Doctor insights on:
Imipramine Dosage For Retrograde Ejaculation
Sexuality: Paxil (paroxetine) is a medication for treatment of depression. It is not a medication for premature ejaculation. At age 28, premature ejaculation. Can be due to marked feelings of insecurity, low self-esteem, unresolved sexual conflicts, guilt feelings, anxiety about performance, and failed relationships. Please see a therapist for diagnosis and treatment of your problem. ...Read more
Ejaculation occurs with a sexual climax during sex or masturbation or during so called "wet dreams". Pre-cum emission comes from cowper's gland with duct that opens into bulbar or mid- urethra urethra & ? Without warning. Then ejaculation occurs after semen enters urethra from ejaculatory duct, just beyond bladder neck which reflexly contracts followed by ...Read more
Better options exist: A condom or a dab of a topical anesthetic on your glans may do the trick. Your physician can offer a very low dose of a selective serotonin reuptake inhibitor. Or you and your partner(s) can learn and practice the squeeze technique -- this is fun, will let you reprogram your nervous system to make you a superlatively excellent lover, and is your best long-term solution. Best wishes. ...Read more
Is there any interaction between Paxil (paroxetine) and cialis? I use Paxil (paroxetine) for anxiety and premature ejeculation and Cialis for errectile disfunction.
No interaction: You may take them together.Get a more detailed answer ›
They're very similar: Elavil (amitriptyline) (amitripyline) and tofranil (imipramine) are both tricyclic antidepressants, an older category. While they are effective against depression, both can cause antihistamine-like effects e.g., sedation, dry mouth, dry eyes, constipation, and temporary trouble focusing vision. Elavil (amitriptyline) does this a little more, so tofranil may be better unless elavil's extra sedation helps. ...Read moreSee 3 more doctor answers
I suffer from premature ejaculation.Took a tablet called clofranil (clomipramine hydrochloride).Experienced heavy side effects. Suggest good tablet.
Flomax (tamsulosin) works perfectly to control urgency, my only BPH symptom. However, it causes retrograde ejaculation. An alternative without this side-effect?
Here are some ...: Nothing is free but always comes with a price. Likewise, using Flomax (tamsulosin) accompanies with its unique retrograde ejacualtion,which indicates its adequate ability to relax your bladder neck - a part of urinary sphincteric unit. So, if more baby making is not a concern for life now, stick to its use for LUTS. Otherwise, try one of 5-ARIs and see. More? Ask Doc timely so realign your care... ...Read more
What are the off label uses for lexapro (escitalopram)? Is premature ejaculation included? Does lexapro (escitalopram) have many sexual side effects like genital anesthesia?
See below: Premature ejaculation (PE) is one of the most common sexual dysfunctions in men with prevalence rates ranging from 21–31%. Lexapro (escitalopram) is in the class of drugs known as selective serotonin reuptake inhibitors (SSRIs) which have been shown to be effective in "some" men with PE. Higher doses of SSRIs "may" be associated with loss of libido and/or ED. Lexapro starting dose for PE 10 mg. ...Read more
Is it ok to take 5g of L-Arginine and Viagra (sildenafil) (50-100mg) in the same day? Taking Viagra (sildenafil) sometimes for SSRI-induced sexual dysfunction.
Arginine for ED?: Both arginine and Viagra (sildenafil) can lower blood pressure individually. Taken together the effect can be greater therefore, there is the potential for at least a moderate interaction between these 2 medications of lowered BP if taken together. You should inform your prescriber that you also take arginine. ...Read more
No.: You may be thinking of Wellburtrin (bupropion). Trazadone can cause an erection in a male that doesn't go down and cause the loss of the penis if continued. It has happened to one of my patients every ten years since Desyrel came on the market about 35 years ago, but none had the serious effect. I've had success with the combination of 10 mg. Paxil (paroxetine) and 150 mg of Wellbutrin. ...Read more
Medical, IUI or IVF: Retrograde ejaculation can be caused by injury to the nerves through surgery or from diabetes. Medical treatments can sometimes be used to increase the sphincter pressure of the bladder so sperm will come out instead of back. Otherwise, ejaculating, voiding afterward then quickly processing the sample for use with insemination or ivf is necessary. ...Read more
250mg/day: Maximum recommended daily dose is 250mg, but some psychiatrist may push a bit further. If at 250mg/day and symptoms not controlled, pushing higher dose is not likely to benefit. Adding other medication, change of meds, or combining with cognitive/behavioral therapy probably is a better way to go then pushing too much of one drug--just my humble opinion. Consult your doc. Best of luck to you. ...Read more
What is the defrenc btween Paxil (paroxetine) and Paxil (paroxetine) cr do Paxil (paroxetine) cr less sexual side effects then Paxil (paroxetine) ir?
About erectile dysfunction.Someone male used (revivogen) shampoo inhibits testosteron to dht conversion for more than 3 years, contains saw palmetto, after stopping, he got erectile dysfunction, premature ejaculation & less libido, what is treatment?
ED: Watch. Functions may restore to normal in a couple of months. ...Read more
Best ssri for panic and anxiety? Take betapace. Cymbalta (duloxetine) too activating. Tried12.5 zoloft. Dizzy after 1 dose. Cleanest ssri?
Best SSRI 4 anxiety?: I'm sorry you've been struggling to find the right med to treat ur panic d/o. SSRIs are 'first line' (1st choice) for anxiety disorders, including panic d/o. There truly is no one best SSRI, tho. Keep working with your doc, who can help select the next best choice for you, based on your hx & history of responses thus far. Don't give up on the therapy. Best results r found thru meds & therapy :) ...Read moreSee 2 more doctor answers
Besides constipation, only side-effect of Effexor (venlafaxine) (150mg for GAD) is vivid, anxiety-provoking dreams. Gone from 1 biweekly to daily! Lower dose?
Anxiety, Aging: I understand your Anxiety. At age 65, many people go through Anxiety due to aging, medical problems, loss of loved ones, loneliness, neglect from children, retirement and finances. Effexor (venlafaxine) can cause constipation and abnormal dreams. Sprycel and Flomax can cause insomnia. Lack of effectiveness with Effexor (venlafaxine) 150mg/day indicates need to see a Psychiatrist for Therapy, other medications, Relaxation. ...Read moreSee 2 more doctor answers
Tofranil (imipramine): If imipramine is going to work at allit should be taken 1-2 hours before intercourse ...Read more
Retrograde ejaculation: Retro grade ejaculation is when the muscle that leads into the bladder does not close off during the act of ejaculation. The semen will enter into the bladder and not through the opening of the penis. If the male produces a urine specimen then sperm can be found in the urine. ...Read moreSee 1 more doctor answer
Dry climax: This is often misdiagnosed on history. You have the feeling of an orgasm but no semen comes out -- it goes into your bladder. If this is you, talk with your physician. Or if you have other questions here that would call for a good physical exam, ask your physician. Best wishes. ...Read more
Won't happen: You posted on the HT public site, where volunteer docs answer healthcare questions. Answers remain public. This site is not a chat room nor do we offer to contact patients. If you can describe your problem in detail one of the site docs may decide to answer. If you want private services sign up for HT Prime, where private paid consults are offered. ...Read moreSee 1 more doctor answer
Reduced fertility: The only known potentially adverse consequence of retrograde ejaculation is reduced fertility. In some cases this might be a positive effect. However, retrograde ejaculation, while not particularly harmful, may be a sign of medical problems that would benefit from treatment. It often can respond to pharmaceuticals. See http://www.asiaandro.com/news/upload/20130619-aja201229a.pdf for more details. ...Read more
Depends upon cause: Not fixable after prostatectomy or resection of bladder neck. Stop or change drugs which cause re, flomax, (tamsulosin) antihypertensives & some antidepressants. Re from nerve damage from diabetes or multiple sclerosis may respond to imipramine, antihistamines or decongestants like sudafed or ephedrine. Subjects needing to overcome infertility may need assisted reproductive technology to harvest sperm for ai. ...Read more
After tumt can retrograde ejaculation be reversed? My dr said 5% chance, and guess what i'm in the 5%. Climaxing does not feel the same at all. Help?
Unlikely: After TURP it woul be hard to correct this issue. ...Read more
I am twenty two yrs old male. I use fat burner can this fat burner is cause of retrograde ejaculation please help me and sorry for bad english.
Retro grade ejaculation is when the muscle that leads into the bladder does not close off during the act of ejaculation. The semen will enter into the bladder and not through the opening of the penis. If the male produces a urine specimen then sperm can be ...Read more
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