Orgasm difficulty on fluoxetine (Prozac)?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

New Member

Date Joined Sep 2017
Total Posts : 6
   Posted 9/30/2017 1:47 PM (GMT -7)   
I was diagnosed w/ anxiety in high school, around age 16 (I'm 24 now). I was put on fluoxetine, and over the next few months to a year or so was bumped up to taking 50 mg. I didn't really notice that things got progressively more difficult than they had been before, until I much later read online about the side effects of the medication.

Anyways, I "lasted" a long time, and this presented some frustration for my girlfriend (not to mention myself!) in sophomore through junior years of college. On more than one occasion, we just gave up trying to make me orgasm.

Long story short, I eventually cold-turkeyed myself off the meds (not for that reason), thinking I was all better and no longer needed it. However, as of late my anxiety has been getting worse and worse, and I needed something; I spoke to my doc and a pharmacist and I'm currently one week into taking fluoxetine again, at 20 mg right now, and going to bump up in increments of 10 every few weeks until I'm back at the dose I was at before. But one week in at only 20 mg, and *already* I'm extremely frustrated—try as I might, I just can't orgasm! Maybe I could if I had more patience, but still, it's annoying the crap out of me.

I gather that this is a pretty prevalent side effect of fluoxetine? Does anyone have any advice in terms of other medications, or anything? I hate having anxiety and admittedly I do tend to feel in a better mood when on the meds, but as a very sexual young guy, this side effect is a killer. Sorry for the TMI; just trying to find an outcome in which I'm happy in all ways. smile Thanks.

Veteran Member

Date Joined Jun 2014
Total Posts : 1518
   Posted 9/30/2017 3:59 PM (GMT -7)   
Don't worry it will get better soon you will get used to the dull orgasms.

Regular Member

Date Joined Apr 2009
Total Posts : 292
   Posted 9/30/2017 8:06 PM (GMT -7)   
S - I take 60mg Prozac. All SSRI have this side effect. Can you work with a therapist about how to have a good quality of life even if you continue to have difficulty with orgasm? I am not in a relationship but I've brought this up to my therapist as a fear of not being a good enough partner for someone and she said "we will work around this." It's true what Deborah says, orgasms are duller. The alternative is being depressed and the choice is ours to make.

Scaredy Cat
Forum Moderator

Date Joined Sep 2006
Total Posts : 27100
   Posted 9/30/2017 8:40 PM (GMT -7)   

I am sorry to hear of this unwanted s/e. I am sure for a guy your age, this is really not something that you want to learn to live with.

Two meds that can be a possible add on to your SSRI, in order to combat the problem are Buspirone and Bupropion.

Ask your doctor about the possibility of these helping you...

...or if you don't see improvement, I would recommend considering other A/D's that give you the management that you need...without the side effects.

Wishing you the best in finding what works!


"Courage is not the abscence of fear, it is feeling afraid and doing it anyway!"

"Worrying does not empty tomorrow of its empties today of its strength."
Corrie Ten Boom

Panic Syndrome recovery due to CBT

Elite Member

Date Joined Mar 2009
Total Posts : 20044
   Posted 10/1/2017 12:59 AM (GMT -7)   
plenty of other meds that u can try. sometimes this s/e happens just in the kick in stage and passes as ya body gets use to the med. i have hormone probs myself, so i get it and have been where ya at. keep strong and posting.
New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, December 13, 2017 2:30 AM (GMT -7)
There are a total of 2,904,691 posts in 318,782 threads.
View Active Threads

Who's Online
This forum has 158164 registered members. Please welcome our newest member, Sickaz.
174 Guest(s), 1 Registered Member(s) are currently online.  Details