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Doctor insights on: Citalopram Anorgasmia

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Can you fix anorgasmia?

Can you fix anorgasmia?

Usually, yes: Anorgasmia is more common in females than in males. Most times, the cause range from the psychological to the inadequate skill of the partner. Most cases are amenable to treatment through sex therapy and or psychotherapy. In some cases, the problem may be anatomical or hormonal, in which case it would be best to see an obgyn or a urologist if you are a male. ...Read more

Dr. Alan Ali
921 Doctors shared insights

Citalopram (Definition)

Citalopram is a ssri medication used to treat anxiety and depression disorders, it's also used to treat ptsd and ocd. It takes 4 to 6 weeks to be fully effective. Side effects; sedation, minor temporary stomach issues, delayed orgasm in males and rarely weight gain. It is ...Read more


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What is anorgasmia? And is there a cure

What is anorgasmia? And is there a cure

Inability to orgasm: Anorgasmia is the inability to achieve orgasm, even with adequate stimulation. It is only a disorder if it causes personal distress. There r many potential causes, and it is very treatable. Many women and some men cannot achieve orgasm by penile/vaginal sex, but can via oral or manual stimulation, which is normal. If you or your partner have anorgasmia, see a licensed sex therapist who can help ...Read more

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I'm starting to think I may have anorgasmia. What should I do?

I'm starting to think I may have anorgasmia. What should I do?

Health, Relationship: This could be coming about due to health issues, medication you may be taking, anxiety, depression or relationship issues. Certainly visit with your doc first and rule out hormones, med condition and medications. If none of those, consider a sex therapist to examine your feelings about sex and your relationship to see if something else is going on that you and your partner can work on together. ...Read more

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Anorgasmia from ssri temporary?

Anorgasmia from ssri temporary?

Anorgasmia.....: Caused by ssri may be resolved by lowering dose but unfortunately it tends to continue for as long as you are taking the ssri. There are non ssri meds that are less likely to cause this problem. Please ask your md about this. ...Read more

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What are ways to overcome anorgasmia?

What are ways to overcome anorgasmia?

Health, Relationship: This could be coming about due to health issues, medication you may be taking, anxiety, depression or relationship issues. Certainly visit with your doc first and rule out hormones, med condition and medications. If none of those, consider a sex therapist to examine your feelings about sex and your relationship to see if something else is going on that you and your partner can work on together. ...Read more

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List of all medications that can help with nardil (phenelzine) anorgasmia?

List of all medications that can help with nardil (phenelzine) anorgasmia?

Very short list: Being an MAO inhibitor, Nardil can cause many interactions with medicines that would be safe to try otherwise. Wellbutrin (bupropion) is commonly used to overcome ssri-induced anorgasmia, but isn't safe to use with nardil. Might you & your doctor consider reducing your Nardil dose to see if this helps, but doesn't cause your other symptoms to return? I hope my colleagues will have additional ideas. . ...Read more

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My bf has anorgasmia possibly induced by his SSRI meds and was given Cialis. Could this help with the anorgasmia?

My bf has anorgasmia possibly induced by his SSRI meds and was given Cialis. Could this help with the anorgasmia?

May not be...: Anorgasmia is well known to be one of SSRI side effects, and Cialis is only to enhance penile rigidity for longer penetration, but still will have limited effect to improve ejaculation. Despite readily availability of drugs for almost any mental or physical complaints, they all come with their unique side effects one way or the other. In reality, always take healthy lifestyle as foundation of care ...Read more

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Am currently using cilift20mg for depression. I am now suffering from anorgasmia. I was warned that the meds can influence my sexdrive, any advice?

Am currently using cilift20mg for depression. I am now suffering from anorgasmia. I was warned that the meds can influence my sexdrive, any advice?

Antidepressant S/E’s: Citalopram is noted for causing sexual dysfunction. Luckily one class of antidepressants - Bupropion ie Wellbutrin doesn’t cause sexual dysfunction. Discuss change of medication with psychiatrist. ...Read more

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Cutting my 10mg Lexapro (escitalopram) in half to see if anorgasmia disappears. Haven't felt much benefit from 10mg after 16 days, so is 5mg a legit dose?

Cutting my 10mg Lexapro (escitalopram) in half to see if anorgasmia disappears. Haven't felt much benefit from 10mg after 16 days, so is 5mg a legit dose?

You sound smart: And yes, using a taper by half for a week, then another half if needed sounds safe - but it is still best to pass it by the Dr who Rx'd. They learn by getting this sort of feedback and can protect you from a bad reaction only if they know what's happening. Best wishes! Consider CBT therapy to learn skills for living. ...Read more

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What are natural or medical ways to fix anorgasmia?

Usually: If you have this issue I would suggest you start with your primary care provider. The may be health issues that need to be addressed. Also, they will likely be able to direct you toward a specialists in your area. ...Read more

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Help docs! I'm trying to find out what causes anorgasmia in males?

Help docs! I'm trying to find out what causes anorgasmia in males?

Rescue, ronpo: The most common cause of anorgasmia in otherwise healthy people is drug side effects, particularly SSRIs and SNRIs. The physiological correlative of orgasm, i.e. the muscular contractions, is mediated by the sympathetic nervous system. Isolated anorgasmia at the autonomic level is unlikely. If drug effects have been ruled out, organic causes need to be sought. ...Read more

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Girlfriend's anorgasmia, caused by her anti-depressants or something else, what to do to help her?

Girlfriend's anorgasmia, caused by her anti-depressants or something else, what to do to help her?

Could Be: There are certain Anti-depressants, like Viibrid, Wellbutrin (bupropion) or Serzone which are associated with fewer sexual side effects-she should discuss with prescribing doc. Next, self-stimulation and practice is helpful. A sex therapist can help explore other issues (emotional, relationship, etc.) which may be getting in the way. ...Read more

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I have had bad anorgasmia from brief ssri [8 weeks] of use for about 3 months. Any chance of recovery?

SSRI: Yes, once its washed out of your system after stopping per your physician guidance, in 2 weeks or so you should be fine. ...Read more

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Is anorgasmia from Prozac (fluoxetine) permanent?

Is anorgasmia from Prozac (fluoxetine) permanent?

Generally not: The majority of sexual side effects from the ssri antidepressants resolve after the medication is stopped. Sometimes, they ease up with time while still on the medications, sometimes we add other antidepressants such as bupropion to counter the sexual side effects.
Please consult with your treating physician to get this remedies. ...Read more

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What to do for sexual dysfunction or anorgasmia as a young woman?

What to do for sexual dysfunction or anorgasmia as a young woman?

Information: Learn more about and understand human sexuality. Information on female sexuality is available in books and on the internet from reputable sources. Get to know your body well and what brings you pleasure. If this seems overwhelming to you, a therapist that specializes in sexuality can be very helpful. If you have a history of sexual trauma, find a therapist to work with. ...Read more

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I've got anorgasmia. How to deal with this?

I've got anorgasmia. How to deal with this?

Why?: The most common cause of anorgasmia in otherwise healthy people is drug side effects, particularly SSRIs and SNRIs. The physiological correlative of orgasm (i.e. the muscular contractions) is mediated by the sympathetic nervous system. Isolated anorgasmia at the autonomic level is unlikely. If drug effects have been ruled out, organic causes need to be sought. ...Read more

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Can you tell me about secondary anorgasmia problems?

Can you tell me about secondary anorgasmia problems?

Health, Relationship: This could be coming about due to health issues, medication you may be taking, anxiety, depression or relationship issues. Certainly visit with your doc first and rule out hormones, med condition and medications. If none of those, consider a sex therapist to examine your feelings about sex and your relationship to see if something else is going on that you and your partner can work on together. ...Read more

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Please help! What is the percentage of women who have anorgasmia?

Please help! What is the percentage of women who have anorgasmia?

10-15%: The overall rate is about 10-15%. Most can still achieve orgasm through masturbation but not through intercourse. Sexual therapy can be very helpful to over come this problem. A small vibrator (sold as neck massages in pharmacies) can also be useful. Certain medications can cause this. Don't be embarrassed to ask your obgyn about this common problem. ...Read more

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How can I cure anorgasmia caused by antidepressants?

Multiple strategies: The only cure is stopping the offending medication. Sometimes, an alternate antidepressant can be just as effective w/o causing this side-effect. Before taking this step however, various strategies such as medications that can help alleviate this side-effect, or med holidays can be tried in consultation with your prescribing physician. Hope this helps. Good luck. ...Read more

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How can I treat anorgasmia caused by antidepressants?

Out of luck, D: There really is no good way to counter this side effect except to find an antidepressant other than SSRIs or SNRIs or to combine a drug with a different mechanism of action with a lower dose or the culprit drug. ...Read more

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My bf has a very tight foreskin which leads to painful erections could this cause anorgasmia?

My bf has a very tight foreskin which leads to painful erections could this cause anorgasmia?

Yes.: If your boyfriend has pain with erections, he likely has pain during intercourse due to the severe foreskin tightness. This can definitely contribute to anorgasmia. He should be evaluated by a urologist. ...Read more

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Effexor (venlafaxine) withdrawal went very wrong (depression/anxiety and anorgasmia), what to do?

Effexor (venlafaxine) withdrawal went very wrong (depression/anxiety and anorgasmia), what to do?

Let your prescribing: Provider know. Effexor (venlafaxine) taper should be done under medical supervision. You could develop significant discontinuation syndrome and return of depression/ anxiety if you come off it too quickly or before you are ready. ...Read more

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Can you tell me about Effexor (venlafaxine) withdrawal went very wrong (depression/anxiety and anorgasmia)?

Effexor (venlafaxine): Potential symptoms after stopping Effexor (venlafaxine) include: anxiety, depressed moods, crying, dizziness, paranoia, irritability, drowsiness, restlessness, shaking, headache, ^ sweating, nausea/ vomiting, nightmares, body zaps (electric sensations), shortness of breath, sleep difficulties, fatigue, seizures, irregular heart rate, etc. ...Read more

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Please describe the medication: citalopram?

Please describe the medication: citalopram?

SSRI antidepressant: Citalopram is a ssri medication used to treat anxiety and depression disorders, it's also used to treat ptsd and ocd. It takes 4 to 6 weeks to be fully effective. Side effects; sedation, minor temporary stomach issues, delayed orgasm in males and rarely weight gain. It is also approved for adolescents. ...Read more

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What occurs if you take 4x20mg and 3x10mg of citalopram?

What occurs if you take 4x20mg and 3x10mg of citalopram?

Depends: I assume you are meaning to alternate days so you are effectively taking less of the med equivalent to about 15mg. It depends on what your effective dose is. You might dip below a therapeutic dose and have symptoms return. If the reduction is due to side effects, consider a switch to Lexapro (escitalopram) which is more potent and side effects may be less. ...Read more

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I took 80mg citalopram by accident am I going to be ok?

I took 80mg citalopram by accident am I going to be ok?

Yes: Generally 80 mg of citalopram is likely to just cause fatigue and possibly nausea or vomiting. Serious side effects such as cardiac arrhythmia and seizures occur at significantly higher doses. However it's best you speak with your physician for specific advice. ...Read more

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I took 80mg of citalopram at once, what would be the effects of this?

I took 80mg of citalopram at once, what would be the effects of this?

Celexa: You might feel dizzy, feel more tired, have a more rapid heart rate, sweat more & experience nausea or vomiting. ...Read more

Dr. Alan Ali
741 Doctors shared insights

Celexa (Definition)

Celexa is a serotonin reuptake blocker which is a kind of ...Read more