Guest guest Posted July 3, 2001 Report Share Posted July 3, 2001 Hi All Explaining how e-mail systems work is tres difficile via e-mail! I would suggest anyone with problems contacts someone with 'the knowledge' by phone - it's good to talk :-) Try me, or Anne Haldeos, or Logue, or Nigel Wynne (tractor boys going down), or Waters, or McDermott amongst others. Cheers Graham White B.Sc. (Herb. Med.), MNIMH. Medical Herbalist Bishop's Stortford & Buntingford -------------------------------------------------------------------- gcwhite@... HELP! > Dear all > Can anyone advise an amateur emailer who is feeling confused? I am a > relative newcomer to ukherbal-list, and although I am finding it invaluable > as a source of information and ideas, I have sent in one or two questions of > my own, which then seem to find their way into my own personal 'inbox', but > do not appear in the 'bulkmail' folder. Are they supposed to? And are they > supposed to go into my inbox? And finally, are my messages getting through > to other herbal-list users, or are they floating about somewhere in the > ether? I have contacted my server (Freeserve, don't all groan at once!) who > kindly sent me a reply which I don't understand too well, so if there is > anyone out there who can explain it to me in words of one syllable, I'd be > very grateful! I know this isn't strictly a herbal question, but if I can > get it right, I will stick to herbal issues only in future, I promise! > > Alison Morton. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2011 Report Share Posted November 27, 2011 It might be a posterior tongue tie or a high palate. Sometimes nipples just don’t fit and they need time to become more elastic. I’ve felt over my head many times. Sometimes I feel like I know what I’m doing until I get a mom with an unresolved abscess that they aren’t draining!! Ugh!! Wouldn’t it be nice to have a partner to consort with when it comes to cases like this? One of these days…. June , RN, IBCLC From: [mailto: ] On Behalf Of karman.romeroSent: Sunday, November 27, 2011 6:01 PMTo: Subject: Help! PTP I posted last week about a mom who thought she had thrush it did not look like thrush no shiny red areala. Nipples were a little reddended and blanched white after feeding. I discussed Reynaud's and vasospasms. Infant gaining weight well and transferring milk well. Infant was a home birth so no interventions were done. Mom has good technique latching with asymetrical latch. Infant has good suck with good tongue placement. I didn't see the need for CST. I just couldn't see anything wrong with suck or latch. Mom messaged me yesterday and stated her nipples are cracked and areolas are shiny and red her mindwife ordered diflucan and something for vasospasms. Mom has been using APNO for a week. She wanted to know if there was something else she could do for the pain she stated it hurt so bad she was dreading feedings. Because I work on the weekend I was not able to see her. I suggested she could try a nipple shield to see if a little of a barrier made it more comfortable, or I also suggested she could pump and give nipples a rest however she currently doesn't have a pump. She messaged back and stated Tuesday would be 2 weeks and she would just suck it up til then now she had been started on meds to see if those started helping. Then she messaged me today and stated that her nipples look like they have bites out of them. I have seen this beofre in the hospital It wasnt someone I helped with initial latch and the other LC encouraged mom to just pump until nipples healed and then relatch infant. I got to help with relatching infant and she did well. My questions are 1. Is it possible some women are just so sensitive and some infants have such a strong suck that the mom's have severe nipple pain even when they are doing everything right. 2. Is there anything else I could suggest to her that might help.This is so frustrating. I am usually able to help everyone I kind of feel a failure when I can't. Do you ladies struggle with this as well. I am new to private practice but have been a mother baby nurse for 8.5 years, a LC for 3.5. I am the first to admit I don't know everything, but I try to keep up to date reading and attending conferences. All my other visits have gone great the moms didn't need a followup and 10 -15 min into the visit they all stated their infants have never nursed so well. I just don't understand why I can't help this mom. What I missing?Thanks in advance for you help,Karman Romerowww.babysbreaststart@...No virus found in this message.Checked by AVG - www.avg.comVersion: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2011 Report Share Posted November 27, 2011 I didn't see any tongue tie and her suck felt normal is there anything to be done if it is a high palate. Do you think my recommendation of a nipple shield or pumping and not directly breastfeeding is helpful and the right thing. Mom just messaged and says she doesn't know how to hand express and doesn't even own any bottles. She is extremely overwhelmed. I agree about having a partner of course my business is so small. Thanks for your thoughts Karman Romero > > It might be a posterior tongue tie or a high palate. Sometimes nipples just > don't fit and they need time to become more elastic. I've felt over my head > many times. Sometimes I feel like I know what I'm doing until I get a mom > with an unresolved abscess that they aren't draining!! Ugh!! > > Wouldn't it be nice to have a partner to consort with when it comes to cases > like this? One of these days.. > > > > June , RN, IBCLC > > > > From: [mailto: ] On Behalf > Of karman.romero > Sent: Sunday, November 27, 2011 6:01 PM > To: > Subject: Help! > > > > > > PTP I posted last week about a mom who thought she had thrush it did not > look like thrush no shiny red areala. Nipples were a little reddended and > blanched white after feeding. I discussed Reynaud's and vasospasms. Infant > gaining weight well and transferring milk well. Infant was a home birth so > no interventions were done. Mom has good technique latching with asymetrical > latch. Infant has good suck with good tongue placement. I didn't see the > need for CST. I just couldn't see anything wrong with suck or latch. Mom > messaged me yesterday and stated her nipples are cracked and areolas are > shiny and red her mindwife ordered diflucan and something for vasospasms. > Mom has been using APNO for a week. She wanted to know if there was > something else she could do for the pain she stated it hurt so bad she was > dreading feedings. Because I work on the weekend I was not able to see her. > I suggested she could try a nipple shield to see if a little of a barrier > made it more comfortable, or I also suggested she could pump and give > nipples a rest however she currently doesn't have a pump. She messaged back > and stated Tuesday would be 2 weeks and she would just suck it up til then > now she had been started on meds to see if those started helping. Then she > messaged me today and stated that her nipples look like they have bites out > of them. I have seen this beofre in the hospital It wasnt someone I helped > with initial latch and the other LC encouraged mom to just pump until > nipples healed and then relatch infant. I got to help with relatching infant > and she did well. My questions are 1. Is it possible some women are just so > sensitive and some infants have such a strong suck that the mom's have > severe nipple pain even when they are doing everything right. 2. Is there > anything else I could suggest to her that might help. > > This is so frustrating. I am usually able to help everyone I kind of feel a > failure when I can't. Do you ladies struggle with this as well. I am new to > private practice but have been a mother baby nurse for 8.5 years, a LC for > 3.5. I am the first to admit I don't know everything, but I try to keep up > to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10 > -15 min into the visit they all stated their infants have never nursed so > well. I just don't understand why I can't help this mom. What I missing? > > Thanks in advance for you help, > > Karman Romero > www.babysbreaststart@... <mailto:www.babysbreaststart%40yahoo.com> > > > > _____ > > No virus found in this message. > Checked by AVG - www.avg.com > Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2011 Report Share Posted November 28, 2011 Since I haven't seen the mom I will throw out a few ideas. I've been doing this with LLL for 5 years and I still feel over my head sometimes. And sometimes I see moms who have seen 2 LCs already and I'm help them figure it all out in a few minutes. I guess it just depends on the situation. Remember we all feel this way from time to time. So here are a few things I'm thinking of. I try to avoid nipple shields but that's probably because I've spent a lot of time fixing issues with them, but I can see where it was a valid thing to try. It may not have helped in this case because baby is clamping so hard damaged occurred despite the " protection " of the nipple shield. Since that didn't help it leads me to a few ideas. Could she be using something that is causing an allergy? I've stopped suggesting lanolin because I've had a few moms allergic to it. I prefer olive oil when we are discussing just something to keep the nipple moist or to reduce friction from a pump flange. Could she be using soap on her breasts or some kind of breast pad or gel pad that could be causing an allergy? Is it possible she has eczema or some kind of skin condition affecting her nipples? When eczema starts it can lead to scratching (because of the intense itch it creates) which can cause the skin to become infected with bacteria and/or yeast. This could also be the result of allergy induced itching. She may not even realize she's scratching if she's using fabric or the palm of her hand to rub and alleviate the itch). I agree it is probably a good idea to give her nipples a day of rest. If she's having trouble figuring out how to hand express the stanford.edu has a great group of videos (without the ugly utube comments). I would encourage her to compress firmly as a lot of moms don't compress firmly enough. But remind her to not compress to the point of pain. Heinz, IBCLC Beach Babies Lactation Support, LLC Sent via BlackBerry from T-Mobile Help! > > > > > > PTP I posted last week about a mom who thought she had thrush it did not > look like thrush no shiny red areala. Nipples were a little reddended and > blanched white after feeding. I discussed Reynaud's and vasospasms. Infant > gaining weight well and transferring milk well. Infant was a home birth so > no interventions were done. Mom has good technique latching with asymetrical > latch. Infant has good suck with good tongue placement. I didn't see the > need for CST. I just couldn't see anything wrong with suck or latch. Mom > messaged me yesterday and stated her nipples are cracked and areolas are > shiny and red her mindwife ordered diflucan and something for vasospasms. > Mom has been using APNO for a week. She wanted to know if there was > something else she could do for the pain she stated it hurt so bad she was > dreading feedings. Because I work on the weekend I was not able to see her. > I suggested she could try a nipple shield to see if a little of a barrier > made it more comfortable, or I also suggested she could pump and give > nipples a rest however she currently doesn't have a pump. She messaged back > and stated Tuesday would be 2 weeks and she would just suck it up til then > now she had been started on meds to see if those started helping. Then she > messaged me today and stated that her nipples look like they have bites out > of them. I have seen this beofre in the hospital It wasnt someone I helped > with initial latch and the other LC encouraged mom to just pump until > nipples healed and then relatch infant. I got to help with relatching infant > and she did well. My questions are 1. Is it possible some women are just so > sensitive and some infants have such a strong suck that the mom's have > severe nipple pain even when they are doing everything right. 2. Is there > anything else I could suggest to her that might help. > > This is so frustrating. I am usually able to help everyone I kind of feel a > failure when I can't. Do you ladies struggle with this as well. I am new to > private practice but have been a mother baby nurse for 8.5 years, a LC for > 3.5. I am the first to admit I don't know everything, but I try to keep up > to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10 > -15 min into the visit they all stated their infants have never nursed so > well. I just don't understand why I can't help this mom. What I missing? > > Thanks in advance for you help, > > Karman Romero > www.babysbreaststart@... <mailto:www.babysbreaststart%40yahoo.com> > > > > _____ > > No virus found in this message. > Checked by AVG - www.avg.com > Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 > ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2011 Report Share Posted November 28, 2011 For cracked nipples I have had great luck with nipple soaks in saline (½ tsp to 8oz warm water) for less than 5 minutes, several times a day to help heal nipples. As for hand expression, here's a great link to pass on to her. Hand Expression - Newborn Nursery at LPCH - Stanford University School of MedicineAnd as for having a partner to consort with, I'm grateful for a few local LC's who live near me that we can talk to each other about cases, even though we all like having our own private practices. There are enough clients to go around, so rather than us having a competitive edge, we have more of a camaraderie. I'm really lucky. Good luck Karman Stern CNM, IBCLCDurham, NCwww.beyondbirthlactation.com Beyond Birth on Facebook(919)381-8781 I didn't see any tongue tie and her suck felt normal is there anything to be done if it is a high palate. Do you think my recommendation of a nipple shield or pumping and not directly breastfeeding is helpful and the right thing. Mom just messaged and says she doesn't know how to hand express and doesn't even own any bottles. She is extremely overwhelmed. I agree about having a partner of course my business is so small. Thanks for your thoughts Karman Romero > > It might be a posterior tongue tie or a high palate. Sometimes nipples just > don't fit and they need time to become more elastic. I've felt over my head > many times. Sometimes I feel like I know what I'm doing until I get a mom > with an unresolved abscess that they aren't draining!! Ugh!! > > Wouldn't it be nice to have a partner to consort with when it comes to cases > like this? One of these days.. > > > > June , RN, IBCLC > > > > From: [mailto: ] On Behalf > Of karman.romero > Sent: Sunday, November 27, 2011 6:01 PM > To: > Subject: Help! > > > > > > PTP I posted last week about a mom who thought she had thrush it did not > look like thrush no shiny red areala. Nipples were a little reddended and > blanched white after feeding. I discussed Reynaud's and vasospasms. Infant > gaining weight well and transferring milk well. Infant was a home birth so > no interventions were done. Mom has good technique latching with asymetrical > latch. Infant has good suck with good tongue placement. I didn't see the > need for CST. I just couldn't see anything wrong with suck or latch. Mom > messaged me yesterday and stated her nipples are cracked and areolas are > shiny and red her mindwife ordered diflucan and something for vasospasms. > Mom has been using APNO for a week. She wanted to know if there was > something else she could do for the pain she stated it hurt so bad she was > dreading feedings. Because I work on the weekend I was not able to see her. > I suggested she could try a nipple shield to see if a little of a barrier > made it more comfortable, or I also suggested she could pump and give > nipples a rest however she currently doesn't have a pump. She messaged back > and stated Tuesday would be 2 weeks and she would just suck it up til then > now she had been started on meds to see if those started helping. Then she > messaged me today and stated that her nipples look like they have bites out > of them. I have seen this beofre in the hospital It wasnt someone I helped > with initial latch and the other LC encouraged mom to just pump until > nipples healed and then relatch infant. I got to help with relatching infant > and she did well. My questions are 1. Is it possible some women are just so > sensitive and some infants have such a strong suck that the mom's have > severe nipple pain even when they are doing everything right. 2. Is there > anything else I could suggest to her that might help. > > This is so frustrating. I am usually able to help everyone I kind of feel a > failure when I can't. Do you ladies struggle with this as well. I am new to > private practice but have been a mother baby nurse for 8.5 years, a LC for > 3.5. I am the first to admit I don't know everything, but I try to keep up > to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10 > -15 min into the visit they all stated their infants have never nursed so > well. I just don't understand why I can't help this mom. What I missing? > > Thanks in advance for you help, > > Karman Romero > www.babysbreaststart@... <mailto:www.babysbreaststart%40yahoo.com> > > > > _____ > > No virus found in this message. > Checked by AVG - www.avg.com > Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2011 Report Share Posted November 28, 2011 If you can’t help her today b/c you are at work, can you refer her to someone else? It sounds like she needs in person help.June From: [mailto: ] On Behalf Of karman.romeroSent: Sunday, November 27, 2011 6:37 PMTo: Subject: Re: Help! I didn't see any tongue tie and her suck felt normal is there anything to be done if it is a high palate. Do you think my recommendation of a nipple shield or pumping and not directly breastfeeding is helpful and the right thing. Mom just messaged and says she doesn't know how to hand express and doesn't even own any bottles. She is extremely overwhelmed. I agree about having a partner of course my business is so small.Thanks for your thoughtsKarman Romero>> It might be a posterior tongue tie or a high palate. Sometimes nipples just> don't fit and they need time to become more elastic. I've felt over my head> many times. Sometimes I feel like I know what I'm doing until I get a mom> with an unresolved abscess that they aren't draining!! Ugh!! > > Wouldn't it be nice to have a partner to consort with when it comes to cases> like this? One of these days..> > > > June , RN, IBCLC> > > > From: [mailto: ] On Behalf> Of karman.romero> Sent: Sunday, November 27, 2011 6:01 PM> To: > Subject: Help!> > > > > > PTP I posted last week about a mom who thought she had thrush it did not> look like thrush no shiny red areala. Nipples were a little reddended and> blanched white after feeding. I discussed Reynaud's and vasospasms. Infant> gaining weight well and transferring milk well. Infant was a home birth so> no interventions were done. Mom has good technique latching with asymetrical> latch. Infant has good suck with good tongue placement. I didn't see the> need for CST. I just couldn't see anything wrong with suck or latch. Mom> messaged me yesterday and stated her nipples are cracked and areolas are> shiny and red her mindwife ordered diflucan and something for vasospasms.> Mom has been using APNO for a week. She wanted to know if there was> something else she could do for the pain she stated it hurt so bad she was> dreading feedings. Because I work on the weekend I was not able to see her.> I suggested she could try a nipple shield to see if a little of a barrier> made it more comfortable, or I also suggested she could pump and give> nipples a rest however she currently doesn't have a pump. She messaged back> and stated Tuesday would be 2 weeks and she would just suck it up til then> now she had been started on meds to see if those started helping. Then she> messaged me today and stated that her nipples look like they have bites out> of them. I have seen this beofre in the hospital It wasnt someone I helped> with initial latch and the other LC encouraged mom to just pump until> nipples healed and then relatch infant. I got to help with relatching infant> and she did well. My questions are 1. Is it possible some women are just so> sensitive and some infants have such a strong suck that the mom's have> severe nipple pain even when they are doing everything right. 2. Is there> anything else I could suggest to her that might help.> > This is so frustrating. I am usually able to help everyone I kind of feel a> failure when I can't. Do you ladies struggle with this as well. I am new to> private practice but have been a mother baby nurse for 8.5 years, a LC for> 3.5. I am the first to admit I don't know everything, but I try to keep up> to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10> -15 min into the visit they all stated their infants have never nursed so> well. I just don't understand why I can't help this mom. What I missing?> > Thanks in advance for you help,> > Karman Romero> www.babysbreaststart@... <mailto:www.babysbreaststart%40yahoo.com> > > > > _____ > > No virus found in this message.> Checked by AVG - www.avg.com> Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11>No virus found in this message.Checked by AVG - www.avg.comVersion: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2011 Report Share Posted November 28, 2011 The problem is there is no one else. Not on Sunday night. There are some peds offices that have LC but there appointments are limited. I can see her in the morning. She was going to try the shield for the first time tonight and I will send her the hand compression link and suggest the saline soak. Thanks for the advice. Karman Romero > > > > It might be a posterior tongue tie or a high palate. Sometimes nipples > just > > don't fit and they need time to become more elastic. I've felt over my > head > > many times. Sometimes I feel like I know what I'm doing until I get a mom > > with an unresolved abscess that they aren't draining!! Ugh!! > > > > Wouldn't it be nice to have a partner to consort with when it comes to > cases > > like this? One of these days.. > > > > > > > > June , RN, IBCLC > > > > > > > > From: <mailto:%40yahoogroups.com> > [mailto: <mailto:%40yahoogroups.com> ] On > Behalf > > Of karman.romero > > Sent: Sunday, November 27, 2011 6:01 PM > > To: <mailto:%40yahoogroups.com> > > Subject: Help! > > > > > > > > > > > > PTP I posted last week about a mom who thought she had thrush it did not > > look like thrush no shiny red areala. Nipples were a little reddended and > > blanched white after feeding. I discussed Reynaud's and vasospasms. Infant > > gaining weight well and transferring milk well. Infant was a home birth so > > no interventions were done. Mom has good technique latching with > asymetrical > > latch. Infant has good suck with good tongue placement. I didn't see the > > need for CST. I just couldn't see anything wrong with suck or latch. Mom > > messaged me yesterday and stated her nipples are cracked and areolas are > > shiny and red her mindwife ordered diflucan and something for vasospasms. > > Mom has been using APNO for a week. She wanted to know if there was > > something else she could do for the pain she stated it hurt so bad she was > > dreading feedings. Because I work on the weekend I was not able to see > her. > > I suggested she could try a nipple shield to see if a little of a barrier > > made it more comfortable, or I also suggested she could pump and give > > nipples a rest however she currently doesn't have a pump. She messaged > back > > and stated Tuesday would be 2 weeks and she would just suck it up til then > > now she had been started on meds to see if those started helping. Then she > > messaged me today and stated that her nipples look like they have bites > out > > of them. I have seen this beofre in the hospital It wasnt someone I helped > > with initial latch and the other LC encouraged mom to just pump until > > nipples healed and then relatch infant. I got to help with relatching > infant > > and she did well. My questions are 1. Is it possible some women are just > so > > sensitive and some infants have such a strong suck that the mom's have > > severe nipple pain even when they are doing everything right. 2. Is there > > anything else I could suggest to her that might help. > > > > This is so frustrating. I am usually able to help everyone I kind of feel > a > > failure when I can't. Do you ladies struggle with this as well. I am new > to > > private practice but have been a mother baby nurse for 8.5 years, a LC for > > 3.5. I am the first to admit I don't know everything, but I try to keep up > > to date reading and attending conferences. > > > > All my other visits have gone great the moms didn't need a followup and 10 > > -15 min into the visit they all stated their infants have never nursed so > > well. I just don't understand why I can't help this mom. What I missing? > > > > Thanks in advance for you help, > > > > Karman Romero > > www.babysbreaststart@ <mailto:www.babysbreaststart%40yahoo.com> > > > > > > > > _____ > > > > No virus found in this message. > > Checked by AVG - www.avg.com > > Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 > > > > > > _____ > > No virus found in this message. > Checked by AVG - www.avg.com > Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2011 Report Share Posted November 28, 2011 Karmen, You said her suck feels normal, but you also said " Is it possible some women are just so > sensitive and some infants have such a strong suck that the mom's have > severe nipple pain even when they are doing everything right. " A " strong suck " is always a red flag for me and a clue that the baby might need CST. A high palate is another indication. I also wonder if maybe you should get a second opinion on the TT? Tow, IBCLC > > > > It might be a posterior tongue tie or a high palate. Sometimes nipples just > > don't fit and they need time to become more elastic. I've felt over my head > > many times. Sometimes I feel like I know what I'm doing until I get a mom > > with an unresolved abscess that they aren't draining!! Ugh!! > > > > Wouldn't it be nice to have a partner to consort with when it comes to cases > > like this? One of these days.. > > > > > > > > June , RN, IBCLC > > > > > > > > From: [mailto: ] On Behalf > > Of karman.romero > > Sent: Sunday, November 27, 2011 6:01 PM > > To: > > Subject: Help! > > > > > > > > > > > > PTP I posted last week about a mom who thought she had thrush it did not > > look like thrush no shiny red areala. Nipples were a little reddended and > > blanched white after feeding. I discussed Reynaud's and vasospasms. Infant > > gaining weight well and transferring milk well. Infant was a home birth so > > no interventions were done. Mom has good technique latching with asymetrical > > latch. Infant has good suck with good tongue placement. I didn't see the > > need for CST. I just couldn't see anything wrong with suck or latch. Mom > > messaged me yesterday and stated her nipples are cracked and areolas are > > shiny and red her mindwife ordered diflucan and something for vasospasms. > > Mom has been using APNO for a week. She wanted to know if there was > > something else she could do for the pain she stated it hurt so bad she was > > dreading feedings. Because I work on the weekend I was not able to see her. > > I suggested she could try a nipple shield to see if a little of a barrier > > made it more comfortable, or I also suggested she could pump and give > > nipples a rest however she currently doesn't have a pump. She messaged back > > and stated Tuesday would be 2 weeks and she would just suck it up til then > > now she had been started on meds to see if those started helping. Then she > > messaged me today and stated that her nipples look like they have bites out > > of them. I have seen this beofre in the hospital It wasnt someone I helped > > with initial latch and the other LC encouraged mom to just pump until > > nipples healed and then relatch infant. I got to help with relatching infant > > and she did well. My questions are 1. Is it possible some women are just so > > sensitive and some infants have such a strong suck that the mom's have > > severe nipple pain even when they are doing everything right. 2. Is there > > anything else I could suggest to her that might help. > > > > This is so frustrating. I am usually able to help everyone I kind of feel a > > failure when I can't. Do you ladies struggle with this as well. I am new to > > private practice but have been a mother baby nurse for 8.5 years, a LC for > > 3.5. I am the first to admit I don't know everything, but I try to keep up > > to date reading and attending conferences. > > > > All my other visits have gone great the moms didn't need a followup and 10 > > -15 min into the visit they all stated their infants have never nursed so > > well. I just don't understand why I can't help this mom. What I missing? > > > > Thanks in advance for you help, > > > > Karman Romero > > www.babysbreaststart@ <mailto:www.babysbreaststart%40yahoo.com> > > > > > > > > _____ > > > > No virus found in this message. > > Checked by AVG - www.avg.com > > Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2011 Report Share Posted November 28, 2011 Hello, Karman. Craniosacral therapy done by a therapist who knows how to do the mouthwork can help to drop a palate to it's normal level. You stated that you did not "see" a tongue tie. Did you do a fingersweep under the tongue? Most PTTs need to be felt, because they aren't easy to see. If you put your finger back under the tongue close to the gum on one side, then sweep your finger straight across, you should be able to make a clean sweep without having to draw your finger towards yourself as though you are going around a speedbump. If you do have to go around a speedbump, press your finger into that speedbump. If it is soft and squishy, craniosacral therapy by itself may be sufficient to fix the problem. If you feel a stiff membrane in the center of a speedbump, you have a posterior tongue tie that probably needs to be clipped. Pumping can help to give the nipples a break *if* the flanges are the correct fit. If the flanges haven't been fit properly to the mother, pumping can cause continuing damage. Have you sent her the links to the websites demonstrating hand expression and explaining paced bottle-feeding? Perhaps if she can see how to do it, she won't feel quite so overwhelmed. A nipple shield may or may not be helpful. You just have to try it to see. Again, it must fit correctly--not be too tight. And some babies clamp down worse with the shield and mother is better off without it. Dee Kassing I didn't see any tongue tie and her suck felt normal is there anything to be done if it is a high palate. Do you think my recommendation of a nipple shield or pumping and not directly breastfeeding is helpful and the right thing. Mom just messaged and says she doesn't know how to hand express and doesn't even own any bottles. She is extremely overwhelmed. I agree about having a partner of course my business is so small.Thanks for your thoughtsKarman Romero>> It might be a posterior tongue tie or a high palate. Sometimes nipples just> don't fit and they need time to become more elastic. I've felt over my head> many times. Sometimes I feel like I know what I'm doing until I get a mom> with an unresolved abscess that they aren't draining!! Ugh!! > > Wouldn't it be nice to have a partner to consort with when it comes to cases> like this? One of these days..> > > > June , RN, IBCLC> > > > From: [mailto: ] On Behalf> Of karman.romero> Sent: Sunday, November 27, 2011 6:01 PM> To: > Subject: Help!> > > > > > PTP I posted last week about a mom who thought she had thrush it did not> look like thrush no shiny red areala. Nipples were a little reddended and> blanched white after feeding. I discussed Reynaud's and vasospasms. Infant> gaining weight well and transferring milk well. Infant was a home birth so> no interventions were done. Mom has good technique latching with asymetrical> latch. Infant has good suck with good tongue placement. I didn't see the> need for CST. I just couldn't see anything wrong with suck or latch. Mom> messaged me yesterday and stated her nipples are cracked and areolas are> shiny and red her mindwife ordered diflucan and something for vasospasms.> Mom has been using APNO for a week. She wanted to know if there was> something else she could do for the pain she stated it hurt so bad she was> dreading feedings. Because I work on the weekend I was not able to see her.> I suggested she could try a nipple shield to see if a little of a barrier> made it more comfortable, or I also suggested she could pump and give> nipples a rest however she currently doesn't have a pump. She messaged back> and stated Tuesday would be 2 weeks and she would just suck it up til then> now she had been started on meds to see if those started helping. Then she> messaged me today and stated that her nipples look like they have bites out> of them. I have seen this beofre in the hospital It wasnt someone I helped> with initial latch and the other LC encouraged mom to just pump until> nipples healed and then relatch infant. I got to help with relatching infant> and she did well. My questions are 1. Is it possible some women are just so> sensitive and some infants have such a strong suck that the mom's have> severe nipple pain even when they are doing everything right. 2. Is there> anything else I could suggest to her that might help.> > This is so frustrating. I am usually able to help everyone I kind of feel a> failure when I can't. Do you ladies struggle with this as well. I am new to> private practice but have been a mother baby nurse for 8.5 years, a LC for> 3.5. I am the first to admit I don't know everything, but I try to keep up> to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10> -15 min into the visit they all stated their infants have never nursed so> well. I just don't understand why I can't help this mom. What I missing?> > Thanks in advance for you help,> > Karman Romero> www.babysbreaststart@... <mailto:www.babysbreaststart%40yahoo.com> > > > > _____ > > No virus found in this message.> Checked by AVG - www.avg.com> Version: 2012.0.1873 / Virus Database: 2101/4643 - Release Date: 11/27/11> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2011 Report Share Posted November 29, 2011 I saw mom again today. Her infant is 2 weeks old today and birth weight was 7lbs.15oz she now weighs 8lbs. 5.5oz and after feeding for about 20 min on one side she went up to 8lbs.9oz So the great news is this little has no trouble with milk transfer. The other good news is mom's nipples didn't not look near as bad as what I suspected. She did have a crack right where the nipple meets the areola (this could have been from a shallow latch at one time). The other cracks mom described don't look like cracks to me. Mom has larger nipples that are naturally flatter. I remember at our first visit I thought they didn't evert well but she had such good technique infant latched easily. What I am thinking is mom has some adhesions and her normal anatomy is not that conducive with breast feeding. The cracks she described are in the middle of the nipple but they are not reddened and their is no loss of tissue. My question is have you seen other mom's with this variation and how long until she is not so uncomfortable. She is using the saline soak and states she thinks that is helping. She is planning on purchasing a pump so she can maybe give her nipples a little of rest. I gave her some different positions to try. I saw the infant eat in football hold she opens mouth wide (although infant has a little mouth). Mom states the pain feels like pulling not biting or pinching. I am concluding that infant's latch is good but mom's anatomy needs more time to get used to breastfeeding. I just wonder how long it will take. This mom is in it for the long haul. She's not about to give up. Thanks again for all your advice. I should have taken a picture > > PTP I posted last week about a mom who thought she had thrush it did not look like thrush no shiny red areala. Nipples were a little reddended and blanched white after feeding. I discussed Reynaud's and vasospasms. Infant gaining weight well and transferring milk well. Infant was a home birth so no interventions were done. Mom has good technique latching with asymetrical latch. Infant has good suck with good tongue placement. I didn't see the need for CST. I just couldn't see anything wrong with suck or latch. Mom messaged me yesterday and stated her nipples are cracked and areolas are shiny and red her mindwife ordered diflucan and something for vasospasms. Mom has been using APNO for a week. She wanted to know if there was something else she could do for the pain she stated it hurt so bad she was dreading feedings. Because I work on the weekend I was not able to see her. I suggested she could try a nipple shield to see if a little of a barrier made it more comfortable, or I also suggested she could pump and give nipples a rest however she currently doesn't have a pump. She messaged back and stated Tuesday would be 2 weeks and she would just suck it up til then now she had been started on meds to see if those started helping. Then she messaged me today and stated that her nipples look like they have bites out of them. I have seen this beofre in the hospital It wasnt someone I helped with initial latch and the other LC encouraged mom to just pump until nipples healed and then relatch infant. I got to help with relatching infant and she did well. My questions are 1. Is it possible some women are just so sensitive and some infants have such a strong suck that the mom's have severe nipple pain even when they are doing everything right. 2. Is there anything else I could suggest to her that might help. > > This is so frustrating. I am usually able to help everyone I kind of feel a failure when I can't. Do you ladies struggle with this as well. I am new to private practice but have been a mother baby nurse for 8.5 years, a LC for 3.5. I am the first to admit I don't know everything, but I try to keep up to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10 -15 min into the visit they all stated their infants have never nursed so well. I just don't understand why I can't help this mom. What I missing? > > Thanks in advance for you help, > > Karman Romero > www.babysbreaststart@... > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 Hello, Karman. I have found that any baby 8 lbs or over can get around almost any nipple. (The one exception I have worked with is a mother whose nipples are so wide that even Medela's 40mm glass flanges were too small!) When mothers have been told that their 8 lb + baby has a small mouth, I always find that it isn't really small, the jaw is tight and it is uncomfortable for baby to open wide. (Which, of course, then affects sucking and mother's comfort level.) Do you have any pediatric craniosacral therapists in your area that you could refer the mother to? While she is waiting for an appointment, she could try massaging the TMJs (joint just in front of the ear) for 30-60 seconds before attempting to latch baby to breast to see if that would temporarily reduce some of the tightness. Dee Kassing Subject: Re: Help!To: Date: Tuesday, November 29, 2011, 4:31 PM I saw mom again today. Her infant is 2 weeks old today and birth weight was 7lbs.15oz she now weighs 8lbs. 5.5oz and after feeding for about 20 min on one side she went up to 8lbs.9oz So the great news is this little has no trouble with milk transfer. The other good news is mom's nipples didn't not look near as bad as what I suspected. She did have a crack right where the nipple meets the areola (this could have been from a shallow latch at one time). The other cracks mom described don't look like cracks to me. Mom has larger nipples that are naturally flatter. I remember at our first visit I thought they didn't evert well but she had such good technique infant latched easily. What I am thinking is mom has some adhesions and her normal anatomy is not that conducive with breast feeding. The cracks she described are in the middle of the nipple but they are not reddened and their is no loss of tissue. My question is have you seen other mom's with this variation and how long until she is not so uncomfortable. She is using the saline soak and states she thinks that is helping. She is planning on purchasing a pump so she can maybe give her nipples a little of rest. I gave her some different positions to try. I saw the infant eat in football hold she opens mouth wide (although infant has a little mouth). Mom states the pain feels like pulling not biting or pinching. I am concluding that infant's latch is good but mom's anatomy needs more time to get used to breastfeeding. I just wonder how long it will take. This mom is in it for the long haul. She's not about to give up.Thanks again for all your advice. I should have taken a picture>> PTP I posted last week about a mom who thought she had thrush it did not look like thrush no shiny red areala. Nipples were a little reddended and blanched white after feeding. I discussed Reynaud's and vasospasms. Infant gaining weight well and transferring milk well. Infant was a home birth so no interventions were done. Mom has good technique latching with asymetrical latch. Infant has good suck with good tongue placement. I didn't see the need for CST. I just couldn't see anything wrong with suck or latch. Mom messaged me yesterday and stated her nipples are cracked and areolas are shiny and red her mindwife ordered diflucan and something for vasospasms. Mom has been using APNO for a week. She wanted to know if there was something else she could do for the pain she stated it hurt so bad she was dreading feedings. Because I work on the weekend I was not able to see her. I suggested she could try a nipple shield to see if a little of a barrier made it more comfortable, or I also suggested she could pump and give nipples a rest however she currently doesn't have a pump. She messaged back and stated Tuesday would be 2 weeks and she would just suck it up til then now she had been started on meds to see if those started helping. Then she messaged me today and stated that her nipples look like they have bites out of them. I have seen this beofre in the hospital It wasnt someone I helped with initial latch and the other LC encouraged mom to just pump until nipples healed and then relatch infant. I got to help with relatching infant and she did well. My questions are 1. Is it possible some women are just so sensitive and some infants have such a strong suck that the mom's have severe nipple pain even when they are doing everything right. 2. Is there anything else I could suggest to her that might help.> > This is so frustrating. I am usually able to help everyone I kind of feel a failure when I can't. Do you ladies struggle with this as well. I am new to private practice but have been a mother baby nurse for 8.5 years, a LC for 3.5. I am the first to admit I don't know everything, but I try to keep up to date reading and attending conferences. > > All my other visits have gone great the moms didn't need a followup and 10 -15 min into the visit they all stated their infants have never nursed so well. I just don't understand why I can't help this mom. What I missing?> > Thanks in advance for you help,> > Karman Romero> www.babysbreaststart@...> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 And I have also found that some of those babies with "small mouths" also have a tight labial frenulum which doesn't always translate as sore or damaged nipples. So I tried pinching my upper lip where my tight frenulum used to be until I fell on my bicycle handlebar at age 8 - I really could not open my mouth nearly as wide as I can when the lip is free... try it! great visual and kinesthetic teaching tool... Celina DykstraLa Leche League Leader, Lakes Region LLL, NHIBCLCceliner_d57@...Helping Moms and Babies Meet Their Breastfeeding Goals Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 I'm glad no one is here to video me alternately pinching my upper lip, opening my mouth, letting go of my lip, opening my mouth, over and over. It is surprising to feel the difference! Mellanie Sheppard, IBCLC, RLCwww.forbabiessake.comJoin us on FaceBook!Chapter Leader, Tarrant County Birth Networkwww.tcbirthnetwork.org Re: Help! And I have also found that some of those babies with "small mouths" also have a tight labial frenulum which doesn't always translate as sore or damaged nipples. So I tried pinching my upper lip where my tight frenulum used to be until I fell on my bicycle handlebar at age 8 - I really could not open my mouth nearly as wide as I can when the lip is free... try it! great visual and kinesthetic teaching tool... Celina Dykstra La Leche League Leader, Lakes Region LLL, NH IBCLC celiner_d57@... Helping Moms and Babies Meet Their Breastfeeding Goals Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Where are you pinching the lip? I can still open my TMJoint the same amount whether lip is being pinched or not....not sure if I'm doing this right. LLLL IBCLC Los Angeles I'm glad no one is here to video me alternately pinching my upper lip, opening my mouth, letting go of my lip, opening my mouth, over and over. It is surprising to feel the difference! Mellanie Sheppard, IBCLC, RLCwww.forbabiessake.com Join us on FaceBook!Chapter Leader, Tarrant County Birth Networkwww.tcbirthnetwork.org Re: Help! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Great idea, Celina! I opened my mouth wide, then pressed down on my upper lip and could literally feel my lower jaw draw up. Amazing! Dee KassingAnd I have also found that some of those babies with "small mouths" also have a tight labial frenulum which doesn't always translate as sore or damaged nipples. So I tried pinching my upper lip where my tight frenulum used to be until I fell on my bicycle handlebar at age 8 - I really could not open my mouth nearly as wide as I can when the lip is free... try it! great visual and kinesthetic teaching tool... Celina Dykstra La Leche League Leader, Lakes Region LLL, NH IBCLC celiner_d57@... Helping Moms and Babies Meet Their Breastfeeding Goals Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 I get it now! I feel it too! Fascinating! My dd2 has a very tight labial frenulum and I keep thinking about revising it....still not sure as bfeeding is fine. However, she never had a great gape and I did have some pain in the beginning that I couldn't sort out. Hmmmmm. LLLL IBCLC Los Angeles Great idea, Celina! I opened my mouth wide, then pressed down on my upper lip and could literally feel my lower jaw draw up. Amazing! Dee Kassing Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Celina,Thanks for sharing this tip. I had to try it... But, somehon, I cannot figure it out.Can you tell me how you pinch your upper lip. Ghislaine Reid, IBCLCConsultante en lactationLactation Consultant De : [mailto: ] De la part de Celina DykstraEnvoyé : 30 novembre 2011 14:43À : Objet : Re: Help! And I have also found that some of those babies with " small mouths " also have a tight labial frenulum which doesn't always translate as sore or damaged nipples. So I tried pinching my upper lip where my tight frenulum used to be until I fell on my bicycle handlebar at age 8 - I really could not open my mouth nearly as wide as I can when the lip is free... try it! great visual and kinesthetic teaching tool... Celina DykstraLa Leche League Leader, Lakes Region LLL, NHIBCLCceliner_d57@... Helping Moms and Babies Meet Their Breastfeeding Goals Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2012 Report Share Posted February 27, 2012 Until a few days ago, I'd never heard of PSSD. Every time before when I'd google anorgasmia or a similar term, nothing about PSSD would come up. I'm glad I finally found a name for this problem. Since I began having this problem, I've told my wife that I think the effexor messed me up, somehow. Now I'm 100% sure that that is what happened. I just wish there was something I could take to fix the problem! > > Hi Man >  > Let me Just say this, I believe you Man and this group will help you out. I think what you have is what most of us on this forum have ,which is PSSD. I am 25 years old and have been free of SSRIs for close two 3 years and still have sexual dysfunction, mainly numb genitals, and joyless muted orgasm. My erections are easier to obtain with self stimulation and sex drive is pretty low. The good news is many people recover and the key is exercise and a healty diet. There are some docters who Know About PSSD. There docter Irwin Goldstein in California and one in Holland. >  > All the best , Adam > > > ________________________________ > > To: SSRIsex > Sent: Sunday, February 26, 2012 2:13:16 PM > Subject: Help! > > > >  > > I'm a 50 yr old male. I've been married 28 years. At the age of 40, I had a prostate infection and saw a urologist. He prescribed antibiotics and that cleared up the problem. But after that, I began to notice that my erections were not as powerful as they'd once been, but the feelings were still there and I could orgasm. > Until about 10 years ago, my wife was not interested in sex. I used to want it every day and had no problem getting or maintaining an erection. And definitely had no problem reaching an orgasm. However, I did get tired of practically begging for sex with my wife, but I remained faithful to her and took care of my needs through masturbation. In 2003, we had some marital problems and I began to have some issues with ED. In 2004, my wife and I separated for about a month at which time, I became extremely depressed and was put on Effexor by my medical dr. When she came back, I had no sex drive and my penis felt numb. I couldn't get it up for nothing, so I talked to my dr and he put me on Viagra. > After taking the Viagra, I had no problem getting an erection, but I could not, no matter how hard I tried, reach orgasm, unless I was alone and masturbated for what seemed like an eternity. I spoke to my dr about the problem and he said that this was one of the side effets of the Effexor, but should correct itself once I reached the target dosage. But after reaching the targeted dosage, nothing changed, so I took myself off of the Effexor. I didn't need it for depression anymore at that time and figured if I got off the med, my sex drive and ability to orgasm would return. But it didn't. My penis still became numb feeling after being erect for a few minutes. It was as if someone flipped a switch and all feeling stopped. It would stay hard due to the Viagra, but would do nothing else. > I spoke to my dr about his and put me on Cardura. That helped some with the lack of sensation, but not enough. Before the Cardura, there was a little feeling left in my penis around the head. After taking the Cardura for a week or so, there was some feeling just below the head on the top and underside...but nowhere close to how it was before the Effexor. Used to, my whole shaft was sensitive. Now, 99% of the shaft is numb. In addition to prescribing Cardura, my dr. checked my testosterone level and told me that it was low. I took shots of testosterone monthly. That restored some of my energy and libido, but did nothing to help with the lack of sensation in my penis. > This problem has been ongoing since I started and stopped the Effexor in 2004...8 years! I have seen two urologists. The first was surprised and said that I was the first patient he had seen that suffered from what he called " anorgasmia " . He had no answers. Last summer, I began seeing a different urologist. At first, the visits seemed promising. He, of course, checked my prostate and said it felt normal. He checked my testosterone level and said it was low and put me back on shots, increasing my dosage so that I had to take two shots per month. If my memory is correct, I was taking around 400 mgs per month. Once again, that restored the sex drive, but did nothing to increase sensation and I still needed ED meds to get an erection. Still, no orgasm through vaginal sex. I had to masturbate to get relief and the weird thing about it is, in the last 5 years or so, Ive had to be sitting up to reach orgasm through masturbation. Since taking the effexor in > 2004, I've reached orgasm twice with my wife during intercourse. > I kept pressing my urologist for answers and he finally told me what I've been reading on the internet... " I think it's in your head. When you let go and relax, things will go back to normal. " > But I KNOW this is not in my head. I used to wake up every morning before what I call, " the effexor days " with a raging erection. Now, I never wake with an erection. Since taking the effexor, my penis produces an excessive amount of precum. Before effexor, there was very little precum. > I am at my wits end. This is very frustrating. I have felt all these years that this was not in my head, yet that's what guys like me are told either thru research on the internet or by a doctor. > My question is, what can I do to fix this? My wife has become much more interested in sex in the past few years and I think, " Wow, we could have the perfect sex life now if only I could function normally again. " I don't have an issue with using ED meds to help boost the erections, if only I could reach orgasm like I once could before the effexor. > Does anyone have any suggestions as to what to do about this problem? Are there any medications that can be taken to reverse the damage that I believe effexor caused? > > Thanks for your input. Sorry for the long post. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2012 Report Share Posted February 27, 2012 You could try holding a kegal, i.e. squeeze your PC muscle and hold during intercourse/masturbation to see if you approach orgasm quicker (Men automatically squeeze their PC muscle when they wish to stop the flow of urine). Men with premature ejaculation involuntarily squeeze their PC muscle which brings about ejaculation/orgasm much quicker (such men need to do 'reverse kegals'). http://www.pegym.com/forums/premature-ejaculation-forum/28548-delayed-ejaculation-kegaling.html >> I'm a 50 yr old male. I've been married 28 years. At the age of 40, I had a prostate infection and saw a urologist. He prescribed antibiotics and that cleared up the problem. But after that, I began to notice that my erections were not as powerful as they'd once been, but the feelings were still there and I could orgasm.> Until about 10 years ago, my wife was not interested in sex. I used to want it every day and had no problem getting or maintaining an erection. And definitely had no problem reaching an orgasm. However, I did get tired of practically begging for sex with my wife, but I remained faithful to her and took care of my needs through masturbation. In 2003, we had some marital problems and I began to have some issues with ED. In 2004, my wife and I separated for about a month at which time, I became extremely depressed and was put on Effexor by my medical dr. When she came back, I had no sex drive and my penis felt numb. I couldn't get it up for nothing, so I talked to my dr and he put me on Viagra. > After taking the Viagra, I had no problem getting an erection, but I could not, no matter how hard I tried, reach orgasm, unless I was alone and masturbated for what seemed like an eternity. I spoke to my dr about the problem and he said that this was one of the side effets of the Effexor, but should correct itself once I reached the target dosage. But after reaching the targeted dosage, nothing changed, so I took myself off of the Effexor. I didn't need it for depression anymore at that time and figured if I got off the med, my sex drive and ability to orgasm would return. But it didn't. My penis still became numb feeling after being erect for a few minutes. It was as if someone flipped a switch and all feeling stopped. It would stay hard due to the Viagra, but would do nothing else.> I spoke to my dr about his and put me on Cardura. That helped some with the lack of sensation, but not enough. Before the Cardura, there was a little feeling left in my penis around the head. After taking the Cardura for a week or so, there was some feeling just below the head on the top and underside...but nowhere close to how it was before the Effexor. Used to, my whole shaft was sensitive. Now, 99% of the shaft is numb. In addition to prescribing Cardura, my dr. checked my testosterone level and told me that it was low. I took shots of testosterone monthly. That restored some of my energy and libido, but did nothing to help with the lack of sensation in my penis.> This problem has been ongoing since I started and stopped the Effexor in 2004...8 years! I have seen two urologists. The first was surprised and said that I was the first patient he had seen that suffered from what he called "anorgasmia". He had no answers. Last summer, I began seeing a different urologist. At first, the visits seemed promising. He, of course, checked my prostate and said it felt normal. He checked my testosterone level and said it was low and put me back on shots, increasing my dosage so that I had to take two shots per month. If my memory is correct, I was taking around 400 mgs per month. Once again, that restored the sex drive, but did nothing to increase sensation and I still needed ED meds to get an erection. Still, no orgasm through vaginal sex. I had to masturbate to get relief and the weird thing about it is, in the last 5 years or so, Ive had to be sitting up to reach orgasm through masturbation. Since taking the effexor in 2004, I've reached orgasm twice with my wife during intercourse.> I kept pressing my urologist for answers and he finally told me what I've been reading on the internet..."I think it's in your head. When you let go and relax, things will go back to normal."> But I KNOW this is not in my head. I used to wake up every morning before what I call, "the effexor days" with a raging erection. Now, I never wake with an erection. Since taking the effexor, my penis produces an excessive amount of precum. Before effexor, there was very little precum.> I am at my wits end. This is very frustrating. I have felt all these years that this was not in my head, yet that's what guys like me are told either thru research on the internet or by a doctor. > My question is, what can I do to fix this? My wife has become much more interested in sex in the past few years and I think, "Wow, we could have the perfect sex life now if only I could function normally again." I don't have an issue with using ED meds to help boost the erections, if only I could reach orgasm like I once could before the effexor.> Does anyone have any suggestions as to what to do about this problem? Are there any medications that can be taken to reverse the damage that I believe effexor caused?> > Thanks for your input. Sorry for the long post.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2012 Report Share Posted February 28, 2012 Hi, If anorgasmia is the main issue, perhaps you should consult your doctor about one of the following: (1) Bupropion (2) Yohimbine (3) Oxytocin (1)- Masand PS, Ashton AK, Gupta S, B (2001). " Sustained-release bupropion for selective serotonin reuptake inhibitor-induced sexual dysfunction: a randomized, double-blind, placebo-controlled, parallel-group study " . Am J Psychiatry 158 (5): 805–807 (2) - Adeniyi AA, Brindley GS, Pryor JP, Ralph DJ (May 2007). " Yohimbine in the treatment of orgasmic dysfunction " . Asian Journal of Andrology 9 (3): 403–7 (3) - Ishak WW, Berman DS, s A. Male anorgasmia treated with oxytocin. J Sex Med. 2008 Apr;5(4):1022-4. Epub 2007 Dec 14. For genital anesthesia, cosnider ginko buloba: (4) Ellison JM, DeLuca P. Fluoxetine-induced genital anesthesia relieved by Ginkgo biloba extract. J Clin Psychiatry. 1998 Apr; 59(4):199-200 Yossi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2012 Report Share Posted February 28, 2012 Low Testosterone indicates low Zinc and low Vitamin D3. To naturally increase Testosterone you can take Zinc Picolinate 50 mg daily, Vitamin D3 5000 IU daily, Magnesium Citrate 200 mg twice daily, Mucuna Pruriens, for up to 9 - 12 months. http://www.ncbi.nlm.nih.gov/pubmed/8875519 http://www.ncbi.nlm.nih.gov/pubmed/20050857 http://www.ncbi.nlm.nih.gov/pubmed/18973898 http://www.telegraph.co.uk/health/healthnews/7127197/Sunbathing-boosts-mens-sex-drive.html http://www.ergo-log.com/magnesiumtest.html ------------------------------------ Oxford University: Gene study supports link between vitamin D deficiency and disease http://www.ox.ac.uk/media/news_stories/2010/240810.html http://www.vitamindcouncil.org/ http://www.youtube.com/watch?v=qeg-5NDyJ84 & feature=related The correct blood test for Vitamin D is 25 (OH) D. >> I'm a 50 yr old male. I've been married 28 years. At the age of 40, I had a prostate infection and saw a urologist. He prescribed antibiotics and that cleared up the problem. But after that, I began to notice that my erections were not as powerful as they'd once been, but the feelings were still there and I could orgasm.> Until about 10 years ago, my wife was not interested in sex. I used to want it every day and had no problem getting or maintaining an erection. And definitely had no problem reaching an orgasm. However, I did get tired of practically begging for sex with my wife, but I remained faithful to her and took care of my needs through masturbation. In 2003, we had some marital problems and I began to have some issues with ED. In 2004, my wife and I separated for about a month at which time, I became extremely depressed and was put on Effexor by my medical dr. When she came back, I had no sex drive and my penis felt numb. I couldn't get it up for nothing, so I talked to my dr and he put me on Viagra. > After taking the Viagra, I had no problem getting an erection, but I could not, no matter how hard I tried, reach orgasm, unless I was alone and masturbated for what seemed like an eternity. I spoke to my dr about the problem and he said that this was one of the side effets of the Effexor, but should correct itself once I reached the target dosage. But after reaching the targeted dosage, nothing changed, so I took myself off of the Effexor. I didn't need it for depression anymore at that time and figured if I got off the med, my sex drive and ability to orgasm would return. But it didn't. My penis still became numb feeling after being erect for a few minutes. It was as if someone flipped a switch and all feeling stopped. It would stay hard due to the Viagra, but would do nothing else.> I spoke to my dr about his and put me on Cardura. That helped some with the lack of sensation, but not enough. Before the Cardura, there was a little feeling left in my penis around the head. After taking the Cardura for a week or so, there was some feeling just below the head on the top and underside...but nowhere close to how it was before the Effexor. Used to, my whole shaft was sensitive. Now, 99% of the shaft is numb. In addition to prescribing Cardura, my dr. checked my testosterone level and told me that it was low. I took shots of testosterone monthly. That restored some of my energy and libido, but did nothing to help with the lack of sensation in my penis.> This problem has been ongoing since I started and stopped the Effexor in 2004...8 years! I have seen two urologists. The first was surprised and said that I was the first patient he had seen that suffered from what he called "anorgasmia". He had no answers. Last summer, I began seeing a different urologist. At first, the visits seemed promising. He, of course, checked my prostate and said it felt normal. He checked my testosterone level and said it was low and put me back on shots, increasing my dosage so that I had to take two shots per month. If my memory is correct, I was taking around 400 mgs per month. Once again, that restored the sex drive, but did nothing to increase sensation and I still needed ED meds to get an erection. Still, no orgasm through vaginal sex. I had to masturbate to get relief and the weird thing about it is, in the last 5 years or so, Ive had to be sitting up to reach orgasm through masturbation. Since taking the effexor in 2004, I've reached orgasm twice with my wife during intercourse.> I kept pressing my urologist for answers and he finally told me what I've been reading on the internet..."I think it's in your head. When you let go and relax, things will go back to normal."> But I KNOW this is not in my head. I used to wake up every morning before what I call, "the effexor days" with a raging erection. Now, I never wake with an erection. Since taking the effexor, my penis produces an excessive amount of precum. Before effexor, there was very little precum.> I am at my wits end. This is very frustrating. I have felt all these years that this was not in my head, yet that's what guys like me are told either thru research on the internet or by a doctor. > My question is, what can I do to fix this? My wife has become much more interested in sex in the past few years and I think, "Wow, we could have the perfect sex life now if only I could function normally again." I don't have an issue with using ED meds to help boost the erections, if only I could reach orgasm like I once could before the effexor.> Does anyone have any suggestions as to what to do about this problem? Are there any medications that can be taken to reverse the damage that I believe effexor caused?> > Thanks for your input. Sorry for the long post.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2012 Report Share Posted February 28, 2012 http://en.wikipedia.org/wiki/Post-SSRI_sexual_dysfunction You'll find most doctors are not aware of PSSD. You may wish to print out the following at the two links and show to your doctor. http://www.ncbi.nlm.nih.gov/pubmed/18173768 http://www.primarypsychiatry.com/aspx/article_pf.aspx?articleid=1479 --------------------------------- What should I do if currently suffer SSRI sexual side effects, but have been off the drug for several months? Find a doctor and get a comprehensive blood test. We recommend the following:Total Testosterone, Bioavailable Testosterone (sometimes called "Free and Loosely Bound"), Free Testosterone (If Bio T is not available), SHBG, DHT, Estradiol (Specify the "Sensitive Extraction Method"), Total Estrogens, LH, FSH, Prolactin, Cortisol, Thyroid Panel (TSH, FT3, FT4), Complete Blood Count, Comprehensive Metabolic Panel, Lipid Panel, Homocysteine, and IGF-1 http://health.groups.yahoo.com/group/SSRIsex/database?method=reportRows & tbl=1 > >> > Hi Man > >  > > Let me Just say this, I believe you Man and this group will help you out. I think what you have is what most of us on this forum have ,which is PSSD. I am 25 years old and have been free of SSRIs for close two 3 years and still have sexual dysfunction, mainly numb genitals, and joyless muted orgasm. My erections are easier to obtain with self stimulation and sex drive is pretty low. The good news is many people recover and the key is exercise and a healty diet. There are some docters who Know About PSSD. There docter Irwin Goldstein in California and one in Holland. > >  > > All the best , Adam> > > > > > ________________________________> > From: elemteach4 elemteach4@> > To: SSRIsex > > Sent: Sunday, February 26, 2012 2:13:16 PM> > Subject: Help!> > > > > > > >  > > > > I'm a 50 yr old male. I've been married 28 years. At the age of 40, I had a prostate infection and saw a urologist. He prescribed antibiotics and that cleared up the problem. But after that, I began to notice that my erections were not as powerful as they'd once been, but the feelings were still there and I could orgasm.> > Until about 10 years ago, my wife was not interested in sex. I used to want it every day and had no problem getting or maintaining an erection. And definitely had no problem reaching an orgasm. However, I did get tired of practically begging for sex with my wife, but I remained faithful to her and took care of my needs through masturbation. In 2003, we had some marital problems and I began to have some issues with ED. In 2004, my wife and I separated for about a month at which time, I became extremely depressed and was put on Effexor by my medical dr. When she came back, I had no sex drive and my penis felt numb. I couldn't get it up for nothing, so I talked to my dr and he put me on Viagra. > > After taking the Viagra, I had no problem getting an erection, but I could not, no matter how hard I tried, reach orgasm, unless I was alone and masturbated for what seemed like an eternity. I spoke to my dr about the problem and he said that this was one of the side effets of the Effexor, but should correct itself once I reached the target dosage. But after reaching the targeted dosage, nothing changed, so I took myself off of the Effexor. I didn't need it for depression anymore at that time and figured if I got off the med, my sex drive and ability to orgasm would return. But it didn't. My penis still became numb feeling after being erect for a few minutes. It was as if someone flipped a switch and all feeling stopped. It would stay hard due to the Viagra, but would do nothing else.> > I spoke to my dr about his and put me on Cardura. That helped some with the lack of sensation, but not enough. Before the Cardura, there was a little feeling left in my penis around the head. After taking the Cardura for a week or so, there was some feeling just below the head on the top and underside...but nowhere close to how it was before the Effexor. Used to, my whole shaft was sensitive. Now, 99% of the shaft is numb. In addition to prescribing Cardura, my dr. checked my testosterone level and told me that it was low. I took shots of testosterone monthly. That restored some of my energy and libido, but did nothing to help with the lack of sensation in my penis.> > This problem has been ongoing since I started and stopped the Effexor in 2004...8 years! I have seen two urologists. The first was surprised and said that I was the first patient he had seen that suffered from what he called "anorgasmia". He had no answers. Last summer, I began seeing a different urologist. At first, the visits seemed promising. He, of course, checked my prostate and said it felt normal. He checked my testosterone level and said it was low and put me back on shots, increasing my dosage so that I had to take two shots per month. If my memory is correct, I was taking around 400 mgs per month. Once again, that restored the sex drive, but did nothing to increase sensation and I still needed ED meds to get an erection. Still, no orgasm through vaginal sex. I had to masturbate to get relief and the weird thing about it is, in the last 5 years or so, Ive had to be sitting up to reach orgasm through masturbation. Since taking the effexor in> > 2004, I've reached orgasm twice with my wife during intercourse.> > I kept pressing my urologist for answers and he finally told me what I've been reading on the internet..."I think it's in your head. When you let go and relax, things will go back to normal."> > But I KNOW this is not in my head. I used to wake up every morning before what I call, "the effexor days" with a raging erection. Now, I never wake with an erection. Since taking the effexor, my penis produces an excessive amount of precum. Before effexor, there was very little precum.> > I am at my wits end. This is very frustrating. I have felt all these years that this was not in my head, yet that's what guys like me are told either thru research on the internet or by a doctor. > > My question is, what can I do to fix this? My wife has become much more interested in sex in the past few years and I think, "Wow, we could have the perfect sex life now if only I could function normally again." I don't have an issue with using ED meds to help boost the erections, if only I could reach orgasm like I once could before the effexor.> > Does anyone have any suggestions as to what to do about this problem? Are there any medications that can be taken to reverse the damage that I believe effexor caused?> > > > Thanks for your input. Sorry for the long post.> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2012 Report Share Posted February 28, 2012 dont take any meds at all if you can, and try herbal remedies. avoid modern medicine at all costs. most of it is rubbish, except for the surgical side of things. the longer you dont take any meds, the better you will be, and hopefully it will come back, but it does take ages. > > I'm a 50 yr old male. I've been married 28 years. At the age of 40, I had a prostate infection and saw a urologist. He prescribed antibiotics and that cleared up the problem. But after that, I began to notice that my erections were not as powerful as they'd once been, but the feelings were still there and I could orgasm. > Until about 10 years ago, my wife was not interested in sex. I used to want it every day and had no problem getting or maintaining an erection. And definitely had no problem reaching an orgasm. However, I did get tired of practically begging for sex with my wife, but I remained faithful to her and took care of my needs through masturbation. In 2003, we had some marital problems and I began to have some issues with ED. In 2004, my wife and I separated for about a month at which time, I became extremely depressed and was put on Effexor by my medical dr. When she came back, I had no sex drive and my penis felt numb. I couldn't get it up for nothing, so I talked to my dr and he put me on Viagra. > After taking the Viagra, I had no problem getting an erection, but I could not, no matter how hard I tried, reach orgasm, unless I was alone and masturbated for what seemed like an eternity. I spoke to my dr about the problem and he said that this was one of the side effets of the Effexor, but should correct itself once I reached the target dosage. But after reaching the targeted dosage, nothing changed, so I took myself off of the Effexor. I didn't need it for depression anymore at that time and figured if I got off the med, my sex drive and ability to orgasm would return. But it didn't. My penis still became numb feeling after being erect for a few minutes. It was as if someone flipped a switch and all feeling stopped. It would stay hard due to the Viagra, but would do nothing else. > I spoke to my dr about his and put me on Cardura. That helped some with the lack of sensation, but not enough. Before the Cardura, there was a little feeling left in my penis around the head. After taking the Cardura for a week or so, there was some feeling just below the head on the top and underside...but nowhere close to how it was before the Effexor. Used to, my whole shaft was sensitive. Now, 99% of the shaft is numb. In addition to prescribing Cardura, my dr. checked my testosterone level and told me that it was low. I took shots of testosterone monthly. That restored some of my energy and libido, but did nothing to help with the lack of sensation in my penis. > This problem has been ongoing since I started and stopped the Effexor in 2004...8 years! I have seen two urologists. The first was surprised and said that I was the first patient he had seen that suffered from what he called " anorgasmia " . He had no answers. Last summer, I began seeing a different urologist. At first, the visits seemed promising. He, of course, checked my prostate and said it felt normal. He checked my testosterone level and said it was low and put me back on shots, increasing my dosage so that I had to take two shots per month. If my memory is correct, I was taking around 400 mgs per month. Once again, that restored the sex drive, but did nothing to increase sensation and I still needed ED meds to get an erection. Still, no orgasm through vaginal sex. I had to masturbate to get relief and the weird thing about it is, in the last 5 years or so, Ive had to be sitting up to reach orgasm through masturbation. Since taking the effexor in 2004, I've reached orgasm twice with my wife during intercourse. > I kept pressing my urologist for answers and he finally told me what I've been reading on the internet... " I think it's in your head. When you let go and relax, things will go back to normal. " > But I KNOW this is not in my head. I used to wake up every morning before what I call, " the effexor days " with a raging erection. Now, I never wake with an erection. Since taking the effexor, my penis produces an excessive amount of precum. Before effexor, there was very little precum. > I am at my wits end. This is very frustrating. I have felt all these years that this was not in my head, yet that's what guys like me are told either thru research on the internet or by a doctor. > My question is, what can I do to fix this? My wife has become much more interested in sex in the past few years and I think, " Wow, we could have the perfect sex life now if only I could function normally again. " I don't have an issue with using ED meds to help boost the erections, if only I could reach orgasm like I once could before the effexor. > Does anyone have any suggestions as to what to do about this problem? Are there any medications that can be taken to reverse the damage that I believe effexor caused? > > Thanks for your input. Sorry for the long post. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2012 Report Share Posted February 28, 2012 Has anyone tried cyproheptadine, Ginkgo biloba , yohimbine, and amantadine with any sucess? I tried Ginkgo, however I didn't take it consistently. To: SSRIsex Sent: Tuesday, February 28, 2012 7:22:32 AM Subject: Re: Help! Hi, If anorgasmia is the main issue, perhaps you should consult your doctor about one of the following: (1) Bupropion (2) Yohimbine (3) Oxytocin (1)- Masand PS, Ashton AK, Gupta S, B (2001). "Sustained-release bupropion for selective serotonin reuptake inhibitor-induced sexual dysfunction: a randomized, double-blind, placebo-controlled, parallel-group study". Am J Psychiatry 158 (5): 805–807 (2) - Adeniyi AA, Brindley GS, Pryor JP, Ralph DJ (May 2007). "Yohimbine in the treatment of orgasmic dysfunction". Asian Journal of Andrology 9 (3): 403–7 (3) - Ishak WW, Berman DS, s A. Male anorgasmia treated with oxytocin. J Sex Med. 2008 Apr;5(4):1022-4. Epub 2007 Dec 14. For genital anesthesia, cosnider ginko buloba: (4) Ellison JM, DeLuca P. Fluoxetine-induced genital anesthesia relieved by Ginkgo biloba extract. J Clin Psychiatry. 1998 Apr; 59(4):199-200 Yossi Quote Link to comment Share on other sites More sharing options...
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