribed some for me & it worked FUCKING AWESOME. Unbelievable. The second I touched myself, it was like I'd been indulging in 3 hours of foreplay previous; my pussy no longer had that "numb" feeling to it, and orgasms were even easier to reach than before I'd started taking the psych meds.

I don't know if it has the same effect on males, but I'd say it's worth a try! My doc did say it wouldn't do anything for my sex drive, but that was fine - I was still getting horny, just nothing I could really do about it.

Also, my insurance doesn't cover Viagra or Cialis (I'd take Viagra for a 1-nighter & Cialis for a dirty weekend - the pills cost about the same). I had my doctor prescribe me the largest pills (100mg for V, 20mg for C) & I was told to cut them into halves or quarters (little hard to do with the Cs, but I manage). The 50mg & 100mg Viagra cost nearly the same, so might as well get the bigger ones & cut 'em in half - and I actually only needed a quarter. Also, if you're in the States, Target seems to have the best pharmacy prices AND they have some program where if you don't have insurance (& insurance usually doesn't cover these pills), you get a discount of some kind. Made it much more affordable than going to, say, Walgreens. Just so you know. The price I paid at Target ended up being a third less than I was originally quoted by them.

So, that could be an option.

~Kailey
  #18  
Old 28-10-2011, 00:14
Luckysheaven7 Luckysheaven7 is offline
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Re: Unable to reach orgasm

Try prostate stimulation. Finger up the bum pushing on your prostate...

you're welcum
  #19  
Old 28-10-2011, 01:57
sassyspy sassyspy is offline
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Re: Unable to reach orgasm

Yes, it sounds as if you remain quite concerned, and I agree with you, go see your psychiatrist.
But fyi, it doesn't matter what you take the zoloft to treat, the side effects of the drug remain the same, though not everyone has them or to the same degree.
I hope you get some relief (no pun intended!) and do let us know how it turns out for you!
Quote:
Originally Posted by reef88 View Post
I take Zoloft for my anxiety, not depression. I have been with my girlfriend a bunch of times and still haven't been able to orgasm. I've had sex for up to two hours and nothing. Eventually I just give up.

I'm gonna have to talk to my psychiatrist about this.
  #20  
Old 28-10-2011, 03:14
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Re: Unable to reach orgasm

Bob says:

I'm not suggesting this is what you should do, merely stating what I did. For the record, I am not currently on any ssri's, but I totally know what you are feeling (or aren't feeling, lol). I once took paroxetine (Paxil) and another time years later I took citalopram (Celexa). I found paroxetine worse/impossible. Once again, I'd talk to your doctor first, but make up your own mind. But anyways, here is what worked for me.

Either do not take a dose 1-2 days before anticipated action or reduce your dose just enough to get 'it' back. Worked for me. However, I want to add this is the main reason I quit taking ssri's; the orgasm issues.

I have heard friends claim bupropion (Wellbutrin) to not be as bad once adjusted too.
  #21  
Old 05-11-2011, 20:45
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Re: Unable to reach orgasm

SSRIs are fairly universal in respect to having sexual dysfuntion related side effects, you could switch to a NDRI like Buproprion which has no such side effects (as its efficacy isnt mediated through serotonin). If its for anxiety, depending on the type, you could try other anxiolytics such as benzodiazepines

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antidepressant, anxiety, buspirone, cialis, drug, mirtazapine, orgasm, paroxetine, serotonin, sertraline, sexual side effects, ssri's, ssris, viagra, wellbutrin, zoloft, zoloft effects

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