Talking to a p-doc about masturbation

Background: http://forums.psychcentral.com/showthread.php?t=217084

Masturbation for me means pure fantasy; I do not look at imagery. And I want it back. I will supply the fantasy, the memories, but I want the body to respond. I no longer wish to defer resolution of this issue until I find a man (this may never happen, as I am not searching nor am I attractive these days, alas). I want my wonderful orgasms back now. I would need less Trazodone if I could lull myself to sleep with a few powerful orgasms in a row. Orgasms used to work so well putting me to sleep... I would feel more alive if I could come. Is it much to ask to get a medication recommended on the background thread just for the pleasures of solo sex? I think I am going to talk to her about that. I know she will say that my even bringing up this subject - pleasure - means that I am on the mend from depression, and I am sure she would be right. But please, doctor, do something about it! I will tolerate suppressed thyroid and shaky hands that cannot control the pencil well, just deliver me the orgasms!

Has anyone had this conversation with their p-doc?

No, but I've talked about uncomfortable things with pdoc before. I remember coming into pdoc's office, still sore, talking about how I'd gotten together with an ex the night before for rough, passionate sex. We then talked about whether or not it was a behaviour that was healthy for me and whether or not I want to continue it. The answer to both being: NO! I have paternal feelings, both transference based and naturally occurring, for my pdoc and that made it even more uncomfortable to discuss, but I am glad I did. I recommend that you do talk about it with pdoc. I would miss my orgasms.

Started reading about anorgasmia lasting for years after SSRI discontinuation. Scary! Will talk to the doctor next week and she what she says.

If I have more than 20mg of Celexa a day, I don't orgasm. I consider not having an orgasm an unacceptable side effect. I rapidly cycle too taking more than 20mg, so it's a moot point.

That's how I will frame the conversation - an unacceptable side effect.

Not yet but I plan to. I find it hard to orgasm during sex, when before zoloft it would happen before my pants hit the floor. I mean never had a problem in that area and now its a real job and doesnt happen most of the time. Almost just not quite. I think it strains my relationship too, I have explained to him it is the medication. As far as the conversation, I think he really doesnt need to know how you plan on coming just that you havent been able to due to meds. I hear there is a med out for females now. Thinking of asking for it too. Its going to be an awkward conversation but I have to have it. It sucks to just got a new doc.

Citalopram meant that I could not have an orgasm - it just wasn't possible. And it sucked

When I went to see the p-doc that time, I chickened out of this conversation. Now I am thinking to myself: my success on the job atm is completely critical, I cannot risk messing with meds, Geodon does a great job save for this hugely crappy side effect. I cannot start experimenting with other APs. I already tried: Risperdal is the same and actually worse, it kills even erotic dreams. Seroquel gives me horrendous, torture-like akathisia AND does not help with mania a bit. Zyprexa==>WEIGHT GAIN!!! Abilify often gives people akathisia and given that I already experienced akathisia on another drug, I am probably not a good candidate. What else is out there?

If I were allowed my orgasms, though, I would not need sleep aids - I remember in my past life feeling really sleepy following a good series of orgasms.

F... this illness and its treatment suck.

Got a new p-doc. Super young, looks 25 but of course must be at least 30 to have gone through residency and school. At first I thought that I would not be able to talk to him about it. Just imagine this young (and short and super-skinny!) creature and an adult woman! But I made myself tell him that I have this problem with Geodon. He took it seriously! He asked: "Geodon or Prozac?" I said: "Geodon - I am only recently on Prozac and I have had this problem all the time I have been on Geodon and before Geodon on Risperdal the same problem". He asked if I tried Abilify. I said no; I am afraid of akathisia - I had horrible, torture-like akathisia on Seroquel (an unusual reaction to Seroquel) and Abilify is notorious for causing akathisia. He nodded. I said I am willing to try though. He asked about lowering Geodon. I said that I have been on lower doses but always had this problem - it is not dose-dependent. He also mentioned Tegretol, Trileptal and something else, as alternatives to Geodon against mania. He said he does not change medication on the first visit though, as it is very risky. I thought it was prudent. At the end of the visit he again told me that he would like to fix this problem. All in all, I can say that I cannot imagine a better reaction than his. I will see him in a month and then we will continue this conversation.

Orgasm?

What's that? It's been so long (1998) that I don't even remember what they were like.

But I have absolutely zero sexual desire, no relationship. When friends talk about hunky actors and want me to choose which type I like, I am at a loss for words. Men cause more trouble than they do pleasure.

I'm not a lesbian. It's just that I never feel sexual.

@purpledaisy

My girlfriend is like that! And she isn't on any medication. Asexuality is a legit orientation, to me, unless you don't want to be.

I think she is missing out on the spice of life! You seem to be a nice guy so she has access to great sex and forgoes it? What a pity! I would encourage her to see a doctor to rule out physical causes, perhaps thyroid or low grade depression, before talking of it as an "orientation".

Purpledaisy - I have never been into actors in my life, yet I am quite sexual and have had periods of hypersexuality. I have just never found actors or musicians so hot - as a teen, I did NOT have posters of "hot" stars in my room. I just do not get it. Do not get the whole thing. I am very discriminating, I rarely find someone attractive, but when I do, it is strong. But actors - forget about it. So I, too, would be at a loss for words if asked to pick "the one". Hugs.

Friends have quizzed me to try to figure out what type of man I'd like. A few have offered to set me up. I let one set me up many years ago, and this guy was like the janitor from my elementary school who used to throw sawdust on vomit. I don't want to date sawdust-vomit guy.

Then my friends were convinced that I must be a lesbian because I don't have a type of guy and won't let them set me up.

I just don't have any interest in dating.

And I never feel any sexual urges. They've been turned off for years.

When I had a man around, I was quite the nympho.

Just have no idea how to meet someone and start a relationship. It's easier to stay alone.

I had long periods like that. I would look at a kissing couple on a train and wonder why they engage in their activity? It was just all so foreign to me. I now know that it was a combination of drugs and depression and situational things (tough divorce, divorce that I did not want yet caused).

I could not come, my sexual organs were not sensitive, and I did not have the drive.

Enter Prozac. I had a paradoxical reaction to Prozac. It kills the drive in many people. Me, it did not only lift from depression, it restored me to my original sexuality and I now can have spontaneous effortless touchless orgasms from thoughts (and now also thanks to Kegel exercises which were recommended by a kind soul on this board - they are great).
See http://forums.psychcentral.com/showthread.php?t=236276 for the description of such orgasms. I know BipolaRNurse has them and my late mom had them, but other than that I do not know anybody who would have them. My ex, who had had plenty of women prior to me, was very surprised that I have such climaxes. That tells me that they are rare. Thanks god to Prozac for bringing them back. Now if I could only find a med in place of Geodon to have not those spontaneous fleeting orgasms from thoughts (thoughts need not be hardcore, imagining kissing is enough), but long regular manual orgasms, and a lot of them. And I have a doctor who believes this is a good goal.

Like you, I do not know where to start a relationship. I have no idea. But I know that whoever gets my smoldering sexuality as a gift would be very happy. I just do not know where to find him. No clue.