Anorgasmia and Pre-Ejaculation from Reboot or Prozac withdrawals?

Hi everyone,

At age 22, I was diagnosed with OCD around January 2015 and was prescribed Fluoxetine (Prozac) as part of my treatment. I began taking 20mg daily, moved up to 40mg and then 60mg for about a year. I may have gone down to 40mg for a short period during that time, but I basically took 60mg for some time.

One issue I had throughout my teen and young adult years was chronic masturbation and porn watching, and once I started taking Prozac I could better control myself, at least in the beginning.

After some time, I began masturbating again, frequently, and I realized it didn't feel very good. So I decided to try doing a nofap REBOOT. I didn't masturbate at all and kept track of it. On day 57 (Feb 2016) I had sex with a girl, and I noticed it didn't feel very good. I thought that maybe this was a side-effect of the Prozac so I decided to go off meds. My psychiatrist began to help me taper off and I would go down to 40mg for about 3-4 weeks, and then 20mg for another 3-4 weeks. And I was continuing my reboot (ended up hitting 120 days in total).

Eventually I hit 10mg and stayed on for about 2 weeks I believe. It has been about a MONTH since I stopped altogether.

I can't recall if I masturbated during or after I finished with 10mg of Prozac, but it still didn't feel any good. My psychiatrist said that any side effects from the Prozac should go away in about a week after stopping the medication. I gave it a rest and didn't masturbate for another week or so.

I began masturbating again after a week or 2 after stopping the meds and it felt much, much worse. My orgasms are practically absent, or completely muted and numb. I have the desire to masturbate, and when I do, I begin to orgasm (if you want to even call it that) way too fast. It feels like I'm about to orgasm and that it might feel good, but then skip any pleasurable feelings and go right to ejaculation immediately. I'm not even sure of how to explain it. Does this sound like pre-ejaculation and anorgasmia?

I talked to my primary care doctor and he said that it sounds like my depression is causing my sexual dysfunction. I agreed at first, but my severe depression that I am in currently didn't start until AFTER I realized I was having this issue. I was depressed before, but I could cope. And I've been severely depressed in the past without any sexual dysfunction. I don't think something like this is caused by depression. Feels like I got MUCH worse after stopping the medications altogether.

I found articles about PSSD (post SSRI sexual dysfunction) and I am freaking out. They describe the symptoms that I have and in many cases persist for months, years, or INDEFINITELY.

I'm also wondering if maybe these are side effects from the reboot? I went 120 with no masturbation (only had sex on day 2 and day 57) and maybe my brain or penis is in shock from all of this? I know I don't exactly have a good sexual or masturbation history, but it was never like this. Because I did the reboot while I was tapering off on the meds it makes this so much more confusing!!!

 

I feel like even if I go for another reboot it won't really help. It's too stressful for me, especially while I think the problem will still persist even AFTER I go through it. So I go for another month or 2, maybe 3 of NoFap and then what? Same problem will persist, especially if it is still caused by the medication.

I can't do this anymore.

 

Do you think what I'm going through is a result of my medications? Or is it that I went 120 days for a reboot and it wasn't long enough?