A 32-year-old member asked:
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anti-depressants & the inability to orgasm in men?

3 doctor answers
Dr. Steven Reidbord
35 years experience Psychiatry
SSRIs can do this: Anorgasmia means inability to have an orgasm. Ssri antidepressants (prozac, zoloft, celexa, lexapro, (escitalopram) paxil) are well-known to do this, in both men and women, for a sizable minority of patients. The side-effect is temporary (it ends if the ssri is stopped), and sometimes additional meds can be added to counteract this side-effect if the ssri is otherwise helpful.
Answered on Nov 28, 2017
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Dr. Steven Reidbord
35 years experience Psychiatry
Provided original answer
Citalopram = Celexa, so that could be (part of?) the problem. Wellbutrin often counters its anorgasmia effect though, about half the time in my experience. There are many other causes of anorgasmia, both medical (or medication-related) and psychological. He should discuss this with his primary care doctor to sort it out. If there's nothing medical, maybe see a sex therapist or counselor.
Feb 13, 2012
Dr. K. Olson
Dr. K. Olson answered
38 years experience Psychiatry
No O: This is a common reason men discontinue antidepressants. It can help to consider the side effect when choosing the medication. Several do not have as high of an incidence - bupropion, nefazadone, and possibly viibryd (vilazodone hydrochloride). Add ons can work some of the time - bupropion, buspirone. Underlying physiological problems can be worsened with meds. Check testosterone levels. Shortening the time on med helps.
Answered on Sep 23, 2016
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Dr. Neil Liebowitz
38 years experience Psychiatry
For most people this can be managed by the above suggestions. For some who seem to be anorgasmic on even low doses of antidepressants, I've found the bipolar med, lamictal treats the depression without this side effect.
May 18, 2012
Dr. George Klauber
Specializes in Pediatric Urology
Unfortunate effect: Inability to orgasm is a well known sideeffect of many anti-depressants. Discuss this with your doctor. Hopefully medication can either be changed to one one that does not have the same side-effect or you can slowly be weaned off and no longer require the medication. This should only be done under medical supervision. Good luck.
Answered on Apr 12, 2013
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Related questions:

A 33-year-old member asked:
Dr. Howard Usitalo
39 years experience Urology
Side effects: Many antidepressants esp the ssris will retard ejaculation over time this may become less of a problem. There are many ssris to choose from so talk to ... Read More
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A 42-year-old member asked:
Dr. George Klauber
Specializes in Pediatric Urology
Yes: Some men have total body orgasms.
A 37-year-old male asked:
Dr. Michael Ein
47 years experience Infectious Disease
They don't: Men generally have orgasisms more frequently and more quickly than women. Women sometimes have prolonged or multiple orgasms which men do not have.
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A 22-year-old female asked:
Dr. Bassam Amawi
48 years experience Psychiatry
Orgasm: Menborgasm can be much easier and sometims even before penetration . Women orgasm can be more difficult and need for play

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