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Post-SSRI sexual dysfunction (PSSD)

PSSD sex libido orgasm

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#397 rainy

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Posted 29 November 2016 - 04:03 PM

I've had PSSD for 3 years (was on Lexapro for 3.5 months). After the first year post-withdrawal, I recovered about 10% of my function (the horrible electrical zap sensations from stimulation to my genitals stopped and I can now have a muted, short orgasm by using a vibrator - but still cannot orgasm from manual or oral stimulation). I've had no further improvement in 2 years. My sex drive has completely gone away because there's no point. 



#398 WhyDidIDoIt

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Posted 06 December 2016 - 07:49 AM

Hi all, I've been on Zoloft for a few months at 50mg once a day. I did a quick taper by removing 12.5mg each week. I am off for 2 weeks now. During the time I took Sertraline, I had pretty much all of the sexual symptoms. When I was tapering, everything returned back to normal, and stayed that way for 4 days of being off.

 

But then a lot of bad things started happening: I had a breakup, I guess my withdrawal picked up at that point as well. I started getting extremely anxious and panicky, overthinking everything. I barely ate, and still barely do. Today I had a cheeseburger at work and I am not planning to eat anymore soon.

 

But the most scary and terrifying part is the fear of PSSD. After that 4 day mark I lost my drive, except for 2 occasions late at night when I was feeling calm. Now there's no drive whatsoever, I don't even feel like looking at girls in the street or at porn. I am still able to get hard and reach an orgasm fairly quickly and effortlessly, but it took some concentration to get hard last night and it wasn't the hardest of erections. I'm quite sure if I fall into a state of permanent PSSD, I might do the most irrational thing, or at least will never be able to accept myself.

 

Is it just stress, onsetting PSSD or what? Any help would be hugely appreciated, because I'm losing my sh*t..


Edited by ChessieCat, 06 December 2016 - 01:55 PM.
SW para breaks/CC changed obscenity


#399 Djderek

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Posted 06 December 2016 - 09:05 AM

Try to forget you ever heard about pssd. You'll be alright, just try to find peace in your life again. Stop worrying and stressing! Hit the gym, go for a run.. Everything will return to normal. And most important, stay away from conversing with others stuck in the same state of mind.

#400 WhyDidIDoIt

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Posted 06 December 2016 - 10:35 AM

Djderek, thanks for the encouraging words. It'll be easier said than done though. I had read about PSSD while on Zoloft and was sooo happy when my sexual abilities returned, and now I feel like in limbo, not knowing is hard. All I have left is hope. But I can't imagine accepting having permanent damage and moving on to a full life sadly :(

#401 WhyDidIDoIt

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Posted 07 December 2016 - 04:13 AM

Sorry for all the panic from my side, but if I had 2 weeks of completely normal function during tapering, is that a positive sign that my brain and genitals and everything between them are ok, or it does not make a difference and it can go both ways?
Thanks

#402 WhyDidIDoIt

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Posted 08 December 2016 - 10:47 AM

I'll paste my comment from a reddit thread:

So an update to my situation: the more time passes, the worse my functioning becomes apparently. I'm still stressed and anxious in general, but far less. I have been quite successfully pushing pssd thoughts awayfor the past two days. Talked to my therapist (who is also a neurologist) about pssd, and he really dismisses this idea obviously. I did another "test" today, and the erection had to be built up and was very limp (60% I'd say). I ejaculated really quickly, with low pleasure. Not sure about the sensitivity, seems ok. Though I'm still not eating well, not sleeping well and, if it's not biological pssd, I am putting way too much pressure on trying and failing to become aroused and the whole functioning.

The SSRI I was put on was very pointless in retrospect. But now I'm quite afraid of becoming asexual and impotent... I guess the best thing to do, is to try and not think about it as much as possible, not test myself, try to eliminate stress, eat healthier, exercise, take some ginko biloba... and see where a month or so gets me. But damn this is scary to think I might be in the small percentage of unlucky ones... I don't know what to do now.

#403 scallywag

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Posted 11 December 2016 - 01:36 PM

Because of the scarcity of research on PSSD, it's difficult to make an evidence-based conclusive statement about PSSD -- causes, prognosis, factors that affect recovery, and what treatments work for whom.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
 
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results
Cymbalta (brand name), 60 mg 2012 - 2015; 2016 20 mg - 7 mg, detailed taper doses in this post;
Current dose:  7.0 mg (65 beads) 2016-Dec-10, holding into February
+ Supplements: fish oil (1500 mg EPA/500 mg DHA), Vitamins: D3, K2, C; Minerals: Mg, Se, Cr, I, V
scallywag's Introduction Post

Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet


#404 fema4psychiatrists

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Posted 11 January 2017 - 02:27 PM

I'll paste my comment from a reddit thread:

So an update to my situation: the more time passes, the worse my functioning becomes apparently. I'm still stressed and anxious in general, but far less. I have been quite successfully pushing pssd thoughts awayfor the past two days. Talked to my therapist (who is also a neurologist) about pssd, and he really dismisses this idea obviously. I did another "test" today, and the erection had to be built up and was very limp (60% I'd say). I ejaculated really quickly, with low pleasure. Not sure about the sensitivity, seems ok. Though I'm still not eating well, not sleeping well and, if it's not biological pssd, I am putting way too much pressure on trying and failing to become aroused and the whole functioning.

The SSRI I was put on was very pointless in retrospect. But now I'm quite afraid of becoming asexual and impotent... I guess the best thing to do, is to try and not think about it as much as possible, not test myself, try to eliminate stress, eat healthier, exercise, take some ginko biloba... and see where a month or so gets me. But damn this is scary to think I might be in the small percentage of unlucky ones... I don't know what to do now.

I struggle to see how I could just be one of the extremely rare unlucky ones. I was on a cocktail since years as a kid. I struggle to see how I am an unlucky co-incidence of all the people. It just doesn't feel like a rare co-incidence. There is probably a lot more, especially on cocktails for long times.

 

Maybe I couldn't have come out of all those drugs for so long okay, it probably isn't a co-incidence. This is my body, no other human should be violating it so personally and in a way that is supposed to be private, and mine.


Cocktail drugged since 9

Genitals went numb

Extreme intestinal gas and pain

Extreme anxiety cant concentrate

All permanent

 

Post-SSRI Sexual Dysfunction (PSSD)

http://pssdblog.blogspot.com


#405 Spruce30

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Posted 14 January 2017 - 09:59 AM

I was reading on the Rxisk website that Dr Healy thinks although people who have PSSD can recover to a certain degree, he thinks full recovery from PSSD is unlikely. As someone who suffers from PSSD and has only seen small improvements, this has got me quite worried. I was wondering what other people on surviving antidepressants think about Dr Healy's stance on PSSD. Do you think he is right? Why do you think he has such a pessimistic outlook on PSSD?

Edited by scallywag, 14 January 2017 - 10:50 AM.
merged topics


#406 Iikesoup

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Posted 16 January 2017 - 02:02 AM

Hi everyone; wanted to share my feedback regarding lexapro (escilatopramt) withdrawal. 29 years old, male, workout, normal weight.

 

First i would like to say i am NOT recommending what i did, i am just giving feedback on what i did and how i approached the situation. I work 2 jobs, 1 managing over 40 people and 5 teams and the other as a personal trainer so i really couldnt afford to have side effects.

 

Been taking ambien and lexapro (20mg) the past 7-8 months for depression and insomnia. Past 3 months since i was getting annoyed with all the sexual side effects of lexapro so my doctor added wellbutrin 300mg.

 

Wellbutrin helped a bit but not the point i wanted to. About a week ago i got really pissed off as one more time my gf wanted to have sex but again i wasnt in the mood so i cut the lexapro cold turkey and increased the wellbutrin to 450mg (i told my doctor) hoping to counter attack the side effects. I am aware that lexapro and wellbutrin are quite different anti-depressants.

 

First two days i felt kind off down and zoned out but i tried to be positive and noticed that talking to people all the time helped rather than isolating myself. Third day a REALLY pleasant effect came into play. Libido came back hard and touch wood is still going excellently. It's been a week without lexapro i feel kind off zoned out and slightly depressed on occasion but i am noticing daily improvements. My energy is also much better. Because of wellbutrin? I dont really know.

 

I just wanted to share the above and want to say that i believe the mentality/mood we approach any situation is very, very important. If i quit lexapro and already doomed myself that i would suffer before even quitting (pygmalion effect) than probably i would suffer more. I actually tried to quit before by going from 20mg to 10mg but i was so obsessed that i would suffer and was worried that actually the side effects were much more! 

 

Trying to be as positive as possible and have faith that there will be light at the end of the tunnel really helps in my opinion. And of course only associating with positive people. 

 

Please do not get me wrong i understand the suffering of many people and by no means am i saying that withdrawal is all mental and easy. Of course it is not, i have gone through my fair bit of suffering and addictions. All i am saying is that we should always believe we will get better, we should visualize our selves already being better and we should have faith we will become better.

 

Thank you

Likesoup

 

 

 



#407 oskcajga

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Posted 16 January 2017 - 12:48 PM

I was reading on the Rxisk website that Dr Healy thinks although people who have PSSD can recover to a certain degree, he thinks full recovery from PSSD is unlikely. As someone who suffers from PSSD and has only seen small improvements, this has got me quite worried. I was wondering what other people on surviving antidepressants think about Dr Healy's stance on PSSD. Do you think he is right? Why do you think he has such a pessimistic outlook on PSSD?

 

Yes.  It's not pessimism, it's realism.  He indicates that up to 90% of people who take antidepressants may experience sexual dysfunction.  Sexual dysfunction is a very easy symptom to be in denial about - as there are psychological ways to "compensate" for sensory numbness - so it's possible to still function highly and just say "nah that can't be true".  The spellbinding effects of withdrawal and the blunting of emotions make it difficult to accurately remember previous versus current sexual performance - as such, it's hard to objectively state if you're back to normal, and I think this results in people who are in denial or honestly do not remember how much better it used to be.

 

In my opinion, anhedonia / emotional blunting and sexual dysfunction work together and act synergistically to make our lives miserable.

 

I'm 3.5 years out and I still cannot feel any emotions whatsoever.


SEVEN things I wish a professional had STRESSED to me when this all started in 2013:

 

1.  Please learn about this condition by thoroughly reading 1) Dr. Healy's website and others like it.

2.  Please also read 1) Anatomy of An Epidemic and 2) Mad in America, both by Robert Whitaker ($10 each on Amazon.com).

3.  Although recovery is not guaranteed, please read the Success Stories !

4.  Please be extremely cautious about reinstatements, recreational drugs, supplements.  Even low doses can be quite dangerous.

5.  Please secure as much money/assets as possible while you still can.  This condition may last a LONG TIME.

6.  Please take this condition seriously from the beginning - even low-grade "withdrawal" syndrome is a serious medical condition.

7.  This condition is rarely recognized by medical doctors-so hopsitalization/appointments can be futile/potentially injurious.

 

SSRI free since September 1st, 2013

Stimulant free since September 20th, 2014


#408 Spruce30

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Posted 17 January 2017 - 12:14 PM

I know sex was about a million times better for me before taking SSRI's. The difference is so obvious. I don't think I can continue with this inability to experience sexual pleasure forever. My life is miserable. It has to end at some point. Doesn't it?

#409 fema4psychiatrists

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Posted 17 January 2017 - 03:03 PM

This mental health marketing is taking the p***, they are mass drugging and harming people and throwing the insults in our face. This is the worst insults they couldn't be more obscene with it.

 

You'll never hear those they injured from these pharma sponsored  'mental health' charities. We need to hold them to account.


Cocktail drugged since 9

Genitals went numb

Extreme intestinal gas and pain

Extreme anxiety cant concentrate

All permanent

 

Post-SSRI Sexual Dysfunction (PSSD)

http://pssdblog.blogspot.com


#410 Spruce30

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Posted 18 January 2017 - 03:52 AM

Rethink mental health charity is sponsered by drug companies. I don't think National MIND is, but I wouldn't't be surprised if they are.

#411 Spruce30

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Posted 18 January 2017 - 04:12 AM

Also the MHRA who regulate the drugs in the UK (much like the FDA does in the USA) is in a way controlled by the drug companies. Thetop people who work in the MHRA are ex drug company CEO's etc. This is fact, you can look it up.

#412 oskcajga

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Posted 18 January 2017 - 11:32 AM

 It has to end at some point. Doesn't it?

 

Everything ends at some point.


SEVEN things I wish a professional had STRESSED to me when this all started in 2013:

 

1.  Please learn about this condition by thoroughly reading 1) Dr. Healy's website and others like it.

2.  Please also read 1) Anatomy of An Epidemic and 2) Mad in America, both by Robert Whitaker ($10 each on Amazon.com).

3.  Although recovery is not guaranteed, please read the Success Stories !

4.  Please be extremely cautious about reinstatements, recreational drugs, supplements.  Even low doses can be quite dangerous.

5.  Please secure as much money/assets as possible while you still can.  This condition may last a LONG TIME.

6.  Please take this condition seriously from the beginning - even low-grade "withdrawal" syndrome is a serious medical condition.

7.  This condition is rarely recognized by medical doctors-so hopsitalization/appointments can be futile/potentially injurious.

 

SSRI free since September 1st, 2013

Stimulant free since September 20th, 2014


#413 Spruce30

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Posted 18 January 2017 - 03:01 PM

Oskcaja. According to David Healy it might end up ending when I die. I.e I never recover. So let's say I live out a full life. That's another 50 years of not being able to have an orgasm, feel my penis, or enjoy sex in any way shape or form.


Edited by ChessieCat, 18 January 2017 - 05:02 PM.
Removed obscenity






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