Register to join our community
|
|
Question:
My husband has been seeing a psychiatrist for depression since April of last year. He is taking Amitriptyline, which has caused him to have trouble ejaculating. It's turned into almost an obsession that he climax when we have sex. I feel like an object when this happens. How can I make him understand how I feel? Is this the medicine? Or do we have more problems than that?
|
Answer:
by Richard F. Spark: (05/26/2004)
From the time they are very young and first discover sex, all men are proud of the amount of fluid they ejaculate and fret if there is either a decline in the volume of liquid they release or any weakening in the vigorous rhythmic pulsations of semen as it squirts through their penis (urethra) at the moment of sexual climax. As men age, however, there is a natural decline in the amount of semen they can release either because the source of the fluid men ejaculate (fluid reservoirs in their prostate glands and seminal vesicles) are just not as flush with fluid as they were during their youth, or because there is a problem with a man's prostate gland. It probably would be worthwhile as a first step for your husband to see his urologist to make sure there is no prostate gland problem.
You are correct in noting that many anti-depressant medications disrupt ejaculation and that is indeed one of the side effects of amytrptiline. Your husband should discuss this with the doctor who first prescribed amytrptiline to see if anti-depressant treatment is still needed and, if so, whether another antidepressant medication which does not interfere with a man's ability to ejaculate might be as effective as the amytrptiline. For more information see Chapter 16: Medicatons Chemicals and Sexual Potency in my book Sexual Health for Men: The Complete Guide, 2000, Perseus Press.
Reviewed by Sexual Health Editorial Team
|
This question appears in the following topics:
|
|
|
|
