FrankTalk.org

Just feeling a bit despondent, but at the time time somewhat hopeful, and excited. 35 white male, vers/top, with Post-SSRI sexual dysfunction. I have bipolar disorder, and need to be on treatment. All the bipolar treatments basically have sexual side-effects, which sucks. Currently tailoring up on lamotrigine, which will hopefully be better than SSRIs (the worst) and seroquel (also shit). If it isn't the ED from the SSRIs/seroquel that gets me, it is the PE being off them. Sildenafil (50-100mg) and cialis (5mg daily) both work for me, and in combination with dapoxetine 60mg, helps with stamina. But tired of the balance between all these things. Have an appointment with urologist in December, hoping to try vardenafil next, which is supposed to work for both ED and PE. Trazodone is maybe also an option, as is alpha blockers - will discuss. My long-term goal is to get the implant (Titan). I don't want to waste the best times of my life dealing with the oral medications, and both my partner and I are open to trying the injections. I am hoping my urologist (who is amazing) and I can get to a point of fast-tracking the implant. Maybe the injections (bimix, trimix) along with dapoxetine is a good solution. But the on/off efficacy of oral meds seems inevitable over time. Since I have ED and PE, I am hoping the injections will keep me hard after cumming, especially with daxpoetine. But I think ultimately even though young, I am a good candidate for the implant. I guess I just wanted to rant a bit. I feel like between the SSRIs and bipolar disorder, I can't win, and always have to balance the need for treatment with their sexual side-effects. I cannot express how much I hate the daily SSRI antidepressants. My urologist is at least very understanding.

I think that as long as oral meds are working you should not go for the implant path.
Implants are amazing and life-changing, but they have risks.

I think the risks of e.g. infection are outweighed by the benefits. Dapoxetine doesn't add much time at all, even though effective. I am hoping the injections are effective as a next step, if vardenafil doesn't work well. I would prefer hearing about the implants from those who, in fact, have the implant.

The issue is also that PSDD and ED/PE secondary to mood stabilisers and antipsychotics is more difficult to treat. Hoping vardenafil is a good step, after that maybe injections + dapoxetine +/- oral meds. But the implant is still a preferred longer term solution for me.