Brief Answer:
We need to evaluate further

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all I like to inform you that inability of ejaculate is very rare/never reported in proper scientific literature after 3 days of antidepressant use till date. I mean to say that if this is the case than this is new arena which we need to explore further to understand it properly.

For doing so I am posting some questions and request you to answer them thoroughly will all possible details.
1. Your age
2. What antidepressant was used and dosage of antidepressant?
3. How long you are sexually active?
4. What was the ejaculation latency before use of antidepressant during masturbation and during sex?
5. What is the ejaculation latency after use of antidepressant during masturbation and during sex?
6. When you first noticed difficulty with ejaculation after use of antidepressant?
7. What was the reason for discontinuation of antidepressant?
8. What was the cause for antidepressant use?
9. What is the current status of symptoms for which antidepressant was prescribed?
10. If possible upload the prescription which was issued to you?
11. What you mean by the constant pain? Please describe in details what you feel physically as well as psychologically?

I look forward to assist you further.
Thanks and regarsd.

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Brief Answer:
There is possibility of retrograde ejaculation

Detailed Answer:
Hello,
Thanks for reverting back to me.

Although the provided information lacks proper details but the available information indicates that there is either retrograde ejaculation or blockage of vas deference.

Citalopram is generally responsible for lack of orgasm but this is not the case. In your case there is enough sensation which points toward orgasm but absence of ejaculation indicates that there is probably retrograde ejaculation, which means the sperms are pushed backward instead of forward or there is blockage of passage of semen at some level.

Both the condition are not related to use of citalopram or any of antidepressants.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

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Brief Answer:
We need to find out which one is true

Detailed Answer:
Hello,
Thanks for follow up.

Since we narrowed down two possibilities for the lack of ejaculation, now we need to confirm which of them is applicable for you to reverse the condition.

For doing so I request you to visit a Urologist in your city. He may order some tests such as urine analysis, imaging of male genitalia tubules among others.

The tests will confirm the cause and the available treatment can be started for same.

I like to inform you that use of Citalopram for three days is unlikely cause for lack of ejaculation.

I hope this helps you further.
Thanks again.

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