I would like to contribute my experience with SSRI’s for premature ejaculation treatment. I was a quick shooter usually less than 30secs, some times within a few strokes if I was really turned on. This was quite bad and I would often be frustrated at my lack of control, not to mention the sex was usually a disappointment. I could go again 2nd round but the desire is diminished at this point, taking away from the enjoyment and not to mention my erection is not as hard.
So I decided on 10mg Paroxetine daily to remedy the solution. I noticed a delaying effect within a couple of hours, but the drug really kicked in around 10-14days. Success! I had control like I could never have imagined, in fact it was bordering on anorgasmia. I didn’t mind this in the beginning because for the first time ever I could fuck my girl like the dirty little whore she is, haha.
Other positives:
Better erections (yes better, contrary to what is commonly reported)
More desire (I suspect this was due to the much improved sex)
Negatives:
Drowsiness
Lack of energy/determination
Brain fog (thought process felt slow, I deal with math and engineering problems in my job and this effect was very obvious)
Near anorgasmia
Due to the difficulty I had in ejaculation at this point and the brain fog, I lowered the dose to 10mg every 2 days. I continued this dose for around 5 months ejaculation delay was exactly the same as was the brain fog. Overall I was happy at the outcome, but still concerned at the prospect of taking an SSRI long term. I started looking at alternatives and weaned myself off. Interestingly the delayed ejaculation remained for at least 2-3 months after I was completely free of the paroxetine and then returned to pre-SSRI state.
Since then I have tried:
5 HTP up to 200mg (no effect)
Tramadol up to 100mg (definite delay but nowhere near as good as paroxetine - needs to be taken on demand, weaker erections, penis feels numb, not much fun)
Methionine (mentioned here at Thunders - no effect)
Vigara/Cialis (Very slight delay, gives me bad head aches)
De-sensitizing creams (delays slightly, some of the fun is also lost, also applied on demand)
Penis sleeves (delays as good if not better than tramadol, same draw backs as de-sensitizing creams)
So I am kind of back to square one and considering going back to SSRI’s. However this time I would like to try it on a much lower daily dosage of 2.5mg paroxetine, to reduce some of the side effects. I’d be interested to know if anybody has had experience dosing in these amounts for a period of weeks/months.
Secondly Dostinex is now available on the market, and I was wondering what where peoples results with this (especially relative to a conventional SSRI). However this is my second option as I want to avoid on demand treatment.
An alternative strategy I’m considering is reducing my refractory period and going two rounds, but I would need something that would still maintain my desire for second attempt.