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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bipolar Disorder And Sexual Dysfunction

Masterbation can be very difficult if you take ssri's. If you have the urge to masterbate and you rotator cuff is weak and you have moderate ocd but bipolar || and mild/ moderate sexual dysfuction what can you do if it's a problem because the build up of sexual tension keeps you from sleeping
Tue, 24 Feb 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

SSRI drugs are known to cause sexual dysfunction and may result in delayed ejaculation and anorgasmia. You have weakness of muscles, OCD and bipolar and due to sexual dysfunction you are not able to sleep. As commonly used SSRIs are known to cause sexual dysfunction so in such case other anti depressants and anti anxiety drugs can help to improve the symptoms. Drugs like Mirtazapine, Bupropion can be used in place of SSRIs. These drugs have good efficacy and are free of side effects of sexual dysfunction. Mirtazapine will help in achieving good erection also. Try to relax yourself and discuss with your psychiatrist for these medicines.

Thanks, hope this helps you. Take care
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Psychologist,  Dr. K. V. Anand's  Response
Dear
Welcome to HCM
We understand your concerns

I went through your details. I think you are wrong. If you are inactive and obsessive, all those SSRIs and other medicines makes you lethargic and compel you to sleep. If you are active physically and mentally they help you in be creative and sexually active. Try to be creative and physically active, and see the difference.

If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible.

Hope this answers your query. Available for further clarifications.
Good luck.
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Suggest Treatment For Bipolar Disorder And Sexual Dysfunction

Hello thanks for asking from HCM for your health related queries SSRI drugs are known to cause sexual dysfunction and may result in delayed ejaculation and anorgasmia. You have weakness of muscles, OCD and bipolar and due to sexual dysfunction you are not able to sleep. As commonly used SSRIs are known to cause sexual dysfunction so in such case other anti depressants and anti anxiety drugs can help to improve the symptoms. Drugs like Mirtazapine, Bupropion can be used in place of SSRIs. These drugs have good efficacy and are free of side effects of sexual dysfunction. Mirtazapine will help in achieving good erection also. Try to relax yourself and discuss with your psychiatrist for these medicines. Thanks, hope this helps you. Take care