Is paxil anything like chemical castration?

[Cburner98 (imported)]

She's not a fan of oral, but we both use her toys on her even before this. She's explained that making me cum is a sense of accomplishment for her that she enjoys, and I believe she takes it personally that she can't get me there despite knowing the meds are the real reason.

The muscle mass is my main concern I suppose, along with breast growth. As far as the physical aspect of castration itself I could care less if I have balls or not lol. Granted that's not really on the table I suppose (something as drastic as full blown castration to drop my drive). I wouldn't be against it if there were some legitimate excuse to have the procedure done but I've lurked this forum long enough to know you're not just going to waltz in to any given hospital and simply have your nuts removed at your request.

In either case, switching meds may still provide me some relief from my sexual frustration like you mentioned. I suppose we'll see.

[sftineun (imported)]

I was rxd the med for PTSD. It's my firm belief that the meds changed nothing in that regard, and I still suffer from those symptoms and such related to PTSD. I do not feel the paxil helped this at all.

Several years ago, after a very traumatic event, I had been diagnosed with PTSD. I refused to go on meds from a psychiatrist and instead went to a therapist with experience in treating PTSD. While my conditions took some time to improve, in the end, I totally recovered, all within a few months. Old triggers that would have caused an emotional breakdown stopped bothering me.

And this kind of treatment has no effects on my sexual performance.

While not a pharmacist, my understanding from having taken both anti-depressants (from a different situation) and having given myself chemical castration, my understanding is that psychiatric drugs affect sexual functioning and libido by adjusting your brain chemistry to supposedly feel satiated (as though just after orgasm). They do nothing to your androgen production or androgen receptors. As such, the effects on sexual functioning should go away after you stop the medication.

Chemical castration affect the functioning of both androgen production and androgen receptors. Over time, the effects will be permanent, as in my own case.

Separately, you mentioned you had depo. I would suggest not to take that until you have gotten control over PTSD because Depo, a real chemical castration drug, reducing your testosterone in your body. Low testosterone often causes depression, which may counter what your psychiatrist is trying to fix.

[Cburner98 (imported)]

I appreciate your response and you are correct regarding how paxil works vs depo or Spiro, etc. I'll also add that sadly the decreased drove I experienced on paxil initially has gone away, and my libido is again through the freaking roof. It was nice while it lasted.

[BadgerDolphin (imported)]

I am 67 and I willingly started Paxil 40 mg in Oct. 2020. It certainly helped me with my depression and anxiety. However, it did not significantly reduce my sex drive but it did greatly reduced my ability to have an orgasm which isn't a bad thing. About 14 months ago, I was diagnosed with prostate cancer after a blood test revealed a PSA of 23. I opted for radiation along with Lupron shots. I haven't had any interest in sex in a year. While I don't mind it, I miss the intimacy with my wife. She's been incredibly understanding. She went through menopause years ago so she doesn't have a very high sex drive but she misses the intimacy.

So to answer your question, Paxil alone probably won't create the effects of chemical castration but, for me at least, it was a start.

[WheelyFixed]

I suspect the lupron is possibly the major reason for the loss in sex drive, as I know it wiped out my T in very short order...

But I am wondering if you are confusing 'sex drive' and ""desire for intimacy" as it seems to me that they are overlapping but significantly different things... Arguably one can satisfy 'sex drive' by a visit to a 'rent-a-mate' w/o any intimacy, OR be very intimate with a partner without having sex...

Both when I was on Lupron, and now, after getting castrated, I have no interest in 'sex' but still desire intimacy w/ my GF. I am not on any anti-depressants, and personally will fight any effort to get me on them... However some ways I'm in the opposite situation to yours as my GF is on quite a few (I'm not sure of the entire list, but I know she's on at least Wellbutrin and Buprion) and it seems she is less interested in intimacy than I am. We still hug, but that's about it... Admittedly our lengthy list of physical handicaps would make things more than hugs difficult, but it seems to me that she is less interested than I am...

So I'd wonder if the Lupron is causing the lack of sex drive, but the Paxil is causing the lack of 'intimacy drive'.... However no idea what to do about it, other than suggesting that you try doing more cuddling and other non-sex stuff, as intimacy doesn't need a stiff

WheelyFixed

[kristoff]

I suspect the lupron is possibly the major reason for the loss in sex drive, as I know it wiped out my T in very short order...

But I am wondering if you are confusing 'sex drive' and ""desire for intimacy" as it seems to me that they are overlapping but significantly different things... Arguably one can satisfy 'sex drive' by a visit to a 'rent-a-mate' w/o any intimacy, OR be very intimate with a partner without having sex...

Both when I was on Lupron, and now, after getting castrated, I have no interest in 'sex' but still desire intimacy w/ my GF. I am not on any anti-depressants, and personally will fight any effort to get me on them... However some ways I'm in the opposite situation to yours as my GF is on quite a few (I'm not sure of the entire list, but I know she's on at least Wellbutrin and Buprion) and it seems she is less interested in intimacy than I am. We still hug, but that's about it... Admittedly our lengthy list of physical handicaps would make things more than hugs difficult, but it seems to me that she is less interested than I am...

So I'd wonder if the Lupron is causing the lack of sex drive, but the Paxil is causing the lack of 'intimacy drive'.... However no idea what to do about it, other than suggesting that you try doing more cuddling and other non-sex stuff, as intimacy doesn't need a stiff

WheelyFixed

Wellbutrin and Buproprion are one and the same drug. One is brand name and expensive, the other is generic and a lot cheaper. Most people do not experience reduction in sex drive with bupropion, although ejaculatory capacity is reduced.

[WheelyFixed]

Wellbutrin and Buproprion are one and the same drug. One is brand name and expensive, the other is generic and a lot cheaper. Most people do not experience reduction in sex drive with bupropion, although ejaculatory capacity is reduced.

Thanks for that correction Kristoff. She currently does around 18 different prescription pills / day for a variety of medical issues, and while I know at least 2-3 are psych meds, I don't try to keep track of her list...

Given that she is legally blind, I'm glad we found a pharmacy that does the best setup I've seen or heard described for drug management for patients w/ low vision (or other issues?) They make multi compartment 'blister pack' cards with all the pills she is supposed to take at one time in each blister, so she just has to poke a hole in the right one to access that set of pills... Only problem is that she has more prescriptions than their machines can handle at a time, so they have to use two cards per day instead of just one... I'm sure this is not cheap, but her insurance seems OK w/ covering it...

WheelyFixed