Question:

Dear Mr. Ross, Recently, for approximately six months this year, and a year and a half prior to that, I have been involved heavily with cybersex since I found that to be a better alternative than aids chances with human sex. I made this conversion primarily because it is very erotically stimulating during periods of high labidos. The recent changes that I have had was when I was placed in a position of total submission and I found that it changed me considerably. I have noticed contant tingling sensations, my whole body will not stop these sexual urges that flow over me and I am at loss as to how to control this urgent drive. It is different from anything that I have ever felt before, except when I was first hospitalized in 1989. It has been that long since I have felt like this again. I had to submit at that time to to Pshcyhiatric care during that period of time. While  up until my Internet days, I was fairly conservative with sex, but due to the vast amounts of BDSMDS/Bondage, Bondage, Sadist, Machochist, Dominatuer, Femme, Gay, Lesbian activity that so rampantly emerged in the last few years on the Internet and the availablity of it, this has changed my sexual life style tremendously. I suppose that I have come under this practice of sex with an open mind and liberal mind to have all this considerable urges to take hold of me while in a BDSM situation on line. I would like to know how to control it and I will speak with my Psychiatrist about it as well….. Sincerely Yours, Connie 8819 W. Hills Court, 55 Douglasville, GA 30134 Please reply by mail to me.

Response:

I am taking Zoloft and my sex drive has remain steady. Actually I last LONGER in bed than usual so you get put on Zoloft maybe we could corisdond on our side affects

Response:

Okay you guys, Help me please I used to have an enormous and dangerous sex drive before I started taking prozac.  Now I have absolutely none.  The prozac is working great for me and I don’t really want to change it.  Can anyone suggest something?  Anything that might help?                                 Sarah

Response:

>Okay you guys, Help me please >I used to have an enormous and dangerous sex drive before I started >taking prozac.  Now I have absolutely none.  The prozac is working >great for me and I don’t really want to change it.  Can anyone suggest >something?  Anything that might help?

Sarah, Talk it over with the doc who prescribed it for you.  There are other antidepressants that are as effective as Prozac (or more so) that might not cause this side effect for you.  A good friend of mine had a similar experience with Prozac and got good control of depression without the decreased libido/sexual dysfunction with Zoloft… I’ve heard and read accounts of people in the exact opposite situation, so it’s very much a personal, your-mileage-may-vary situation. — Barry Campbell             | "Any content-based regulation of the http://www.cris.com/~Btc/  |  purpose, could burn the global village                               to roast the pig." — Judge Dalzell

Response:

One of the anectodatal side effects of Wellbutrin is that it causes female libido to increase and also increases the incidence of multi orgasms. Mary mARY THE nURSE

Response:

Sarah I suggest changing meds I took effexior and my drive was there and I rose to the occasion but the final blast wasn’t there.  I was really frustrated and it was ruining my marriage, of course my manic depp didn’t help it neither.  I change to lithium and welbutrin and they dont have the side effects and have leveledme out too.

Response:

>Okay you guys, Help me please >I used to have an enormous and dangerous sex drive before I started >taking prozac.  Now I have absolutely none.  The prozac is working >great for me and I don’t really want to change it.  Can anyone suggest >something?  Anything that might help? >                            Sarah

Dear Sarah; With antidepressants, it’s hard to tell which one will or won’t affect any given individual’s sex drive.  If you’ve had very good results with Prozac, it would be a pity to have to switch from it to another untied med.  On the other hand, whereas with the other SSRIs which have shorter half-lives, drug hol;idays can be given, Prozac has such a long half-life (at least two weeks) that that won’t work. A "drug holiday" is when the patient is given the weekend – or some other period of a few days – off from taking the med.  Drugs with short half-lives wash out fast and the libido returns.  As I say, that won’t work with Prozac.  You might suggest to you doc that (s)he try either Zoloft or Paxil instead of Prozac and see if that affects your sex drive less.  Even if it doesn’t, if it works as an antidepressant, the "drug holiday" technique, while far from a perfect solution, may be better than nothing. There are a couple of drugs which, when administered along with the offending med, are thought to help.  Unfortunately they help rarely and poorly.  There are other antidepressants that may affect some individuals’ sexual functioning less, but they may not be as efficacious as antidepressants.  It takes some trial and error in each case to know for sure.

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