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Hi. I'm A 55 Yo Male, Taking Sertraline And Have

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Posted on Wed, 5 Dec 2018
Question: Hi. I'm a 55 yo male, taking sertraline and have recently discovered I suffer from anorgasmia. Do you have any advice for me? I'm normally sexual l'y active.
doctor
Answered by Dr. Dr. P. T. Patil (55 minutes later)
Brief Answer:
This is due to side effect of Sertraline

Detailed Answer:
Hello
Thanks for query ,
Based on the facts that you have posted the problem of Anorgasmia that you are facing is due to side effect of Sertraline .

Sertraline belongs to a group of drug called SSRI which are known to have side effect of sexual dysfunction,loss of libido and delayed ejaculation etc .

Consult your Psychiatrist to explore possibility of modifying the drug .

Taking Cialis 5 mg daily does help to resolve the problem .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (17 hours later)
Hello, Dr XXXXXXX thanks for your reply.

I was aware that SSRIs - particularly sertraline - play havoc with prolactin. I'm interested in your suggestion of a low dose taladafil dose, though. I had thought that worked only on NO production to improve blood flow to the penis. Although that aspect is not great either, I used to be able to achieve orgasm even when partially erect. Now I get close but nothing happens regardless of stimulation.
For that reason I was looking at cabergoline (or another D2 receptor agonist) to takle the problem at the root, as it were. If taladafil does more than I think then I'll definitely try it. I believe it no longer requires a prescription.
I don't know if that avenue is worth perusing or practical, though.

Any advice welcome.
Many thanks XXXXXXX
doctor
Answered by Dr. Dr. P. T. Patil (3 hours later)
Brief Answer:
You can have trial of Tadalafil.

Detailed Answer:
Hello
Thanks for follow up .

Theoretically the side effects of Sertraline can not be combated with Tadalafil however the basic action of the drug results in achieving strong and hard erection which helps in penile stimulation and there by getting orgasm .

There is no harm in trying the same
Thanks and Regards.
Dr Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Hi. I'm A 55 Yo Male, Taking Sertraline And Have

Brief Answer: This is due to side effect of Sertraline Detailed Answer: Hello Thanks for query , Based on the facts that you have posted the problem of Anorgasmia that you are facing is due to side effect of Sertraline . Sertraline belongs to a group of drug called SSRI which are known to have side effect of sexual dysfunction,loss of libido and delayed ejaculation etc . Consult your Psychiatrist to explore possibility of modifying the drug . Taking Cialis 5 mg daily does help to resolve the problem . Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.