Dr. Vishal Anilkumar Gandhi
Psychiatry
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Patient's Query
Hello doctor,
I have been on Fluoxetine for two months. In the beginning, I had no sexual problems, but after the second or third week, I could get an erection, but I could not ejaculate. So my question is, how can I fix this problem? I know every SSRI has sexual dysfunction as a side effect, but it can be fixed with another medication or another antidepressant.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
It is a common side effect due to SSRIs (selective serotonin reuptake inhibitors) like Fluoxetine. You may have delayed ejaculation. You can try the tablet Cyproheptadine (Heptidine) 2 mg before having sex. It will work. If it does not work, then you can switch to another antidepressant with fewer sexual side effects, like the tablet Wellbutrin (Buproprion). Consult a specialist doctor, talk with them, and take medications with their consent. I suggest you go for a complete blood count, serum TSH (thyroid stimulating hormone), serum testosterone, prolactin, vitamin B12, and vitamin D3.
I hope that you get your answer.
Thank you.
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Psychiatry
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