These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.
Decreased libido
Question: I have been on paxil and benzodiazepines, and since the beginning of the treatment I have felt no interest in sex.
Answer: This is a common problem with SRI antidepressants. There are two orations: 1) Try a
drug called Serzone. It is similar, but more selective binding. I have several patients who have
better sex drive on this drug and adequate treatment of depression. 2) Some recent literature
implicates the use of low level amphetamines with SRI antidepressants to blunt the effect on
sexual drive and performance.
Strange urology/sexual problem
Question: I have a strange, puzzling problem. After ejaculation, I get pain in my lower abdomen and testicles. This is aggravated when I lift weights. I have had a hernia operation and a vericoselectomy, all to no avail. Is it my prostate? Also, I tend to ejaculate prematurely. I am a virgin and do not have any kind of STD.
Answer: Ejaculation pain is not usually seen in hernias. This can occur with epidymitis – an infection of the collecting system for sperm (common in men and may or may not be related to STD). A trial of antibiotics would be the best way to decide if it is an infection of this system.
Penis enlargement
Question: Are there any health risks in using an over the counter pump
for penis enlargement?
Answer: Mainly local trauma, otherwise nothing special.
Sex Drive
Question: I was wondering if there were any over the counter medication that could be used to repress the biological sex drive? Or if there aren’t any drugs for that express purpose, are there any that repress the sex drive as a side effect that would not be too harmful if not used for its actual intended purpose?
Answer: Many drugs depress the sex drive or sexual ability. Over the counter the most common is alcohol. Inability to become sexually aroused is notorious for this drug. Some people are sexually depressed with anti-histamines; although, less commonly. Among prescription drugs, there are two different sexual effects. The first is impaired sexual arousal-not being able to get an erection or vaginal lubrication. Many blood pressure drugs are responsible for this effect. Second is the actual suppression of sexual drive. Serotonin Reuptake lnhibitors(SRI) like prozac, paxil etc are notorious for this effect. Some seizure medications also can have this effect occasionally.
