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Can't ejaculate...

  • Thread starter Thread starter peeonme
  • Start date Start date
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peeonme

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My Dr. put me on Lexapro, which is an SSRI. The med. works great for depression and anxiety, but now i can't ejaculate.
I have dry orgasms that aren't quite as good the real thing and my sex drive is better along with stronger erections.
I feel so much better that I am willing to forsake ejaculating as I now enjoy life much more and feel more in control.

The question, (it may sound dumb), will masturbation and the absence of ejaculation cause any physical problems?

I should add that I was already on phenobarbital which caused some sexual dysfunction.
 
peeonme said:
My Dr. put me on Lexapro, which is an SSRI. The med. works great for depression and anxiety, but now i can't ejaculate.
I have dry orgasms that aren't quite as good the real thing and my sex drive is better along with stronger erections.
I feel so much better that I am willing to forsake ejaculating as I now enjoy life much more and feel more in control.

The question, (it may sound dumb), will masturbation and the absence of ejaculation cause any physical problems?

I should add that I was already on phenobarbital which caused some sexual dysfunction.
Click to expand...

I doubt there's issues. I dove into the research, can't find a damn thing on retained semen. Your body will regulate itself, should be fine. You might be interested in wellbutrin if you'd like to ejaculate as well, tho. Something like 70% showed an improvement in that area.

https://www.ncbi.nlm.nih.gov/pubmed/10929571
 
peeonme said:
My Dr. put me on Lexapro, which is an SSRI. The med. works great for depression and anxiety, but now i can't ejaculate.
I have dry orgasms that aren't quite as good the real thing and my sex drive is better along with stronger erections.
Click to expand...
You're having a fairly rare side effect of SSRI- having orgasms with retrograde ejaculation. It's more common for people on SSRIs to complain about anorgasmia - the inability to have an orgasm.

It's harmless and in the case of SSRIs, it usually goes away when you stop the drug. In most cases, it becomes an issue only if the patient is trying to father children.

A couple of options:
  1. Speak to your physician about changing to an alternative medication. If you feel that this drug is working for you and the side effects are tolerable, then you might want to stay on the drug. One of the problems with SSRIs is that you can't stop them abruptly, so you do need to work with your physician when you want to come off the drug.
  2. If you can tolerate decongestants and don't have blood pressure or prostate enlargement issues, you might try taking a small dose of pseudoephedrine an hour before masturbation. One of the side effects of decongestants is that they enlarge the prostate and increase muscle tone around the urethra, so it might just counteract enough of the SSRI effect to prevent the retrograde ejaculation.
 
Thanks to all for your advise, @ KaraBulut, I might have over stated the dry orgasm part, it's reminiscent of when i was young, it feels good and it reaches a point just short of a regular orgasm. What is kind of neat is that I can do it a few times a day and enjoy it, I do miss a regular orgasm, but I can't go back to how I was.
I will discus this with my Dr. as I have a physical exam coming up in about 2 weeks.
 
peeonme said:
Thanks to all for your advise, @ KaraBulut, I might have over stated the dry orgasm part, it's reminiscent of when i was young, it feels good and it reaches a point just short of a regular orgasm. What is kind of neat is that I can do it a few times a day and enjoy it, I do miss a regular orgasm, but I can't go back to how I was.
I will discus this with my Dr. as I have a physical exam coming up in about 2 weeks.
Click to expand...
That sounds more like anorgasmia than retrograde ejaculation. A lot of younger guys find the effect to be frustrating because they describe the feeling as almost like their brain is detached from their penis. They can get hard, they can have sex for long periods of time but they're unable to reach full climax- either mentally or physically.

Retrograde ejaculation is a different situation as there is the contraction and the lead up to an orgasm but because the ejaculate goes toward the bladder instead of out the penis, the sensation is not as pleasant or as fulfilling.
 
KaraBulut said:
That sounds more like anorgasmia than retrograde ejaculation. A lot of younger guys find the effect to be frustrating because they describe the feeling as almost like their brain is detached from their penis. They can get hard, they can have sex for long periods of time but they're unable to reach full climax- either mentally or physically.

Retrograde ejaculation is a different situation as there is the contraction and the lead up to an orgasm but because the ejaculate goes toward the bladder instead of out the penis, the sensation is not as pleasant or as fulfilling.
Click to expand...

I wanted to give you an update, today after 4 weeks i was able to ejaculate. It seems as though my system is adjusting to the Lexapro. The physical turned out fine, my BP was at 130/90 4 weeks ago and now is at 110/70.
Thanks again for your advise.
 
Pee:

As a fellow traveler on a parallel road (my current drug is Cymbalta, started 3.5 weeks ago), I'm sooooo glad you've returned to launch mode. I've been through this with at least 3 meds over the years and always wonder if this is the time it never finds the ignition switch again. Fortunately, I'm now able, as you were, to put up with the "unintended edging" throughout the day; sometimes I can set off the roman candle before bed ..| (Thank you JUB videos!)

As usual, Karabulut offers the best free advice you can get at any price! And I hope all those Jubbers on SSRIs take note of what he said.

About Wellbutrin: It can be soooo helpful when paired with other meds. But I had it go bad on me. After two months of perfect everything, one day I started having frequent, intense, and very intrusive suicidal ideation. Lucky I asked the pharmacist how I needed to taper off it and he was able to tell me that it doesn't need a taper off. I've since found out from others that other drugs have done the same with them. Good one day; not the next.

I can't remember or list all the SSIs and SSRIs I've gone through in 20+ years. I just consider myself a walking science experiment for Big Pharma. That--and melatonin--lets me sleep at night :-)

Ned
 
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