Home Forums DISCUSSION FORUMS MEN’S HEALTH Premature Ejaculation and SSRIs

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    ac slater
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    Hi, I’m sorry to dig up an old thread but I’ve been quite interested in this topic as I also suffer from a few of the disorders discussed… Here’s a bit of my story:

    Im 23, male, I’ve been “depressed” since I have been 15. I had a girlfriend for 7 years whom I just ended my relationship with her recently, and other stuff happened that isn’t really important. I’ve never had any tests checking my hormones, but I’ve been on Welbutrin, Paxil, Topamax, and I’m currently taking 10mg of Escitalopram OD and 40mg Propranolol BID. I also take 2mg Lorazpam PRN. I have had severe debilitating migraines for my whole life and I have 3 herniated cervical discs in my lumbar spine. I am taking the propranolol as a prophylaxis for my migraines but I have also tried numerous drugs (maxalt, maxeran, various tryptans) which have all failed. I’ve been to the ER a few times and even IV dopamine recepter antagonists, ketorolac, and low-dose morphine have failed to stop my migraines if I’ve had one for a few days. I take tylenol 3’s and percosets if they are too intense.

    Now for my sexual disorder. When I used to engage in intercourse years ago I wasn’t experiencing any PE, but as my relationship got rocky I started being unable to last, even while masturbating. It had been a few years between the last time I had sex to the most frequent time, and I miraculously was able to last for hours. The difference between then and now was I was taking Welbutrin years ago, and now I’m taking escitalopram. I believe it’s the escitalopram that is helping me, but (this is weird) sometimes I PE when I masturbate. I’m not overly sexually active, as I have a very very low libido. I have experimented with herbal supplements that have things like horny goat weed, tribulus, that sorta stuff in them to help. I can’t estimate whether or not I’m going to be able to last beforehand, but I’m very self-conscious now and refrain from sexual activity because I don’t want to PE. It might be my depression and the fact that I absolutely despise myself that the thought of being intimate makes me embarrassed because I don’t want to subject some poor girl to being with me and wasting her time. I’ve never had sex outside a relationship, and on days that I’m feeling more “down” I definitely don’t last as long in bed. It’s gotten to the point where my libido is so low that I find it very difficult to get aroused and it makes me hate myself more. I’m a respiratory therapist and I feel like the only excuse I have not to kill myself is that I am helping people in my profession.

    My question is, does my depression have a direct influence to my libido or ability to last in bed? Also, are there any supplements that will help me last, or anything that I can take with my SSRI that will make me feel like there’s any point to waking up each day? I’ve tried many drugs and none of them make me feel any better about myself, I do stay active I work out and bike daily, I eat very well… I just don’t know why I feel like shit all the time. I have talked to many psychologists and psychiatrists, I’ve done therapy, I’ve taken drugs, I’ve been in and out of good and bad relationships, I don’t think my life is overly stressful (my job is sort of stressful but I enjoy it). I just want to be able to be confident knowing that I will be able to satisfy a girl if she decides she wants to be with me. I don’t masturbate anymore because of my libido, the only time I am sexually active is when I am trying to satisfy somebody else. I know I don’t have much to offer somebody but if I could last in bed I could at least know I could help somebody feel good that way. I’ve just tried so many things to make myself feel better and nothing works so I want to at least be able to make somebody else feel good, that might give me a little more confidence and maybe give me a reason not to try to end it all again..

    Anyways, any information or strategies or drugs I or others with this issue could try to be able to last longer would be appreciated… Sorry for the rant.

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