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Doctors Lounge - Psychiatry Answers
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| jason1025
- Fri Apr 04, 2008 12:56 am |
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This is a complex question but I hope someone can help. I am a 20 year old male. I was diagnosed with Social Anxiety Disorder last year by my doctor. I also last about 10 - 40 secs during sex (premature ejaculation) and I have a very hard time trying to urinate when I know other people are around. I would like to know if SAD could be linked to these problems?
I'm not on any medication currently. I tried Paxil and Zoloft (low doses for about 4 months) for my anxiety but neither of them worked. In fact, Paxil actually made me more nervous in social settings. I also found that the SSRI's helped me last during sex which was amazing for me except I couldn't reach an orgasm. The SSRI's made me feel kind of odd, like i was in a dream sometimes, so I stopped them.
I have two more drugs I had interesting findings with. I have tried Adderall before (just to see if it would help me in school more) and I noticed that I could urinate very easily standing up. I felt relaxed to pee. (Its easier for me to sit down to pee for some reason). I also noticed that my penis was actually in an even more flaccid state than usual while on Adderall. I also tried Tramadol (back pain I had awhile ago) and I noticed I could last during sex and I could sometimes reach orgasm, depending if I took one or two pills (i forget the dosage).
All of these problems began in my teenage years. Hope someone can help. Thanks!
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| Dr. A. Madia
- Sun Apr 06, 2008 4:42 am |
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 Hi Jason,
paxil, Zoloft both are SSRI and are proven to work on Premature Ejaculation [PE]. If the dose is too high or if one takes it for a prolonged period one may not be able to orgasm. Zoloft if taken on as needed basis about 5 hrs before intercourse, it works okay and may not prevent orgasm.
Tramadol too is shown to work well in PE. 50 mg taken 2 hours before planned activity is what you need.
Adderol may work in SAD because it will increase the serotonin in your brain same as SSRI. About Adderol causing flaccid penis I am afraid I do not have any information.
here are some refernces for you.
http://www.ncbi.nlm.nih.gov/pubmed/16415702
http://www.mayoclinic.com/health/premat ... DSECTION=8
Apurva
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