Psychiatric meds and sex

Erectile disfunction, premature ejaculation, delayed orgasm, etc.
hirkeukvic
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Psychiatric meds and sex

Postby hirkeukvic » Fri Oct 21, 2016 8:16 pm

Hi TMB, need help here. I'm bipolar and am on 4 medications that keep me stable. Unfortunately, they also make "finishing" nearly impossible for me. I am only 30 but have very low testosterone as well. I think my levels were in the low 200s when the endocrinologist checked. And then there's my past to deal with. Lots of sexual sin both on my own through porn, and with two women before my wife (all of which she knows about). So I've got a lot going against me, which could fall into four different forums here....

So let's just deal with the medication issue. Any recommendations on ways to climax easier? I can go for 30 minutes with no end in sight. My pastor has joked that I'm a rare one to have such a problem, but it's really hard to laugh about it after a while. Usually by then it starts to hurt DW and I have to stop. Just to give you an idea, we've had sex 4 times this week and I haven't O'd at all. Not once.

Last note, I will by no means stop taking medications to better my sex life. It's not worth ruining my life over. Please help if you can. Both I and wife will thank you.

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Re: Psychiatric meds and sex

Postby OldMarriedLady » Fri Oct 21, 2016 8:49 pm

Have you considered testosterone replacement therapy? The low testosterone might have something to do with why you can't finish.
"When you love them, they drive you crazy - because they know they can."
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hirkeukvic
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Re: Psychiatric meds and sex

Postby hirkeukvic » Fri Oct 21, 2016 9:08 pm

I did briefly but was pretty worn out in other ways at the time...terrible boss (who quit a few months ago), emotional turbulence (fixed for now with a new med regimen) and some marriage counseling (doing quite well now!). I gave up on the therapy but should probably start again. I think there are about five factors in play here ranging from past and present sins to low T to just being on meds (Latuda was the real kicker because I feel a ton better and sex is a ton worse).

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Re: Psychiatric meds and sex

Postby tjw » Sat Oct 22, 2016 6:07 am

I took TRT for a long time and it did absolutely nothing for me. I didn't feel any better generally and my ability to ejaculate was unchanged. For me, I guess, the antidepressant was "stronger" than the T.

However, others have reported significant improvements. So, I wouldn't cross it off the list based upon my results.

I will by no means stop taking medications to better my sex life. It's not worth ruining my life over.


That's a good and rational thought. That's kinda where I'm at. I went off sertraline for a few months, my sexual responses normalized. But I'm INFP married to a type-A, OCD person, and the constant nagging and criticism was destroying me emotionally without my "equalizer". So, I don't ejaculate (and we don't have sex anyway). No ejaculation is far easier to take than the other penalty.

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Re: Psychiatric meds and sex

Postby seeking perspective » Sat Oct 22, 2016 6:19 am

hirkeukvic wrote:Last note, I will by no means stop taking medications to better my sex life. It's not worth ruining my life over.


I absolutely understand and respect this. Psychiatric medication allows me to live a normal life, too. Have you talked with your doctor about your options? If there is a different combinations of meds that might work well to adjust the brain chemistry but with different sexual side effects, is it worth trying? Is there another med to add in that might counteract the side effects?

Also, have you tried paying attention to the timing of your medication and when orgasm is easier? When I was on SSRIs for a couple years, I found that orgasm was easiest right before I took my medication, when it was at its lowest in my system. Several hours later, it was a lost cause. If you haven't done so, start to keep a record of your medication times, orgasm attempts, and success (or not) of those attempts.

Meanwhile, since you mention past sexual sin, I hope you are actively pursuing healing in that area. I brought a lot of sexual sin into our marriage, and it took me a long time to fully accept God's forgiveness for that. You should be working on healing for your heart's sake, regardless of whether it helps with orgasm.
You turned my wailing into dancing . . .
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hirkeukvic
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Re: Psychiatric meds and sex

Postby hirkeukvic » Sat Oct 22, 2016 12:08 pm

seeking perspective wrote:Have you talked with your doctor about your options? If there is a different combinations of meds that might work well to adjust the brain chemistry but with different sexual side effects, is it worth trying? Is there another med to add in that might counteract the side effects?


Tried that, but nothing we've gone with in the last year really made it easier.

seeking perspective wrote:Meanwhile, since you mention past sexual sin, I hope you are actively pursuing healing in that area. I brought a lot of sexual sin into our marriage, and it took me a long time to fully accept God's forgiveness for that. You should be working on healing for your heart's sake, regardless of whether it helps with orgasm.


Yep. Though one of the reasons I'm here is that I need to find support groups for that and have no idea where to look (recommendations?) I think that could certainly help the ability to orgasm as well once the psychological issues are fixed.

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Re: Psychiatric meds and sex

Postby ShaunTheSalvo » Tue Oct 25, 2016 5:06 am

Hi Herkeukvic,
Just wanted to say I'm in the same boat. I've been on a couple of different psych meds over the last couple years, mostly for depression and Tourettes - and some have really played havoc with my sexual life. Same situation, simply unable to orgasm.
For me, I would've been happy if the meds had simply decreased my desire for sex, in fact that was part of the reason my doctor prescribed that particular med.
For some meds, the side effects get better after you've been taking the meds for a longer time.
I personally don't like being on prescription meds, but sometimes they are necessary for your health, and can make a huge difference to your overall quality of life. I'd rather have a nonexistent sex life than go through some of the mental health challenges I've had to deal with lately.

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