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Suggest Treatment For Ejaculatory Anhedonia

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Posted on Sat, 2 Aug 2014
Question: I suffer from Ejaculatory anhedonia. What can I do? My doctor doesn't really take is seriously. What treatments are available?
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (9 hours later)
Brief Answer:
please sceen if you have residual symptoms of depr

Detailed Answer:
Hello
Thanks for choosing wwwhealthcaremagic.com
I agree with you that it could be due to pristique. But now you are on wellbutrin and vytorin so your cholesterol level must be high. You blood pressure and Diabetic status need to be looked in to. Wellbutrin doesnpt cause anhedonia but is it treating your depression completely? Any residual depression can cause ejaculatory anhedonia. Please screen through Hamilton's Depression Rating Scale to see if there are residual depression .
DR SAATIISH JHUNTRRAA
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Saatiish Jhuntrraa (7 hours later)
I'm sure I'm still suffering from depression. I didn't know that depression could cause ejaculatory anhedonia. I have had depression my whole life, and I have never had this problem before. Do you think it's more psychological? Rather than physical?

Thanks.
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (1 hour later)
Brief Answer:
Treat depressive symptoms first

Detailed Answer:
Hello
Sexual Dysfunction is the most common residual symptom of depression. Lowered testosterone level, Vitamin D3 level may contribute to the problem. first, if there are depressive symptoms, they need to be controlled aggressively first. Then sessions of sex counselling are helpful.
Dr Saatiish Jhuntrraa
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Saatiish Jhuntrraa (13 minutes later)
Thanks. This is the first time anyone has actually given me a plan of action.

I'll make an appointment to see someone. Do you think I should see a Psychiatrist or a Psychologist? In your experience, it this better treated with meds? Or couseling? I've tried a lot if different meds, and Pristique was the only one that really had an effect. I've never really had any couseling, mostly because it's hard for me to open up, and it's hard for me to believe it will work.

What is sex counseling like? What happens in those sessions?

Mark
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (2 hours later)
Brief Answer:
please consult a psychiatrist

Detailed Answer:
Hello Mark
It has to be a Psychiatrist and Psychologist well experienced in helping cases of depression. depression,like any other psychiatric illness, is best managed by medicines in combination with appropriate mode of counseling. I can help you in both the areas as I am a psychiatrist by profession and sexologist by choice. Sex counselling sessions involve helping you explore your sexuality along with your partner and suggesting ways to improve the pleasure while minimizing frustrations . There is no quick fix solutions but these help a lot of people. it can be done on line as well if some one can;t make an office visit.
DR Saatiish Jhuntrraa
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Saatiish Jhuntrraa (9 minutes later)
So, see a psychiatrist for meds, and a psychologist for counseling? I know of one psychiatrist in town that can give me meds, but he doesn't counsel. And there is one psychologist that looked good.

How can this be done online?
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (10 hours later)
Brief Answer:
It can be done by telemedicine

Detailed Answer:
Hello
in today's time of telemedicine, this is feasible. The doctor talks to you on Skype, and suggests necessary investigations. Physical exam is not possible on Skype so a few parameters like blood pressure and routine physical exam is done by a local physician. medicines can be prescribed and you can purchase them from market. Thus you can get consultation from the doctor of you choice ,while sitting comfortably at your home. still it can not be a substitute for office consultation but if you are in US and want consultation with a doctor in UK, this is the way. There are many psychiatrist who are good in counseling but no psychologist can prescribe medicines.
Dr Saatiish Jhuntrraa
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr.Saatiish Jhuntrraa

Sexologist

Practicing since :1983

Answered : 1525 Questions

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Suggest Treatment For Ejaculatory Anhedonia

Brief Answer: please sceen if you have residual symptoms of depr Detailed Answer: Hello Thanks for choosing wwwhealthcaremagic.com I agree with you that it could be due to pristique. But now you are on wellbutrin and vytorin so your cholesterol level must be high. You blood pressure and Diabetic status need to be looked in to. Wellbutrin doesnpt cause anhedonia but is it treating your depression completely? Any residual depression can cause ejaculatory anhedonia. Please screen through Hamilton's Depression Rating Scale to see if there are residual depression . DR SAATIISH JHUNTRRAA