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A 40-year-old female asked:

How can i ejaculate when taking sertraline?

2 doctor answers9 doctors weighed in
Dr. John Tillett
Urology 22 years experience
Delayed ejaculation: Sertraline, and other selective serotonin reuptake inhibitors that are used to treat anxiety and depression, frequently cause a side effect known as delayed ejaculation. Sometimes, ejaculation may not occur at all. I am not aware of any way to treat this side effect, aside from switching antidepressant medications. Of course, do not do that without approval from your prescribing doctor.
Dr. Joseph Weiner
Psychiatry 42 years experience
SSRI antidepressants such as sertraline, fluoxetine, paroxetine, and citalopram can all cause difficulty having an orgasm. There are several potential approaches to improve this - consult your physician. Eg, if it's also difficult to sustain an erection long enough to ejaculate, a medication like viagra can help.
Dec 23, 2012
Dr. Tariq Halim
Psychiatry 14 years experience
SSRI Side Effect: Ssris, including zoloft or sertraline, can cause sexual side effects, such as increased latency to orgasm. There are medications that may help counter the side effect, but none are scientifically "proven": wellbutrin, buspar, (buspirone) viagra, etc... Please speak w/ your medical provider about decreasing the sertraline to the lowest effective dose or other pharmacotherapy options.

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Last updated Dec 20, 2019

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