What are the remedies to enhance sexual pleasure during intercourse for a man who is taking Sertraline Hydrochloride?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Firstly, I would like to inform you that Sertraline Hydrochloride tablet might potentially be linked to your concern, although before drawing any conclusions, I need to gather more information such as, mentioned below:

1. How was your first sexual experience?
2. Do you encounter the same issue during masturbation?
3. Has the problem worsened or remained stable over the past year?
4. How long have you been taking sertraline?
5. How long have you been sexually active, whether through intercourse or masturbation?
6. Are there any underlying neurological conditions?

There are alternative options similar to Sertraline Hydrochloride that might not have the same sensation-related side effects. After a comprehensive assessment of your sertraline requirement, we can make an informed decision. Alternatively, you could explore the option of reducing your Sertraline Hydrochloride dosage by around 20 % under medical guidance. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Based on the information provided, it is apparent that sertraline is likely responsible for the loss of sensation during sexual activity. I suggest you can follow the below mentioned instructions as potential solutions:

1. Since your sexual activity is intermittent, you could try skipping a dose if you anticipate sexual activity the next day. Sertraline's half-life of around 26 hours means that occasionally skipping a dose in a month is unlikely to impact its efficacy.
2. While this method has a slight chance of not working for everyone, if issues persist after a couple of attempts, consider skipping the dose on the day of sexual activity and resume your sertraline afterward.
3. Other medications like Fluoxetine, Escitalopram, Citalopram, Fluvoxamine, and Paroxetine share similar mechanisms of action but differ in side effects. With your psychiatrist's guidance, you might switch to one of these alternatives, using a cross-tapering approach to maintain efficacy.
4. Your ability to feel some warmth indicates nerve functionality in your penis, suggesting that sensation is not entirely impaired.
5. Enhance foreplay during sexual activity, focusing on increased lubrication and sensation. Foreplay's importance often outweighs intercourse itself.
6. If you use condoms, the type you choose could affect sensation. Choose ultra-thin varieties if applicable.

These suggestions are my personal opinions and might be beneficial. Currently, no official recommendations exist for this specific issue. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.