Anxiety/Premature Climax treated with antidepresant?

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geon
Regular Member


Date Joined Oct 2007
Total Posts : 103
   Posted 10/31/2007 4:20 PM (GMT -7)   
Does any male have the experience as I have of climaxing too soon and can it be treated with an antidepressant such as Zoloft?  As I had my prostate removed several months ago so climax is the issue and not ejaculations.  I have some anxiety issues and am wondering if my premature climaxing (which has always been with me but I did not know - I thought it was common) could be caused by being anxious.  Any inpit would be helpful.  Thanks.
Geon
Geon
64 years old 100307; healthy; active,
married 41 years, good strong erections before surgery.
DaVinci Prostate Removal February 5, 2007
2/12 samples malignant.
Catheter removal 2/13.
Viagra 25mg every other day from 2/14 to 5/12.
Tried Viagra 100mg on occasion-no erections.
Incontinence almost gone after three months.
No pads, occasional  dribble.
Lavitra every other day 5/12 to 7/22.
Muse 1000mcg - no help (50% at best).
Cialis twice a week 7/25 to 11/6/07.
Vacuum pump daily/twice a day 8/2 and going - no help.
Begin Trimix injections, two low dose per week, 11/05/07.
Currently, vacuum pump and low dose Trimix twice per week each.
Trimix in office - 0.10cc.  Low dose set at 0.05cc
First drug induced erection 10/8/07....Wow!
Natural erections - 0 as of 10/25/07.
PSA's, three to date undetectable.  Thank God!
 
Geon


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 664
   Posted 10/31/2007 5:57 PM (GMT -7)   

I would like to hear from others regarding this issue.  I have found that since using injections my orgasm has changed a lot.  First of all as you mention, it is not as predictable.  That is it seems to come early or late without warning.  In addition, mine seems to be much less intense. Someone said that was typical and might get better later.  I am about 9 months past surgery.

I wrote about this earlier and I will be discussing it with my urologist next week. I will share what I learn.  Anyone else have ideas about this topic.


 
Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
no continence problems
Back on the golf course...
90 day PSA  less than 0.01 (undetectable)
Six Month PSA still undetectable
Dealing with ED problems with Caverject/Viagra
 
 
 


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 10/31/2007 6:48 PM (GMT -7)   
I was born about six weeks early and only weighed 3 lbs 9oz. I guess you could say I have been "early" my whole life....heheheh

Really, for me....the time has been about the same as before surgery. The only thing we have not tried has been "A Second round".
Anyone tried multiple times in one session?

KW
    43
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
        Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
        RRP on Oct. 17, - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.  Worked for a couple of days then back to leaking.
    April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking.  Leaking started back next day at work!
    May 14th Second Opinion about my leaking and Options at OU Medical Center.  After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking.  But did agree to try Bio-Feedback and work hard on the Kegeal's first!
    May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
    June 1st Start Bio-Feedback to try to control my leaking.
    Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day.  Erections usable....sometimes!...Better with 100mg Viagra
   


PACrat
New Member


Date Joined Nov 2007
Total Posts : 4
   Posted 11/18/2007 1:34 AM (GMT -7)   
Hi Geon,
Seratonin affecting meds tend to delay climax in many individuals, male and female.  It is the primary "sexual side effect" that the package insert speaks of.  Seratonin drugs include Zoloft, Prozac, Paxil, Zoloft, Celexa, and Lexapro.  The first 4 drugs that I listed are the older ones and since we are speaking of using a "negative" side effect for a positive reason (delaying orgasm), the older the drug, the better.  Pharmaceutical developers try to eliminate those side effects in the newer meds (2nd and 3rd generation meds) to decrease the number of side effects.  The other plus to older drugs is that the first 4 (first generation SSRI drugs) are now generic and cheaper.  The side effect doesn't affect everyone, but when it does, it is usually dose related.  The more drug taken, the stronger the side effect.  If the side effect develops in you, your Doc could actually tune your "time to climax" with dosage adjustments.  Hope that this helps with your question.  If you have other factors that you would like to effect with these meds (wt gain, wt loss, anxiety relief, depression, etc.) please let me know and I would be happy to help you select the best med to ask your Doc for.
PACrat
52 y/o, DRE negative due to anterior nodule in R lobe
3-2007: PSA 4.1, slowly rising from previous year
9-4-07: Biopsy +7 of 14 on R, 25%, Gleason 3+4, Stage T2a
10-4-07: LaproscopicRP in Miami, clear margins, 3+4 confirmed
10-29-07 PSA < 0.1, done in 3.5 weeks by my local urologist
11-17-07 (6wks) found this group, limp & leaky, but feeling like one of the guys due to all of the knowledge & caring of this group.
 
 
 
 


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 11/18/2007 9:02 AM (GMT -7)   
Geon,

Taking a mood altering drug seems a harsh way to time an orgasm but, if a person really needs to, and as long as there are no other like medications being taken, 5HTP may be a first good choice. Especially so if anxiety is the suspected cause of premature ejaculation.

Not giving advise. Just suggesting something more natural and less likely to have multiple side effects. Natrol makes a trust worthy brand. 50mg once a day may be all that is needed. It's worth investigating. Good Luck.

Swim
 


geon
Regular Member


Date Joined Oct 2007
Total Posts : 103
   Posted 11/19/2007 8:01 PM (GMT -7)   

Thank you PACrat and Swim for your advice.  I have started taking Zoloft because of some anxiety issues that I became aware of later but had them throughout my lifetime.  Kind of like my pre mature ejaculation  (climax now).  I did not recognize this during my lifetime, but now that I have slowed down I realize my shortcomings.

Thanks,

Marc


64 years old 100307; healthy; active,
married 41 years, good strong erections before surgery.
DaVinci Prostate Removal February 5, 2007
2/12 samples malignant.
Catheter removal 2/13.
Viagra 25mg every other day from 2/14 to 5/12.
Tried Viagra 100mg on occasion-no erections.
Incontinence almost gone after three months.
No pads, occasional  dribble.
Lavitra every other day 5/12 to 7/22.
Muse 1000mcg - no help (50% at best).
Cialis twice a week 7/25 to 11/6/07.
Vacuum pump daily/twice a day 8/2 and going - no help.
Begin Trimix injections, two low dose per week, 11/05/07.
Currently, vacuum pump and low dose Trimix twice per week each.
Trimix in office - 0.10cc.  Low dose set at 0.05cc
First drug induced erection 10/8/07....Wow!
Natural erections - 0 as of 10/25/07.
PSA's, three to date undetectable.  Thank God!
 
Geon

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