PSSD since two years now :(

[IHateProzac]

Hi all;

I was a member of the previous forum as well, although quite a new one. I have forgotten my previous ID so I created a new one. Hope that's not a problem.

I feel like I should reintroduce myself, so here it is;

About 8 or 9 years back I suffered major bout of OCD where I was obsessed with having ED, thus ending up with a psychological ED. I continued to live in the condition for quite a long time. Then some years later my OCD evolved into HOCD & I had enough of it, so I sought council with a psychiatrist. My psych prescribed me Faverine (SSRI) & my physician prescribed me 50mg Viagra to overcome the ED. I took Faverine for only few months but ended up with loss of penile sensation to touch, & anorgasmia. With lot of effort and concentration I managed to achieve an orgasm every time I had sex, although I could achieve orgasm through masturbation quite easily on my own. Later as my HOCD got even more severe I was prescribed Prozac 20mg twice a day. During the initial days Prozac boosted my libido & even gave me erections much stronger then Viagra. Nonetheless, I continued taking Viagra as performance anxiety remained strong when ever I tried to have sex with my wife. After being on Prozac for about 4 to 6 months my wife's gynecologist told me to stop taking Prozac as it obstructs sperm production. Sure enough when I got my semen analyzed I had very low sperm & motility count. Hence, without consulting my psych I stopped Prozac cold-turkey. Within days I had a strong withdrawal symptoms after which I suffered complete loss of libido, & above all PDE5 Inhibitors (i.e. Viagra, Cialis, Levitra) stopped responding for me. My psychological ED turned into a physiological problem(?). Worse of all my sperm count & motility continued to remain low.

This was more then two years ago. Since then I have experimented a lot. Most of the experiments have been failures. Those that succeeded ended up being short lived only. I tried Wellbutrin XL, which helped a little in the first couple of days. But later gave me retrograde ejaculation & pain in my left testicle. So I stopped. I restarted SSRI with Zoloft and later also took Effexor (SNRI), which helped PDE5i's to respond a little - just enough to force myself to an intercourse - but the effects were again short lived. I also tried combination of different natural herbal supplements (mostly by GNC) but they too had little success, & they also temporarily ended up massing with my endocrine system.

Each time I visit a doctor they say I continue to suffer from OCD & the ED remains a symptom of performance anxiety. But that doesn't explain the non-responsiveness of all PDE5i as they are known to help erase the psychological issues of ED.

About couple of months ago I experimented with Trazodone. I used to take a single 50mg cap for 3 consecutive nights, & it would give me quite satisfactory erections while on Viagra [Please note that I only used to take Viagra on the days I was not taking Trazodone]. It also helped build up some libido and pleasure. But all of this only last a month or so. So, like other drugs I gave up on Trazodone as well.

My latest experiment has been with Requip. I consulted a neurologist who prescribed me .25mg Requip thrice daily. I didn't feel hypersexual as claimed by many, but it helped build pleasure and also helped me get quite satisfactory erection while on Viagra. Sometimes I would just take two dosages at one time (.50mg) along with Viagra an hour before sex, and the results used to be quite good. But for about a week now Requip too seems to have stopped working. Erections are week & libido is minimum.

That's my long boring story. If anyone has any recommendations to add please do.

[IHateProzac]

I forgot to add one more information & query. Requip/Ropinirole tends make my semen thin & watery. Has anyone else come across this problem while using this med?

[Ghost]

I forgot to add one more information & query. Requip/Ropinirole tends make my semen thin & watery. Has anyone else come across this problem while using this med?

I came across that while using Trazodone

[IHateProzac]

I forgot to add one more information & query. Requip/Ropinirole tends make my semen thin & watery. Has anyone else come across this problem while using this med?

I came across that while using Trazodone

& how did you get it fixed?

[Ghost]

I forgot to add one more information & query. Requip/Ropinirole tends make my semen thin & watery. Has anyone else come across this problem while using this med?

I came across that while using Trazodone

& how did you get it fixed?

Well, it actually increased semen amounts too, so it wasn't all bad. Traz gave me other side effects, despite actually helping my depression a bit. (although this could have been luck/placebo as I never took it for much longer than a week at a time). When I'd quit, it would go away.

[IHateProzac]

Well, it actually increased semen amounts too, so it wasn't all bad. Traz gave me other side effects, despite actually helping my depression a bit. (although this could have been luck/placebo as I never took it for much longer than a week at a time). When I'd quit, it would go away.

Yes I have noticed my semen amount has increased. Can't say anything about the sperm in it though.

Traz helped my OCD & Depression as well, at least as long as it was working on my ED issue.

Another thing I have noticed recently that my scrotum feels normal warm to touch. For a very long time it always felt cold, even before I started taking the SSRI. I don't know whether this is the effect of Trazodone or Requip, & whether the cold scrotum is something to be worried about or the normal warm?

[Ghost]

Well, it actually increased semen amounts too, so it wasn't all bad. Traz gave me other side effects, despite actually helping my depression a bit. (although this could have been luck/placebo as I never took it for much longer than a week at a time). When I'd quit, it would go away.

Yes I have noticed my semen amount has increased. Can't say anything about the sperm in it though.

Traz helped my OCD & Depression as well, at least as long as it was working on my ED issue.

Another thing I have noticed recently that my scrotum feels normal warm to touch. For a very long time it always felt cold, even before I started taking the SSRI. I don't know whether this is the effect of Trazodone or Requip, & whether the cold scrotum is something to be worried about or the normal warm?

That's interesting. The main side effect that I quit for was pain and dicomfort in my genitals. It got to the point where it hurt to pee, an the discomfort was persistant. At this point, I stopped taking Traz, and it all went away in a few days or a week.

[IHateProzac]

That's interesting. The main side effect that I quit for was pain and dicomfort in my genitals. It got to the point where it hurt to pee, an the discomfort was persistant. At this point, I stopped taking Traz, and it all went away in a few days or a week.

I get severe pain in my left testicle on Wellbutrin XL, along with retrograde ejaculation. Same but very mild pain on Requip & Traz. Is something going on here? Can it be related to PSSD?

[IHateProzac]

i think that the pain and retrograde ejaculation are infrequent side-effects related to norepinephrine reuptake inhibitors. they (along with painful ejaculation/orgasm) have been reported with atomoxetine and reboxetine as well.

Then it should have also happened while I was taking Effexor (SNRI), but it didn't. Nevertheless, Effexor gave me a different kind of pain in genitals. It felt like a sting.

Anyway; the good effects of Requip seems have come to an end Don't know what to do from here.

[IHateProzac]

can you cycle requip to maintain the benefits?

Cycle, How?