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Q: Inhibited Ejaculation
asked by: kyrie_eleison on August 3rd, 2006
New User, Becoming EHEALTHy
I am currently taking zoloft which I have read can cause problems with ejacultation. I am unable to ejaculate though I have no problem getting an erection with contact with my wife (though masturbation does not).

Most of what I have read is that ejaculations are not normal. I am not able to ejaculate at all. I aso have diabetes. Any ideas or suggestions?
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Striker001 replied on August 5th, 2006
New User, Becoming EHEALTHy
Zoloft or any other kind of ssri antidepressant will cause inhibited ejaculation. Diabetes can cause the penis to lose sensitivity due to blood flow problems and nerve damage. But, ejaculatory difficulties caused by diabetes most times take years to occur. I would guess your problem is being caused by the zoloft.

Ask you doctor to try a combination therapy to treat your depression. The antidepressant wellbutrin will not cause sexual side effects. Perhaps if you cut your daily dose of zoloft in half and also take a dose of wellbutrin, the wellbutrin will cancel out the ejaculation problem. You might also consider taking viagra before sex. Even if you don't have erection problems the viagra will increase blood flow to the penis and make the penis more sensitive to stimulation.

If the half and half dosages of zoloft and wellbutrin don't solve the problem talk to your doctor about slowly, over the course of a couple of weeks, cutting down the dose of zoloft more and more and increasing the dose of wellbutrin. Do this until you no longer have to take the zoloft. This must be done under your doctor's supervision so he can monitor the effects of this gradual change of meds.
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