Maldoror's journal

[GIXXER]

Im starting to see a common pattern in that we quit cold turkey or tapered off really fast.

I know I had a sex drive when I was on paxil, and effexor.

When I was on paxcil everything worked fine, the only reason why I stopped is because I didnt think I needed it anymore.

When I was on effexor I still had a sex drive but had ED so I stopped taking it, and I even had a small window of about a week where I thought I was back to normal.

My current state Ive been off all meds for 4 years, and I feel fine other than the fact that I have PSSD.

[Maldoror]

My libido is fine, in fact it is higher than my girlfriend's (though she's on drugs too). That in itself is great as desire is vital to a relationship, more so than performance issues.
But of course ED still sucks a lot and sometimes it makes me very depressed. And sometimes I wonder if her libido would be higher if I didn't have ED?!

[GIXXER]

At least you have a sex drive, and can take ED pills to enjoy sex.

I hate to say it but I'm really considering going back on effexor or paxil.

[DoIt]

If you decide to do that try low dosing first, it's safer.

[Maldoror]

At least you have a sex drive, and can take ED pills to enjoy sex.

I hate to say it but I'm really considering going back on effexor or paxil.

I can't take oral PDE5 inhibitors, I have very serious eye problems and I can't risk more problems.

[GIXXER]

If you decide to do that try low dosing first, it's safer.

Yes thats what I would do. I would Slowly ramp up until I felt something.

[Missingno]

Have you considered pelvic physiotherapy? People with pelvic muscle problems sometimes complain of soft glans issues. I've seen some positive reports from post-medication cases, though some found they still had some underlying issues.

I have a list of specialist physiotherapists, but unfortunately none from Portugal. The nearest are UK or Netherlands... I've posted the links in the pelvic therapy thread.

[Maldoror]

Interesting, I had never connected my soft glans to possible pelvic muscle problems.

I think there's other thing that may be related to pelvic muscles: before the SSRIs I could have sex using the pull-out method very easily, 99.99% of the times I had no problem stopping and resuming sex a couple of minutes later. Now, after the drugs, it often happens that I stop but I still ejaculate (although with much less quantity than usual) but without having an orgasm or feeling any type of pleasure. If I don't try the pull-out method my orgasms are usually fine. I wonder if that can be related to the PC muscles?

[Missingno]

My physical symptoms worsen in certain positions, so it could be something like that. The pelvic muscles could be pinching certain nerves resulting in diminished orgasm (Also in cases of numbness and loss of libido).

[Maldoror]

Update: I'm worse now (4 years of PSSD) than I was on my first year. I had a minor penile trauma 3 months-post PSSD. I now have soft glans. Could it be the delayed effects of that penile trauma, as I didn't have soft glans on my first year? Who knows.

I think I'm gonna try Muse and/or Caverject.