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Old 06-10-2004, 06:06 AM   #1
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anytwo HB User
How do you handle Sexual Side Effects

I've been diagnosed with OCD for like 12 yrs now. Im a 27yr old female. I have been on meds since 19. My question is how do you guys handle the sexual side effects? What do you experience (for women & men). I have been on SSRI's (Prozac now) all the time and just introduced Tricylic to the mix (Anafranil) I find orgasm is very hard to reach. I've always had a hard time reaching it (from all the other meds I think) But I starter taking meds before I ever had my first orgasm, so not sure what it SHOULD be like. Im noticing on the Anafranil, it is much harder. Im not in a relationship now, but I am scared that when I do enter one, the man may judge me on that and not want to be with me.

I still have normal desires so far. I have sexual obsessions, so its no surprise I'm worrying about this!!

Thanks...Looking forward to your replies

 
Old 06-10-2004, 10:22 PM   #2
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single_mom_of_2 HB User
Exclamation Wow, I am so glad that you asked....

Wow, I am so glad that someone else asked this... I have recently been struggeling with this problem. I started Celexa 2-3 months ago for Depression, and it has also (slightly) helped my OCD. I feel like 200% better about life since starting this but I have the one horrid side effect. My sex drive has literally gone from 100% to 0%. I am a 27 year old single mom of 2 kids. I am single at the moment, but that doesn't stop me from wanting or needing a sex drive. Before starting Celexa, I could reach Orgams very easily, it's always been like that, and since starting Celexa, 2-3 months ago, I have not been able to reach Orgasm at all. I have tried everything, from toys and vodeo's to set the mood, and I get turned on, but no matter how hard or for how long I try.... nothing!!!!! I brought this up with my Dr, and let me tell you, from his reaction, I am seriously considering finding a new Dr. I told him that my sex drive has gone from very high to not having one at all, and his first response was that I wasn't in a relationship right now, so it wasnt a big deal at all. I am on birth control for regulation purposes and yes, my Dr knows this. At this visit I also got some birth control samples from him. So, the next visit, he said "Oh, I ran a pregnancy test on you" When I had given a urine sample to detect a UTI. "And it was negative." I then explained that I could have told him that and he asked how. I said, I told you I am not having sex right now, which he also knew, and his response to that was "Then why did you ask me for birth control pills last visit then?" I was blown away, he knows why I am on the pill, and for him to just take a pregnancy test without my consent... but wait, it gets worse. I then bring up the sex drive thing and his response to that is women are different than men. and dont really need a sex drive, that men need one because they attend Strip clubs and what not, woman can have sex without one, it's not a real problem for women at all. Again, I was completely discusted! The only reason I have gone back to him at all is becasue he is giving me samples of Celexa, and I dont have any drug coverage and I cant afford it otherwise.
Aside from all that, does anyone know if there is a Vaigra type thing for women? lol.

 
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Old 06-11-2004, 09:57 AM   #3
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Re: How do you handle Sexual Side Effects

Hi, its a common problem with no easy answer, maybe the prozac dose could have been upped instead of adding the anafranil
the sexual response is altered rather than stopped, so if you still cen eventually orgasm, I suggest you be satisfied with this
the antidepressant wellbutrin is said by some to not cause sexual side effects and is sometimes added to other antidepressants for this purpose

 
Old 06-11-2004, 10:19 AM   #4
 
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InExile 23:1 HB User
Re: How do you handle Sexual Side Effects

single mom of 2,

Just to respond and let you know, I've been seeing a commercial air constantly that actually is a "viagra" for women. Wish I could tell you what it's called, but it starts with an 'A', I think it's Avilamil or something. Anyway, just thought I'd tell you, might wanna ask your doc.

 
Old 06-11-2004, 11:19 AM   #5
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Portia26 HB User
Re: How do you handle Sexual Side Effects

It's called Avlimil. It's a fancy commercial, but be careful, I think it's just an herbal supplement made to look like a drug. Read up on it, customer reviews and such... I'm curious about it too, I have been able to reach orgasm but my sex drive is not what it used to be.

 
Old 06-11-2004, 12:10 PM   #6
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Re: How do you handle Sexual Side Effects

Quote:
Originally Posted by hry33
Hi, its a common problem with no easy answer, maybe the prozac dose could have been upped instead of adding the anafranil
the sexual response is altered rather than stopped, so if you still cen eventually orgasm, I suggest you be satisfied with this
the antidepressant wellbutrin is said by some to not cause sexual side effects and is sometimes added to other antidepressants for this purpose
Thanks for your answer. I thought no one would reply to this. Like above, I can still get aroused but just cant seem to get to that point. I eventually do but it takes a while, maybe cause I wont give up..lol

When you said, I should be happy, that kinda made me feel better..lol

Its not a big problem now, because Im not in a relationship, but when I become sexually active again, it might become more of a problem.

I guess there is comfort in knowing that its a side effect of the meds, and theres nothing "wrong" with me.

Unfortunatly I was on the highest dose of prozac. Im going to tell my doctor this but he knows Im not having sex, so Im gonna be embarrsed to tell him it takes a long time to -----.lol

Will the side effects subside ever?

 
Old 08-19-2004, 09:42 AM   #7
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Re: How do you handle Sexual Side Effects

HI....I'VE HAD ALL THE PROBLEMS U MENTION, PAXIL BEING THE WORST. EVEN WHEN ONE IS NOT SEXUALLY ACTIVE, OUR SEXUALITY IS A LARGE PART OF WHO WE ARE. HAVE YOU CONSIDERED A DRUG HOLIDAY FROM THE PROZAC TO SEE WHAT RESPONSE YOU HAVE FROM JUST THE ANAFRANIL? IT COULD BE THE COMBINATION OF THE TWO. MED HOLIDAYS ARE SUGGESTED OFTEN FOR PERSONS IN A RELATIONSHIP. THE TYPICAL RECOMMENDATION IS TAKE THE WEEKENDS OFF. GENERALLY THERE ARE MORE SEXUAL SYMPTOMS WITH SSRIs than TCAs. I'M A FIRM BELIEVER IN TRYING EVERYTHING TILL I GET MY ANSWER. BTW, I HAVE KNOWN AND HEARD OF A NUMBER OF WOMEN THAT HAVE NO OR GOOD SIDE EFFECTS (INCREASED DESIRE) WITH WELLBUTRIN. GOOD LUCK.

Last edited by inquisitive941; 08-19-2004 at 09:48 AM.

 
Old 08-19-2004, 09:04 PM   #8
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Re: How do you handle Sexual Side Effects

Hey . . . I've had the same problem unfortunately. I posted about this earlier, and I wasn't sure if anyone else was affected the same way. Right now I'm supposed to be on Prozac but it's been horrible sexual-side-effect-wise lol. I stopped taking it a few days ago (yes I know, bad idea) but I was getting too frustrated with having no sexual desire and not being able to have an orgasm. My boyfriend and I have always been very...active... but lately I haven't wanted to do anything - I don't like the way I felt on the Prozac. I tried taking it every other day for about a week or so right before I went to bed to maybe lessen the dreaded anti-orgasm side effect, but it made no difference. And of course with having OCD, that was one of the things that was on my mind constantly - I worried about the "what ifs" and "I know I won't be in the mood" and the "I don't even want to try, I can't have an orgasm anymore" Thankfully my bf has been very understanding, as he is on Lexapro and had side effects for the first few weeks. Its good to know that there's nothing wrong with me . . . Every time I stopped taking an SSRI, everything went back to normal - the side effects disappeared. My doctor told me that for most people who get sexual side effects from an SSRI, a stimulant is added to somehow counteract it. I'm already on Adderall though, so I have no idea how I can find a good balance with the meds and other things (I have to find a way though, I can't stand the way I am not on meds)

Single mom of 2 . . . Have you thought about going to a new doctor? He is wrong about what he said - It is just as important for us women to be sexually satisfied as our boyfriends/husbands. With therapy - meds, counseling, doctors, etc - don't settle for anything you're not completely happy with. You can always find a new doctor, therapist, or try different medications (I found that out after working with one therapist for over a year and not seeing any improvements in myself haha.) If only all this was easier! One thing improves, then some other problem arrises!

Good luck with it, let me know if you find any solutions please!

 
Old 11-27-2006, 01:18 AM   #9
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Re: How do you handle Sexual Side Effects

I'll just say that I was on Paxil for 3 years and my sex drive dropped. Now I'm on Wellbutrin and my sex drive is way way up. And this is definately an effect of the wellbutrin because i had been off the Paxil for a year before going on WEllbutrin - mind you I have only been on it for 2 weeks now but I've noticed a total increase from my previous 'normal' state.

 
Old 11-28-2006, 01:05 AM   #10
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Re: How do you handle Sexual Side Effects

Very tough.... I try to find the lowest dose that only causes mild sexual problems but has enough OCD benefit.
Drugs like Anfranil, Paxil and Zoloft cause the most Severe SExual problems pretty much at any dose.
Other drugs tend to have less Sexual problems like Luvox or prozac or lexapro.
Again, it all depends on the person's chemistry.
At 60 mg of prozac I felt impotent but after lowering the dose down to 40 mg I feel that 70 percent of my sexual problems have been cured and it still is helping my OCD to a good effect.
Still this is a daily problem all of us OCD folks on SSRI;s have to deal with and probably will have to for life.!!!!!!! Just try to find that balance of lowest dose.

 
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