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I Have Had OCD For The Last 30 Years. I

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Posted on Tue, 6 Nov 2018
Question: I have had OCD for the last 30 years. I have been on many SSRI. I am now on trintellix. Which has the least amount sexual side effects. I take 5 mg cialis daily and 20 mg before sex. Lately I have had problems climaxing, I have not been able to climax during intercourse,but have been able to with masterbation after intercourse. Again lately it has not worked. What I do not understand I seem to be urinating instead of climaxing. I try several times and each time I urinate instead of climaxing. I never had the this problem before.
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Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Try reducing dose of Trintellix .to 5mg once daily

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted not getting climax orgasm that you have is mostly due to known side effect of SSRTI drugs like Trintellix .

The problem of urinating instead of getting climax is due to relaxation of urethral sphincter but absence of contraction of Bulbo Spongiosus muscle which is prime factor in getting sensation of climax which in it's turn could be due to inadequate penile stimulation during sex .

You can try interrupting intercourse for a short time and proceed ahead after rest for few minutes and penile stimulation by your female partner .

Second alternative is to reduce the dose of Trintellix to most minimum of 5 mg once daily . It will help to reduce the side effect of the drug .

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.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - 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 : 10591 Questions

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I Have Had OCD For The Last 30 Years. I

Brief Answer: Try reducing dose of Trintellix .to 5mg once daily Detailed Answer: Hello Thanks for query . Based on the facts that you have posted not getting climax orgasm that you have is mostly due to known side effect of SSRTI drugs like Trintellix . The problem of urinating instead of getting climax is due to relaxation of urethral sphincter but absence of contraction of Bulbo Spongiosus muscle which is prime factor in getting sensation of climax which in it's turn could be due to inadequate penile stimulation during sex . You can try interrupting intercourse for a short time and proceed ahead after rest for few minutes and penile stimulation by your female partner . Second alternative is to reduce the dose of Trintellix to most minimum of 5 mg once daily . It will help to reduce the side effect of the drug . 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.