I have one sexual problem and I would like to hear if anyone could help me. You have to know that I take daily a significant dose of the antidepressant Effexor. For a variety of reasons not germane to this subject, but you have to understand my problem is because of this drug. Moreover, I am unable to substitute other antidepressants. Because of the medication I cannot ejaculate nor have an orgasm, or finally when I have it, it is delayed ejaculation, so I want to hear if there is any explanation and if anyone has similar delayed ejaculation problems.
I also have problem with delayed ejaculation, because it happens only sometimes, even when sex lasts two hours or so. I have therapy with the same drug, and I think this caused our problem with delayed ejaculation. I have noticed this because if I skip the medication for a couple of days, after an hour or two of sex I finally can ejaculate and have an orgasm. I have to tell you that I have tried half dozen medications known possibly to alleviate the problem, but with no success. I also take large doses of Wellbutrin and Ritalin on a daily basis for problems unrelated to sex. Despite a reputation for helping to enhance orgasm, they have no such benefit. I was wondering if Viagra could help, and at what dosage? I was also asking if there are any other new medications readily available to alleviate the problem. Then I found my problem is not one that would be helped by Viagra. This drug will enhance penile blood flow and in those individuals with impotence may enable erections but not enhance or affect orgasms and our delayed ejaculation. I am unaware of any medications that will enable orgasms in our situation other than discontinuing or changing antidepressant.
I am 46 & I have had a similar problem my whole adult life. When I was 7 years old, I was kick by a boy about twice my size. He kick me so hard that both of my testicles were kicked back up inside of me. The doctor manage to get the left one part of the way back down, but it hangs very high. Nothing could be done with the right testicle. Due to this injury, I did not reach puberty until I was almost 16 years old. When I was in my my late 20s most people thought I was in my mid teens. When I was 42, we were at the state fair and an age guesser said that I was 26. I have had DE since I reached puberty. I got married when I was 17. The doctors always told me that because of the injury, I would never be able to have children. But after 8 years of trying we finally had a daughter. When we were first married and were young, neither my wife or I minded the DE. I could go for 3 - 5 hours steady. She would have multiple orgasms before I would finally climax. Our limit was 6 hours 40 min & 23 orgasms for her. But that was when we were in our early 20s. We have been together for almost 30 years and the older we got the more of a problem it became. In 1995 I had a botched surgery in the pelvic region. I lost much of the feeling in my genitals. Since then the condition has continued to deteriorate. We got a manual on Lingam (penis) Massage. Rather than just a hand job. She would use various methods of massaging the genital area. That did help some. For us a quicky was 90 minutes or more. In 2009 I had a minor stroke and then another one last April. In the past year The condition has got to where I am not able to ejaculate at all, either alone or with my wife. I have done quite a bit of research on DE. I have read repeatedly that a main therapy for DE is Prostate Massage. I know to some men, that sounds like the last thing that you would do. My wife convince me to at least consider it. So we ordered a prostate massager, but I have not tried it yet. The last fall I was to the doctor and found out I have a very low testosterone level. On top of that, I have began to have very severe pain in the right (dislocated) testicle. I was to the doctor, yesterday & they are concerned that it may be testicular cancer. I can't get in to see a Urologist for another 6 weeks. I have also started to have prostate problems in the past 4 - 6 weeks.
So I guess to sum things up, have your lover give you an erotic massage. Use erotic play & foreplay. Consider prostate massage. If you do not feel comfortable with internal, then just use external prostate massage. Since I have not tried internal yet, I can not tell you how different the sensations are. But my wife has used external for several years & it used to feel very good and would speed things up a bit. Just Google or Bing prostate massage and you will find all kinds of info on it. Another thing that I have found helps is the audio / visual stimulation. Having my wife talk dirty and keeping the lights on so can see what is going on. After all, us men are stimulated by audio / visual input almost as much as the touching & in some cases even more so.
As for the medications, I do not know what to tell you. If you can not switch meds, that can be a problem. But the other suggestions I gave here may help. It will not be a cure but it may make it so you can enjoy sex a bit more.
I hope this helps others that are in the same situation as I am.