I recently took part in a discussion on these boards about a quadriplegic wondering how he could get help reaching orgasm. Interesting thread. And got me to thinking of another type of sexual dysfunction.
I was specifically wondering about new antidepressant drugs like Prozac. They literally suppress the male orgasm. This can be tragic for men who have to take it, and weren’t expecting this outcome.
So I was wondering. Does it suppress “other” types of orgasms too? Even Freud realized, females can have two types of orgasm, vaginal and clitoral. Heck, some people don’t realize that men can have other types of orgasm too.
My question is simply, does it suppress these other types of orgasm too–specifically female?
They don’t? I thought there were separate nerve bundles involved and in some cases specific women can only reach orgasm from stimulation of one of those areas only. I’ve even read that one of the nerve bundles enters the spine higher up which makes some women with spinal injuries still able to achieve orgasm.
I mean, all that said, women need a lot more than stimulation to reach orgasm so it’s hard to even consistently figure out what works…
Does it affect both sexes? Yes. Paxil is the worst, though, in my experience. As above, there isn’t a hard distinction. Generally speaking, it is hard to selectively avoid one area during intercourse as well.
Freud gets too much flack for being wrong about a lot of things, as he was right or at least had a good idea about many things as well. And I don’t think the purpose of science is to be “right,” or we wouldn’t give a shit about Newton. But one’s preferred method of orgasm is not related to their emotional maturity, developmental level, etc.
Really, women do NOT have “vaginal” orgasms. Or “other types” of orgasms. Female orgasms result from clitoral stimulation. Where the misunderstanding comes in is that the clitoris is more than just the external nubbin we’ve all seen. The clitoris has structures that are internal and much more extensive than most people realize. The clitoris can indeed be stimulated by vaginal intercourse, or anal, or various other means.
Because it may be offensive to some individuals or workplaces the following link should be viewed with caution, but it’s all about the clitoris:
Some people with spinal injuries can achieve orgasm, it all depends on what is injured and where.
As a general rule, people with quadriplegia are more likely to retain sexual function than paraplegics because if you break your neck the lower part of the spine, where the nerves for orgasm are, is more likely to remain intact than if you break your back lower down.
SSRI drugs can have sexual performance side effects in some people, of varying degree. For some reason, the instructions that come with these drugs always seem to mention the possibility of side effects for male patients, but never have I seen mention of similar side effects for female users. That seems to be the gist of what OP is asking about. (Never mind the 57 flavors of orgasms that Freud might or might not have recognized.)
Apparently, it can cut both ways: It might lead to ED in males or “delayed” orgasm (meaning: males can’t come), and this has been said to be a major reason why male patients quit using these drugs. As noted up-thread, Paxil is apparently one of the worst in this regard.
BUT: For males with serious premature ejaculation problems, it can be really helpful. Carefully titrated, it can be used to delay orgasm, without actually preventing it.
As has been noted, and to make clear, the effects of Prozac and other SSRIs on orgasm can be from both directions, so to speak: 1) the anorgasmia is you can’t come but you (and your partner) want to and 2) the suppression of libido which in the first place won’t keep you interested enough to even get/stay hard (men, obviously), let alone get to orgasm territory.