OMG!
I'm like that, too! I can play with my toy and orgasm, and once I got it with the shower head...but I can't any other way, and I REALLY can't with my BF. I have a great time (!!), but no orgasms.

Kinda hate to admit it, but I'll fake one every now and again. Not all the time (!) but every once in a while. It makes him feel good, and sometimes that's important to me.

And yes, meds can DEFINITELY kill sexual performance!