What are you suggesting though, that a psychostimulant or buspirone would allow orgasm to occur but because of the SSRI it would be delayed?
I am suggesting they fix SSRI-induced sexual dysfunction, which for men includes libido, erectile function and the ability to orgasm.
Psychostimulants apparently reverse sexual dysfunction secondary to selective serotonin re-uptake inhibitors
Authors: Barbara D. Bartlika; Peter Kaplanb; Helen S. Kaplan
Published in: journal Journal of Sex & Marital Therapy, Volume 21, Issue 4 Winter 1995 , pages 264 - 271
Abstract
Sexual dysfunction secondary to selective serotonin re-uptake inhibitors (SSRIs) is an almost universal, yet pooly understood phenomenon. Not uncommonly, this unpleasant side effect leads to noncompliance. Since SSRIs have been so successful clinically, it is time to find a safe and effective treatment for this side effect. This paper reports on jive cases in which low dosages of the psychostimulants, dextroamphetamine and methylphenidate, administerd on a p.r.n. basis, reversed the sexually inhibiting side effects of the SSRIs fluoxetine, sertraline, and paroxetine in patients with and without attention deficit hyperactivity disorder. In addition, the women experienced enhanced levels of arousal, orgasmic sensation and excitement during the resolution phase (afterglow) of the sexual response cycle on psychostimulants, and the men noted firmer erections.
Buspirone treatment of sexual dysfunction associated with selective serotonin re-uptake inhibitors
Michael J. Norden, M.D. *
University of Washington, Seattle, WA 98111
Abstract
A retrospective study was done of sixteen patients treated with adjunctive buspirone in the context of sexual dysfunction associated with the use of selective serotonin re-uptake inhibitors (SSRls). Sexual functioning was rated as much or very much improved in 11 patients (69%). Treatment was generally very well tolerated. However, several patients who had become less irritable after treatment with an SSRI, reported increased irritability. The results suggest adjunctive buspirone may be useful in the management of sexual dysfunction associated with SSRIs; possible mechanisms of action are discussed.
These are both common strategies employed by psychiatrists to resolve SSRI sexual dysfunction and you will find testimonials all around the net about either one of these agents reversing sexual difficulties on SSRI's.
Edited by FunkOdyssey, 21 June 2010 - 05:02 PM.