Guest guest Posted January 27, 2012 Report Share Posted January 27, 2012 Hi all. I am new to the group. I actually do not suffer from Post SSSRI PSD but my fiancé is beginning to show signs. At 18 (now 31) he was put on antidepressants (the prescriptions did change over the years) and had been continually taking them until April 2011 when he began discussing weaning off of Effexor with his doctor. July 2011 he took his last dose. Once the weaning process had begun we noticed his inability to truly last in bed. We spoke with his doctor who assured us that with time he would begin to see his sexual performance returning to normal. We still have yet to see an increase in his " lasting time " . I've never felt a loss of enjoyment in bed with him as he is lays one to please and I don't care if he lasts 2 minutes or 2 hours...I just want him to feel confident and good about himself. We do the whole " stop and start method " but can only do it for so long. He's recently begun talking about going back on Effexor just to last longer in bed. He was so happy to get off of his meds and I would hate to see him go back to them simply for this one reason. Has anyone else found things that work to increase their performance time? We are going to try condoms and see if that helps to decrease his sensitivity. I'm just worried if we don't find a solution in the next couple of months he'll lose interest in sex all together...thankfully he's still very interested but I can tell he's more insecure about his performance. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2012 Report Share Posted January 27, 2012 I am still on synthroid and I am 25 years old, if my thyroid were to rebalance wouldn't rebalance well I am on synthtroid. To: SSRIsex Sent: Friday, January 27, 2012 12:56:43 PM Subject: Hi. New to the group... Hi all. I am new to the group. I actually do not suffer from Post SSSRI PSD but my fiancé is beginning to show signs. At 18 (now 31) he was put on antidepressants (the prescriptions did change over the years) and had been continually taking them until April 2011 when he began discussing weaning off of Effexor with his doctor. July 2011 he took his last dose. Once the weaning process had begun we noticed his inability to truly last in bed. We spoke with his doctor who assured us that with time he would begin to see his sexual performance returning to normal. We still have yet to see an increase in his "lasting time". I've never felt a loss of enjoyment in bed with him as he is lays one to please and I don't care if he lasts 2 minutes or 2 hours...I just want him to feel confident and good about himself. We do the whole "stop and start method" but can only do it for so long. He's recently begun talking about going back on Effexor just to last longer in bed. He was so happy to get off of his meds and I would hate to see him go back to them simply for this one reason. Has anyone else found things that work to increase their performance time? We are going to try condoms and see if that helps to decrease his sensitivity. I'm just worried if we don't find a solution in the next couple of months he'll lose interest in sex all together...thankfully he's still very interested but I can tell he's more insecure about his performance. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2012 Report Share Posted January 29, 2012 Wow. I strongly disagree with some of the advice given by Yossi. Consult your doctor about taking Paxil? What??? Do you know how many people suffer from PSSD as a result of taking that drug? Her fiance is already exhibiting sexual issues and you suggest taking another SSRI? Don't do that. If his problems are an issue now, you can bet money they'll get worse if he takes another SSRI. I suggest try waiting for a while. Don't panic and start taking other drugs, injections, etc. Relax. Encourage him to get lots of exercise and to eat healthy. Be supportive and positive with each other. Talk, and try to reduce his stress. > > Hi, welcome > > Regardless of the definition of what your fiance has, good solutions for lasting longer are available. First, consider a short-term medication, that is, a pill he takes before sex and not on a daily basis. This way the chance of getting PSSD are very low (perhaps non-existent). > Consult your doctor about taking on-demand clomipramine (Anafranil)or paroxetine (Paxil), which are very effective for PE. Also, consider taking on-demand tramadol (Tramal), an opioid analgesic that may prolong significantly the time to ejaculation. > > You may also want to try topical anesthetics such as lidocaine/prilocaine (EMLA). These creams reduce temporarily genital sensitivity and are thus helpful for lasting longer. > > If these don't work, based on the fact the your fiance has taken antidepressants for many years without developing PSSD, consider going back to Effexor - but be sure not to increase the dose! ANY increase in dosage may mean increased risk for PSSD! > > If none of the above seems right for you, consider intracavernous injections. Yes, that's injecting the penis with a substance that induces erection. That's not as painful as it sounds. The erection lasts much time (depending on dose, but say 1 hour), regardless of ejaculation. > > As for the definition of what your fiance has: > > Your fiance may have discontinuation symptoms, that is, symptoms that begin when one stops taking antidepressants, and premature ejaculation is very common with quitting SSRIs / Effexor. Did he have PE before taking Effexor? if not, it's probably a discontinuation symptom, that may improve spontaneously with time (but might not). > > It seems, however, that he doesn't have PSSD, which is the persistence of sexual dysfunction that began while taking antidepressants beyond quitting the medication. Common symptoms of PSSD include severe loss of libido, erectile dysfunction and genital anesthesia, and fortunately it seems that your fiance has none of the above. > > Good luck > > Joss (Yossi) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2012 Report Share Posted January 30, 2012 Mike, Thank you. I agree...my fiancé and I both want medication to be the last resort. He's a healthy guy who works out 5 days a week. We're hoping that with time that things will get better. If not then we'll deal with that when the time comes. > > > > Hi, welcome > > > > Regardless of the definition of what your fiance has, good solutions for lasting longer are available. First, consider a short-term medication, that is, a pill he takes before sex and not on a daily basis. This way the chance of getting PSSD are very low (perhaps non-existent). > > Consult your doctor about taking on-demand clomipramine (Anafranil)or paroxetine (Paxil), which are very effective for PE. Also, consider taking on-demand tramadol (Tramal), an opioid analgesic that may prolong significantly the time to ejaculation. > > > > You may also want to try topical anesthetics such as lidocaine/prilocaine (EMLA). These creams reduce temporarily genital sensitivity and are thus helpful for lasting longer. > > > > If these don't work, based on the fact the your fiance has taken antidepressants for many years without developing PSSD, consider going back to Effexor - but be sure not to increase the dose! ANY increase in dosage may mean increased risk for PSSD! > > > > If none of the above seems right for you, consider intracavernous injections. Yes, that's injecting the penis with a substance that induces erection. That's not as painful as it sounds. The erection lasts much time (depending on dose, but say 1 hour), regardless of ejaculation. > > > > As for the definition of what your fiance has: > > > > Your fiance may have discontinuation symptoms, that is, symptoms that begin when one stops taking antidepressants, and premature ejaculation is very common with quitting SSRIs / Effexor. Did he have PE before taking Effexor? if not, it's probably a discontinuation symptom, that may improve spontaneously with time (but might not). > > > > It seems, however, that he doesn't have PSSD, which is the persistence of sexual dysfunction that began while taking antidepressants beyond quitting the medication. Common symptoms of PSSD include severe loss of libido, erectile dysfunction and genital anesthesia, and fortunately it seems that your fiance has none of the above. > > > > Good luck > > > > Joss (Yossi) > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2012 Report Share Posted February 3, 2012 A significant number of individuals in this group seem to have developed PSSD after having been on an SSRI for a while, stopping it without PSSD, then going on to develop PSSD after a second round of SSRI therapy, even with the SAME SSRI as taken the first time. So I don't think we can safely assume PSSD would not develop if he resumes effexor. Also, I believe, but am not sure that Tramadol acts on the serotonin system. I would also encourage refraining from use of drugs and give the body some more time to recover. > > > > > > Hi, welcome > > > > > > Regardless of the definition of what your fiance has, good solutions for lasting longer are available. First, consider a short-term medication, that is, a pill he takes before sex and not on a daily basis. This way the chance of getting PSSD are very low (perhaps non-existent). > > > Consult your doctor about taking on-demand clomipramine (Anafranil)or paroxetine (Paxil), which are very effective for PE. Also, consider taking on-demand tramadol (Tramal), an opioid analgesic that may prolong significantly the time to ejaculation. > > > > > > You may also want to try topical anesthetics such as lidocaine/prilocaine (EMLA). These creams reduce temporarily genital sensitivity and are thus helpful for lasting longer. > > > > > > If these don't work, based on the fact the your fiance has taken antidepressants for many years without developing PSSD, consider going back to Effexor - but be sure not to increase the dose! ANY increase in dosage may mean increased risk for PSSD! > > > > > > If none of the above seems right for you, consider intracavernous injections. Yes, that's injecting the penis with a substance that induces erection. That's not as painful as it sounds. The erection lasts much time (depending on dose, but say 1 hour), regardless of ejaculation. > > > > > > As for the definition of what your fiance has: > > > > > > Your fiance may have discontinuation symptoms, that is, symptoms that begin when one stops taking antidepressants, and premature ejaculation is very common with quitting SSRIs / Effexor. Did he have PE before taking Effexor? if not, it's probably a discontinuation symptom, that may improve spontaneously with time (but might not). > > > > > > It seems, however, that he doesn't have PSSD, which is the persistence of sexual dysfunction that began while taking antidepressants beyond quitting the medication. Common symptoms of PSSD include severe loss of libido, erectile dysfunction and genital anesthesia, and fortunately it seems that your fiance has none of the above. > > > > > > Good luck > > > > > > Joss (Yossi) > > > > > > Quote Link to comment Share on other sites More sharing options...
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