Anorgasmia (Failure to achieve orgasm)

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Stew52
Posts: 146
Joined: Fri Apr 13, 2018 4:22 pm
Location: Central TX Hill Country

Re: Anorgasmia (Failure to achieve orgasm)

Postby Stew52 » Wed Sep 26, 2018 4:59 pm

Moderator - a 3rd here. "And, with the growth of injections, implants in older guys now, and longer longevity, is this becoming a bigger issue such that it deserves a separate folder (since PE has one)?"
NOT an MD. 66, CenTX US. Inj since 12/16 a yr after pills stopped working. Caverject for a yr (35mcg PGE). 1/18 Using Tri-Mix at 30 pap/2 phent/40 pge @ 0.3ml. Supp w/ 0.1-0.2ml 60 mcg/ml PGE1 on occasion for a longer session. Anorgasmia setting in.

Wellyboy
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Joined: Tue Sep 18, 2018 9:31 am

Re: Anorgasmia (Failure to achieve orgasm)

Postby Wellyboy » Thu Sep 27, 2018 4:18 pm

I agree
Time this topic was given proper focus.
What’s the protocol for requesting a break folder?
62 years old. Was retired, now working part time. Living in UK (East Midlands)
Heart Disease / Diabetes T2 / Sleep Apnoea
Long term ED treated with Cialis and then 20mcg Caverject Injections

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Larry10625
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Location: Ontario, CANADA

Re: Anorgasmia (Failure to achieve orgasm)

Postby Larry10625 » Thu Sep 27, 2018 7:56 pm

Stew52 wrote:Moderator - a 3rd here. "And, with the growth of injections, implants in older guys now, and longer longevity, is this becoming a bigger issue such that it deserves a separate folder (since PE has one)?"



I will pass this on to the site Admin. :)

Larry
51 years old, married 29 years. Implanted Mar 30/17 by Dr. Brock of London, Ont, CANADA. (AMS 700 CX 18 + 2). Had implant removed Apr 29/17 due to Septic Shock. Liposuction By Dr. Gan and re-implant by Dr. Brock (AMS LGX 15 + 2) Dec 14/17.

Stew52
Posts: 146
Joined: Fri Apr 13, 2018 4:22 pm
Location: Central TX Hill Country

Re: Anorgasmia (Failure to achieve orgasm)

Postby Stew52 » Fri Sep 28, 2018 4:39 pm

I posted this statement in a post in the injection thread: "I wonder aloud here what would happen IF you penetrated the 2nd side of the cavernosa and got it into the area with the septum and nerve bundle. Could it cause nerve damage leading to anorgasmia?"

See the thread link here: viewtopic.php?f=5&t=9971

In my list above, could "performance anxiety" be a psych cause also?
NOT an MD. 66, CenTX US. Inj since 12/16 a yr after pills stopped working. Caverject for a yr (35mcg PGE). 1/18 Using Tri-Mix at 30 pap/2 phent/40 pge @ 0.3ml. Supp w/ 0.1-0.2ml 60 mcg/ml PGE1 on occasion for a longer session. Anorgasmia setting in.

CTR5000
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Location: Holland, PA (Philly 'burbs)

Re: Anorgasmia (Failure to achieve orgasm)

Postby CTR5000 » Fri Sep 28, 2018 5:01 pm

The big culprit for me regarding Anorgasmia has been various antidepressant medications.
__________________________
Sexual dysfunction is a common side effect of antidepressants and can have significant impact on the person’s quality of life, relationships, mental health, and recovery. The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. There are a number of case reports of sexual side effects, such as priapism, painful ejaculation, penile anesthesia, loss of sensation in the vagina and nipples, persistent genital arousal and nonpuerperal lactation in women. The focus of this article is to explore the incidence, pathophysiology, and treatment of antidepressant iatrogenic sexual dysfunction.

Keywords: depression, antidepressant, iatrogenic sexual dysfunction, SSRI, SNRI

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108697/
Name: Colin - Legally married gay male - suffered with Venous Leakage since my mid-30's - AMS 700 LGX (Length-Girth-eXpansion!) Inflatable Penile Implant "installed?!" April, 2015 - I should've done it YEARS ago!!

once a writer
Posts: 171
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Location: Oregon

Re: Anorgasmia (Failure to achieve orgasm)

Postby once a writer » Fri Sep 28, 2018 7:53 pm

Here's another vote for a separate folder on anorgasmia.
Eugene, Oregon, USA. Born 1941. Married 1968. ED since mid-1990s. Began trimix January 2014. Dosage gradually increased over time. Added cock ring in 2016. After dosage reached 30 units, switch to quad mix in May 2018. On statins and blood pressure meds.

Stew52
Posts: 146
Joined: Fri Apr 13, 2018 4:22 pm
Location: Central TX Hill Country

Re: Anorgasmia - Back to the Future

Postby Stew52 » Fri Sep 28, 2018 11:08 pm

In my list of possible triggers/causes above I mention that ("Paxil made me a beast"). I was on Paxil for a few months long ago for vague reasons (no PD). I ended up beating the dog out of my wife during sex trying to ejaculate. It was pronounced. But now again 3 decades later I am there again. I get a white flag after 30-40 minutes now depending on how hard we go. Need a fix!! Help!!
Last edited by Stew52 on Wed Oct 03, 2018 6:14 pm, edited 1 time in total.
NOT an MD. 66, CenTX US. Inj since 12/16 a yr after pills stopped working. Caverject for a yr (35mcg PGE). 1/18 Using Tri-Mix at 30 pap/2 phent/40 pge @ 0.3ml. Supp w/ 0.1-0.2ml 60 mcg/ml PGE1 on occasion for a longer session. Anorgasmia setting in.

Frank Talk Admin
Site Admin
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Location: NYC

Re: Anorgasmia (Failure to achieve orgasm)

Postby Frank Talk Admin » Tue Oct 02, 2018 10:51 am

In our sexual medicine practice, we prescribe bupropion (Wellbutrin) with great success. It is generally the first line drug for DE. It is a dopamine agonist and lowers the threshold for climax.
Buspirone definitely works for some patients, but not many.
Optimal testosterone levels need to be in place (not just 'within range').
Anxiety levels need to be healthy.
Physical fitness, rest, etc.
BP drugs, SSRIs and some SNRIs are usually fatal for climax.

That's my two cents!
Paul

60s_surfer
Posts: 13
Joined: Mon Jul 30, 2018 1:42 pm

Re: Anorgasmia (Failure to achieve orgasm)

Postby 60s_surfer » Wed Oct 03, 2018 1:01 pm

One of the drugs I have tried for my problems with delayed ejaculation was buproprion (wellbutrin). I found that 37 mg taken in the morning made me hyper until about 2 PM; after that, I crashed. I would like to know whether I am unusually sensitive to this drug. I would appreciate knowing what dose others have used.
71 years old in 2018; married 49 years. ED since 2001. PD5 inhibitors (Viagra, etc.) worked with increasing dosages until side effects got too bad by 2017. Now using Trimix injections. Delayed ejaculation has been a continuing problem since 2012.

Stew52
Posts: 146
Joined: Fri Apr 13, 2018 4:22 pm
Location: Central TX Hill Country

Re: Anorgasmia (Failure to achieve orgasm)

Postby Stew52 » Wed Oct 03, 2018 6:09 pm

Frank Talk Admin wrote:In our sexual medicine practice, we prescribe bupropion (Wellbutrin) with great success. It is generally the first line drug for DE. It is a dopamine agonist and lowers the threshold for climax.
Buspirone definitely works for some patients, but not many.
Optimal testosterone levels need to be in place (not just 'within range').
Anxiety levels need to be healthy.
Physical fitness, rest, etc.
BP drugs, SSRIs and some SNRIs are usually fatal for climax.

That's my two cents!
Paul


Thanks for that.
1. Is Wellbutrin Rx or OTC?
2. Have Low-T but Axiron is putting that in the 600's now. Uro said that T is the foundation to build the rest upon.
3. No particular anxiety but may be subconscious, wife worries about no orgasm for me.
4. What is a SNRI? I've also read that some NSAID's can cause it???

I do have idiopathic PN advancing slightly in feet; that is a concern. I need to make an appt with Uro fr progress and will discuss this.

Honestly I seems now that longer term use of PGE has advanced this condition (just under 2 years now). Just a guess. But then I've noticed it takes longer for longer than that. Ironically, my wife says it's the best ever now. She approves. :P

Thanks Paul.

Adder: just as PE is more prevalent in younger guys, I wonder how prevalent this is getting in a more sexually treated and active older population now? Any studies??
NOT an MD. 66, CenTX US. Inj since 12/16 a yr after pills stopped working. Caverject for a yr (35mcg PGE). 1/18 Using Tri-Mix at 30 pap/2 phent/40 pge @ 0.3ml. Supp w/ 0.1-0.2ml 60 mcg/ml PGE1 on occasion for a longer session. Anorgasmia setting in.


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