PSSD ?
Posted: Tue Apr 14, 2020 6:54 am
Hi, I am new here, I have sexual dysfunction ssri-related but in a particular way, I don't know if it is PSSd.
My story (sorry for my poor english, i did not find any pssd-related forum in french langage) :
In 2008 I started citalopram at high dose to treat depression, 60 mg/day. My libido was immediatly increased by this drug. i know it is not common, but it was a big effect on me, increased libido and very good erections. My ejaculation was a litlle retarded, but not so much.
In 2015 I started being worried about taking a so high dosage so I decided to go down to 20 mg. At this time my libido was still high, but not so high as at the beggining of the treatment. So I went to 20 mg and... it was disastrous for my sexual function : my libido decreased very much and my erections became weak. Furthermore, and that was a very strange and unpleasant effect, my glans became very irritable, so that it was impossible for me to have sex without a condom.
I though it was only a temporary effect so I just decided to let the time pass. But 2 years later there was absolutely no change so I asked my doctor to bring me back to 60 mg.
So in 2017 i went back to a high dose of citalopram (60 mg). After one week of treatement my sexual function was better. My glans was not irritable any more, my libido increased a little and my erections were better. But the improvement was not so big, and i didn't recover 100 %. My erections especially were still weak.
About 1 year later (or maybe 2 years, i am not sure), my doctor decreased my treatement from 60 to 40 mg. I didn't feel any difference, i don't know why.
So my situation today : 40 mg citalopram, my libido is correct but my erections are weak. I cannot get a correct one if i haven't taken viagra.
I'm 40 years old.
A few months ago my doctor (a general practitionner) told me that my sexual functions will be perhaps improved if i lower my dose of citalopram to 20 mg. He told me i can try if want to, but i cannot trust him very much, he confessed to me it was only the second time he met someone whose libido was increased by antidepressant (and he is an old doctor). I am afraid about worsening the situation if i lower the treatement... I think of speaking to him about buspirone and cabergoline, but i am a little afraid of new medicines now... so i really don't know what to do.
Thanks for reading me, and write back if you have any idea or question.
My story (sorry for my poor english, i did not find any pssd-related forum in french langage) :
In 2008 I started citalopram at high dose to treat depression, 60 mg/day. My libido was immediatly increased by this drug. i know it is not common, but it was a big effect on me, increased libido and very good erections. My ejaculation was a litlle retarded, but not so much.
In 2015 I started being worried about taking a so high dosage so I decided to go down to 20 mg. At this time my libido was still high, but not so high as at the beggining of the treatment. So I went to 20 mg and... it was disastrous for my sexual function : my libido decreased very much and my erections became weak. Furthermore, and that was a very strange and unpleasant effect, my glans became very irritable, so that it was impossible for me to have sex without a condom.
I though it was only a temporary effect so I just decided to let the time pass. But 2 years later there was absolutely no change so I asked my doctor to bring me back to 60 mg.
So in 2017 i went back to a high dose of citalopram (60 mg). After one week of treatement my sexual function was better. My glans was not irritable any more, my libido increased a little and my erections were better. But the improvement was not so big, and i didn't recover 100 %. My erections especially were still weak.
About 1 year later (or maybe 2 years, i am not sure), my doctor decreased my treatement from 60 to 40 mg. I didn't feel any difference, i don't know why.
So my situation today : 40 mg citalopram, my libido is correct but my erections are weak. I cannot get a correct one if i haven't taken viagra.
I'm 40 years old.
A few months ago my doctor (a general practitionner) told me that my sexual functions will be perhaps improved if i lower my dose of citalopram to 20 mg. He told me i can try if want to, but i cannot trust him very much, he confessed to me it was only the second time he met someone whose libido was increased by antidepressant (and he is an old doctor). I am afraid about worsening the situation if i lower the treatement... I think of speaking to him about buspirone and cabergoline, but i am a little afraid of new medicines now... so i really don't know what to do.
Thanks for reading me, and write back if you have any idea or question.