A member asked:

Celexa causes hard to reach orgasm. would lowering the dose help and can it become permanent? im on 20 mg. it does help me though. zoloft (sertraline) made me sick

3 doctors weighed in across 2 answers

Almost immedicately: The side effect is dose related and improves as soon as the blood levels drop which could be the next day. Of course over time if the depression returns your libido could plummet. Lexapro (escitalopram) may have less sexual dysfunction than Celexa. Young men who are anorgasmic on low doses of SSRI, I wonder about Bipolar disorder and would consider Lamictal as alternate rx

Answered 5/8/2016

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Please see your Psychiatrist for an evaluation of your medication. There are other antidepressants you could take. See a Urologist for a physical examination to know if your symptoms are from a physical illness. A Clinical Psychologist with expertise in multiple types of psychotherapy can help. If you are not confident in your Psychiatrist please see another for a second opinion.

Answered 11/29/2022

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