Anorgasmia (Failure to achieve orgasm)

[Stew52]

Moderator - a 3rd here. "And, with the growth of injections, implants in older guys now, and longer longevity, is this becoming a bigger issue such that it deserves a separate folder (since PE has one)?"

[Wellyboy]

I agree
Time this topic was given proper focus.
What’s the protocol for requesting a break folder?

[Larry10625]

Moderator - a 3rd here. "And, with the growth of injections, implants in older guys now, and longer longevity, is this becoming a bigger issue such that it deserves a separate folder (since PE has one)?"

I will pass this on to the site Admin.

Larry

[Stew52]

I posted this statement in a post in the injection thread: "I wonder aloud here what would happen IF you penetrated into the area with the nerve bundle. Could it cause nerve damage leading to anorgasmia?"

See the thread link here: viewtopic.php?f=5&t=9971

In my list above, could "performance anxiety" be a psych cause also?

[CTR5000]

The big culprit for me regarding Anorgasmia has been various antidepressant medications.
__________________________
Sexual dysfunction is a common side effect of antidepressants and can have significant impact on the person’s quality of life, relationships, mental health, and recovery. The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. There are a number of case reports of sexual side effects, such as priapism, painful ejaculation, penile anesthesia, loss of sensation in the vagina and nipples, persistent genital arousal and nonpuerperal lactation in women. The focus of this article is to explore the incidence, pathophysiology, and treatment of antidepressant iatrogenic sexual dysfunction.

Keywords: depression, antidepressant, iatrogenic sexual dysfunction, SSRI, SNRI

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108697/

[once a writer]

Here's another vote for a separate folder on anorgasmia.

[Stew52]

In my list of possible triggers/causes above I mention that ("Paxil made me a beast"). I was on Paxil for a few months long ago for vague reasons (no PD). I ended up beating the dog out of my wife during sex trying to ejaculate. It was pronounced. But now again 3 decades later I am there again. I get a white flag after 40-60 minutes now depending on how hard we go. Need a fix!! Help!!

[Frank Talk Admin]

In our sexual medicine practice, we prescribe bupropion (Wellbutrin) with great success. It is generally the first line drug for DE. It is a dopamine agonist and lowers the threshold for climax.
Buspirone definitely works for some patients, but not many.
Optimal testosterone levels need to be in place (not just 'within range').
Anxiety levels need to be healthy.
Physical fitness, rest, etc.
BP drugs, SSRIs and some SNRIs are usually fatal for climax.

That's my two cents!
Paul

[60s_surfer]

One of the drugs I have tried for my problems with delayed ejaculation was buproprion (wellbutrin). I found that 37 mg taken in the morning made me hyper until about 2 PM; after that, I crashed. I would like to know whether I am unusually sensitive to this drug. I would appreciate knowing what dose others have used.

[Stew52]

In our sexual medicine practice, we prescribe bupropion (Wellbutrin) with great success. It is generally the first line drug for DE. It is a dopamine agonist and lowers the threshold for climax.
Buspirone definitely works for some patients, but not many.
Optimal testosterone levels need to be in place (not just 'within range').
Anxiety levels need to be healthy.
Physical fitness, rest, etc.
BP drugs, SSRIs and some SNRIs are usually fatal for climax.

That's my two cents!
Paul

Thanks for that.
1. Is Wellbutrin Rx or OTC?
2. Have Low-T but Axiron is putting that in the 600's now. Uro said that T is the foundation to build the rest upon.
3. No particular anxiety but may be subconscious, wife worries about no orgasm for me.
4. What is a SNRI? I've also read that some NSAID's can cause it???

I do have idiopathic PN advancing slightly in feet; that is a concern. I need to make an appt with Uro fr progress and will discuss this.

Honestly I seems now that longer term use of PGE has advanced this condition (just under 2 years now). Just a guess. But then I've noticed it takes longer for longer than that. Ironically, my wife says it's the best ever now. She approves.

Thanks Paul.

Adder: just as PE is more prevalent in younger guys, I wonder how prevalent this is getting in a more sexually treated and active older population now? Any studies??