QUESTION:
Dear Dr. Heller,
Hi. I have been taking Paxil for like 4 months. I noticed a few side effects, but the most important one was lack of orgasm/ejaculation. I am taking 20 mg. Actually I tried to stop taking it for like 5 days and my brain felt like it was full of electricity, and I became very agitated! I take it for depression. While I was not taking it I started to get VERY sexually aroused one evening. I was lying on the couch and started to masturbate and within 5 minutes I came like never before! IT WAS AT LEAST 1/8 TH CUP OF SEMEN! What a mess !!! So I know it was, and is, the Paxil having caused the lack thereof. I could not take the withdrawal so I started back up on Paxil. Same problem, no ejaculation, but I last for hours and hours. The gals enjoy that part. But I want and need to release my wad from time to time too, you know. Does anyone else out there have this problem?
ANSWER:
Paxil is notorious for preventing ejaculation. Prozac is less so, although it can cause it as well. The antidepressant Wellbutrin can be added to solve this problem. Many people have improved by taking Ginkgo.
If the generalized anxiety disorder is also present, all the SSRI medications will increase anxiety and cause a sex life deterioration as well.
