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Post Sexual side Effects from Celexa

Four years ago I was diagnose with Major depression and Anxiety and my doctor prescribed me Celexa, starting with 5 mg per day for 4 months, 10 mg for 6 months, 15 mg for another 4 months and 20mg for 4 months, this bring about a total of 18 months on this medication. My problem was that during the course of time on medication.My intercourse with my girlfriend would last for about 30 mins and still being errected for more. Anyway I started to feel 100% better,  then the weaning  process began, after I completely stop using the Celexa, 2 months after,  I notice I become the "minute man" in bed and once I get an errection, It would last about 5 mins the most. So right now I decided to use some over the counter supplements, I am taking L-Arginine with vitamin C and daily exercise. I notice a difference in improving. So today (01-29-09) I went to see an Urologist and explained my problem. He told me he doesn't want to give me Viagara or Levitra but what he told me today was quite surprise to me. He says sometimes   Phychiatric medication can help delay premature sex and ejaculation. So he prescribe me 30mg of Paxil and to be use 4 hours before sex. Anyone ever have this sort of experience?
please help.
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Avatar universal
First of all, kindly disregard the reply by Janice Epp. She clearly likes to listen to herself talk but has no appreciation for the content of your post. The problem you described with premature ejaculation resulting from cessation of your SSRI is in fact not unusual. You can search "Post SSRI Sexual Dysfunction" and learn more. As for the Paxil solution that has been presented to you, I would recommend you avoid it. My own experiences with SSRI withdrawl, and the associated problem of sudden onset of extreme premature ejaculation, indicate that the problem will correct itself in time. Other posts I have read suggest the same. The key is to stay off the SSRIs and let your body return to normal. Best of luck to you!
Helpful - 3
523042 tn?1212177895
MEDICAL PROFESSIONAL
What kind of help do you want? It's not clear to me what you're asking or why you want to take Paxil to delay your orgasms. Paxil is an anti-depressant, and can have many side effects. There are other ways to learn how to last longer, if that's important to you. Read on.

First, let’s clear up something: you’re NOT the problem.  There’s nothing wrong with you—or your penis. I'm wondering why you have the expectation that you should last longer than 5 minutes. Some men--and women--get the idea that a woman “should” orgasm with penis-vagina (p-v) stimulation and that no matter how long it takes, you should hang in there. The fact is that most women DON’T orgasm during p-v sex. It’s a much more effective way for men to orgasm than women.

A major difference between women and men is that generally, the clitoris needs constant direct or indirect stimulation, unlike the penis. Many men think they have to last a very long time in order to please their partner, yet most studies show that around 75% of all males have an orgasm within 2 minutes of beginning penis-vagina (p-v) sex . While many women enjoy p-v sex, for at least 40-50% of them, it usually doesn’t result in orgasm. Why? Because most p-v sex doesn’t provide the steady pressure and reliable stimulation women need for orgasm.

I think you and your girlfriend are putting way too much pressure on your poor penis to be perfect. I can assure you that what makes a great lover has nothing to do with erections and everything to do with being open to trying new things, being imaginative and spontaneous, and, most importantly, treating your whole body and a partner's whole body as sexual, not just your crotch. Trust me: your mind and interpersonal skills are most important.

So relax and stop putting pressure on yourself. If you'd like to explore lasting longer, here are some techniques:

First, slow down during self-pleasuring and unlearn that old pattern of quick orgasm. Try teasing yourself by stimulating yourself just to the point where you feel you’re about to orgasm, then backing off and relaxing, and then beginning again. This will give you a sense of control as well as teach you to recognize your own point of no return (when you know you're about to have an orgasm, no matter what). Another thing to try is when you feel yourself getting close to orgasm, relax, breathe deeply, and cease movement. Some men also find they last longer if they have an orgasm on their own awhile before beginning partner sex. This tends to take the edge off, if you will.

Once you feel in control of your orgasm, you can also examine whether you have any feelings of discomfort with being sexual—either with yourself or with a partner. These feelings of discomfort can create extreme conflict and cause you to feel the need to get it over with quickly. If you look at sex as something to finish quickly—get it up, get it in, get it off—you’ll need to let go of that old mentality. And naturally, any relationship conflicts can also contribute. If your girlfriend  is giving you messages that you should last longer, it's likely that she's contributing to this pattern by making you feel anxious.

So talk with her about this. If the two of you are flexible and open to trying new things, you’ll both have smiles on your faces as the years go by. Dr. J
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