About 8 months ago I started having anxiety problems because I had a few palpitations while I was masturbating. After a 911 call that ended in the paramedics leaving me at home telling me to see my family doctor, I went to see him. He performed some blood work and an EKG that both came back in absolutely perfect health. I was still anxious so he put me on Effexor XR, referred me to a Anxiety specializing psychologist, and referred me to a pediatric cardiologist for reassurance.

After going to the cardiologist where I had an ECG, another EKG (no stress test) and a 24 hour holter monitor that all said my heart was perfectly fine, learning how to manage anxiety and panic attacks with meditation and thought field therapy, I was returning to my normal self. The effexor was not only helping me keep my mind of the thought I was going to fall over dead from a heart attack, but helping with previous social anxiety and some problems concentration during stressful situations. The effexor was worth it for the small side effects of occasional diarrhea and discontinuation syndrome if I missed a dose. So passed 6 or so months until recently when something else started happening.

When I am masturbating my heart starts having constant PVC's, normal beat, premature beat, pause, repeat until I stopped and waited for 10-15 seconds. I had two theories, my first thought was that it was a physiological response to the anxiety of the first attack I had 8 months ago, so I know when I masturbate I have heart problems (is what my brain is telling me), so my heart beats irregularly. It usually worsens when I'm more stressed/tired (which is all the time in the middle of taking 4 AP classes).

My other idea after I looked up the symptoms for the medications I take regularly/semi-regularly, was that the Effexor rarely causes irregular hearth beat, so that might, added on top of the increased heart rate from sexual arousal, as well as stress and possibly caffeine/lack of sleep and even possibly in addition to the first theory, all add together to cause the constant PVC's when I try and masturbate.

I am currently using in addition to the effexor, an albuterol inhaler, and ibuprofen (regular over the counter dose about 2-3 times a month) for pressure headaches and back pain from the stress of school.

I also exercise regularly (for a teenage nerd), usually 20-30 minutes of running or weight training 4-5 days a week.

Any suggestion on changing of habits, or if its medication related/more serious then I would follow up with my doctor ASAP. If it's more likely anxiety related I'll go back and see the counselor again.

I just want to confirm with someone that it could possibly (even after the numerous tests) be more than a reaction to the first episode (medicine, heart condition) before I go to see my doctor and face the awkward situation of nerd asking doctor about masturbation.