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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by bertill33 on May 7, 2004, at 12:04:05
I am a young male and have had no sexual function for years. I am aware that medications cause loss of libido and other problems I think everyone knows that. However when I sleep I do not have nocturnal erections this has gone on for a while too and of course in daily life I don't either nor when I wake up.
To the guys here can you tell me if you still get nocturnal erections?
Can you tell me also what quality are your erections when you sleep and wake up also if you are on meds or not?
I don't think this is a mental illness problem but more physical
Posted by DirtyLowDown4 on May 7, 2004, at 15:06:58
In reply to Sexual Problems and Mental Illness, posted by bertill33 on May 7, 2004, at 12:04:05
I am a 49 year old married male who has suffered from depression, anxiety, social phobia, and obsessive compulsive since I was an early teen. I sought no psychiatric treatment until six months ago when things got really bad when my physical health started to deteriorate significantly due to stress rather than disease. I finally confided in my doctor and he put me on 150 mg of Effexor XR. My doctor said he chose Effexor because it was his belief that Effexor had the least sexual side effects of any SSRI. I was not aware of the sexual side effects of this drug and other SSRIs in particular until I started reading this bulletin board. After taking the drug for several weeks my labido seemed to increase, contrary to what others have reported as their personal experience. I also noticed that my erections while both asleep and awake seemed to be firmer and more long-lasting which was not undesirable, although I never had problems in that area even with advancing age. The one side effect I did experience which has been widely reported by many other users of Effexor and other SSRIs is difficulty achieving orgasm. However this was also a desirable side effect for me personally since I have suffered from premature ejaculation my entire adult life, which I attribute to performance anxiety. Although I feel my personal crisis has passed and I could probably stop taking this drug, I continue to take it now for two major reasons. The first is that my sexual experience has been greatly enhanced which has made me happier than I have ever been. The second is that I have stopped taking this drug for very brief periods of time in order to determine the severity of the withdrawal side effects for me personally. The side effects are every bit as bad as people have reported on this bulletin board and I don't look forward to the day when I might decide to stop taking the drug permanently. Based on all the comments of those who have recounted their experience on this bulletin board my sexual side effects have been the exception rather than the rule. Good luck with your treament.
Posted by Sad Panda on May 7, 2004, at 20:19:16
In reply to Sexual Problems and Mental Illness, posted by bertill33 on May 7, 2004, at 12:04:05
> I am a young male and have had no sexual function for years. I am aware that medications cause loss of libido and other problems I think everyone knows that. However when I sleep I do not have nocturnal erections this has gone on for a while too and of course in daily life I don't either nor when I wake up.
>
> To the guys here can you tell me if you still get nocturnal erections?
>
> Can you tell me also what quality are your erections when you sleep and wake up also if you are on meds or not?
>
> I don't think this is a mental illness problem but more physical
>
>I am 36 & Effexor has totally eliminated my libido, I don't remember having any nocturnal or morning erections lately either..... OTOH, this doesn't bother me too much as I am actually happier than I can remember being for a long time. The other problem is Effexor delayed my orgasm at 75mg, & on 150mg it eliminated it(anorgasmia). Since I added Remeron my orgasm has returned to normal. Wellbutrin is said to be good for increasing libido too, but I haven't tried it myself. My erection quality is the same with or without drugs.
Cheers,
Panda.
This is the end of the thread.
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