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Men with ADD/ADHD This forum is for men to discuss issues related to being a man with AD/HD.

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  #1  
Old 12-24-09, 09:34 AM
piano2897 piano2897 is offline
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Erectile dysfunction?

I have suffered from ADHD all of my life, and just went on medicine 3 months ago. I have started experiencing erectile dysfunction. This is obviously very distressing to me. Has anyone else experienced this?
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Old 12-24-09, 11:53 AM
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Re: Erectile dysfunction?

What medication are you taking?

I experienced it on Strattera 80 mg. My doctor and I decided to switch me off of the Strattera and we went with a more traditional treatment plan.
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Old 01-04-10, 05:26 AM
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Re: Erectile dysfunction?

Yes what medication are you on? I take Adderall 20mg, 2x a day and I can say that there are definitely going to be some sexual side effects whenever you are taking stimulants, which Adderall ADHD meds are- aside from one I believe. Amphetamines are vasoconstrictors which means they make your blood vessels smaller in diameter while you are on them. Amphetamines also cause a pretty large stress response in the body, which boosts your cortisol levels. When the body is stressed blood flow is diverted away from non essential organs, IE- your penis! Also stimulants cause muscle tension and your penis is designed to get hard when the muscles around the arteries RELAX. It is counter-intuitive since it gets hard, but it is true, you need to be relaxed to get an erection. Most men I have talked to, including myself, experience their penis being very small in the flaccid state, but it becomes its normal size when an erection happens. Believe me, at first this really freaks you out and can cause a lot of performance anxiety because you dont want to show up looking like you are 4 years old. lol. In time this side effect gets less pronounced as you become used to the medication and you find the right dosage for YOU. I have had occasional issues with getting an erection and on occasion issues with climaxing, but for the most part it is just the shrinkage factor. Eating right, drinking enough water, excersizing and laying off the caffeine will go a long way to helping out.
If you fear the problem may be more physical ( due to the meds) than mental ( due to the effect you think the meds have) you should definitely speak with you Dr.
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Old 01-05-10, 11:23 PM
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Re: Erectile dysfunction?

I struggled (am struggling) with this, and it essentially cost me my relationship. I was on Adderall XR 25MG for over a year and had the occasional ED spell. But with my latest g/f, things started off great, no problems in the sex dept. Then one day I couldn't get it up, she wasn't pleased and I of course felt a variety of things (ashamed, inadequate, etc.). It ended up snowballing to the point where we were both terrified to even try to have sex. When I went off the meds for the weekend, things were fine, but when I took the meds, it just stressed both of us. My initial issue that was caused by the medication ended up being mental issue. I waited too long to see a psych about it, and the relationship ended.

I am now on Daytrana (basically a ritalin patch). Can't really comment on how it affects the ED, but the convenient thing is that I can take the patch off on my way out of work and the effects wear off after a couple hours. It makes me feel like I have more control over the situation.

So talk to you doc about other meds if you feel the need to, but if it's something that is really discouraging you and affecting your relationship, then you might want to see a psych.
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Old 01-06-10, 12:35 AM
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Re: Erectile dysfunction?

Had this issue on Strattera about 4-6 weeks in, but now at 8-9 weeks, I'd say I'm still experiencing some mild "interference" but nothing more than that.

I think it takes time for the body to adjust.

The early dry mouth and cold hands side effects have also abated, with the cold hands only for an hour or so during the day and no real dry mouth to complain about.
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Old 01-13-10, 05:50 PM
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Re: Erectile dysfunction?

I know personally from experience that this does happen, but gets better as you adjust to the meds. as MERIDIAN said. Also, a lot of ED is psychological. It happens once and then the fear of it happening again actually causes you to not be able to get an erection. If it happened when you were on meds, and you begin to think it is the meds, then it will happen over and over again because your brain is associated the meds as the source of the ED. If you can take your meds and masturbate by yourself with no problem then the problem is purely psychological. It is called Performance Anxiety and it happens to all men no matter what their health. The most important part of it is to not blame yourself, or your partner, and make sure your partner is someone who is understanding. If you are comfortable with someone you will be relaxed, relaxed muscles are needed for an erection to happen.
-Heycarlgoodtoseeyou,
If your partner/GF at the time was not understanding of this and made a big deal of it then she is definitely not the person you want to be spending your time with anyways. She is compounding the problem and failing to see the big picture, which is that it takes 2 to tango, and whether or not your equipment wants to function at that particular time fun still can be had, and pleasure can still be given and received.

I dont know how old you are but I can say as you get older women, for the most part, become more comfortable with those situations. Most women actually know how to put you at ease, and get you up even if you think it is not possible.

Be in the moment, And the moment will open to you.
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Old 01-15-10, 08:39 PM
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Re: Erectile dysfunction?

thanks, all, for this.

When I am not on any meds, these days, I suffer from occasional ED, which I reckon is anxiety and depression related.

I am working my way up the dexedrine dose at the moment (5mg twice a day), where it stands it definitely causes ED (probably for the reasons outlined above, so thanks for that).

For my anxiety and depression I am due to start on sertraline (lustral over here, zoloft in the US). I have read that this can cause different kinds of sexual problems.

Is it likely that the negative sexual effects of all these meds will compound?

Or is there a realistic possibility that the sertraline will help me to relax enough to counter the negative effects of the dex?
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Old 01-15-10, 08:43 PM
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Re: Erectile dysfunction?

Quote:
Originally Posted by captainkirk View Post
When I am not on any meds, these days, I suffer from occasional ED, which I reckon is anxiety and depression related.
I've heard that there's a little blue pill . . .

Viva Las Vega . . . I mean Viagra!
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Old 01-17-10, 12:05 PM
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Re: Erectile dysfunction?

yeah, I guess so. It does work.

thanks
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Old 02-06-10, 10:45 PM
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Re: Erectile dysfunction?

Quote:
Originally Posted by piano2897 View Post
I have suffered from ADHD all of my life, and just went on medicine 3 months ago. I have started experiencing erectile dysfunction. This is obviously very distressing to me. Has anyone else experienced this?
I have not had a problem with Adderall XR 20 mg. In fact I can say it has enhanced my sexual performance. Before meds, I'd be in the act and thinking about last week, next week, the color of the sheets, is that bird that flew by the window? omg what if I lose my erection... and that'd be it. Sitting there with a soft one.

Since Adderall, I am so focused when making love that it is fantastic. My wife is happy, and I'm happy. But I reserve love making for the morning, when the med levels are lower.

And I hadn't attributed the shrunken penis to the meds, but now that I read it, I am hung like a chipmunk lately.
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Old 02-06-10, 11:48 PM
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Re: Erectile dysfunction?

I wasn't having too much sex while taking my meds so I can't comment on that issue.

My particular issue with erection problems stems from my psyche.

I try so hard (no pun intended... really... but that was hella funny anyway) to make everything perfect for my partner that I completely lose sensation in my own body.

I may feel things early on, but as we 'couple' together, I totally lose any feeling in my penis.

I remain somewhat erect for a good while, but I don't receive any pleasure from down there.

I spend all my time wondering if I'm moving at the right speed, at the correct angle, should I change something, say something, is she enjoying it, how would I really know anyway since she may just be making those sounds to make me feel better, on and on..... .... pathetic, really.

Part of this is a self esteem issue.
But I'm finding ways to work on it all.

My girlfriend is very understanding.
I have learned to do 'other' things when my penis doesn't work so well, but she is interested in having the whole me involved.
She also wants to see that I am enjoying everything. I do enjoy it, and with this particular woman, I feel no shame over this issue... not like it was in my other relationships.
We're working on my relearning to feel things again.
Basically, we're going to start out by teaching my mind to recognize the sensations my body has from being stroked all over... chest, abdomen, legs, etc.
As I learn to accept these feelings again, we'll move on.

We'll still have regular sex, but there will be some other exercises in between.

It's weird to think of it all, but it's been a very good example of how strong our minds can be... this shutting off of sensation in such a sensitive area.
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Old 02-07-10, 12:02 AM
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Re: Erectile dysfunction?

Quote:
Originally Posted by meridian View Post
Had this issue on Strattera about 4-6 weeks in, but now at 8-9 weeks, I'd say I'm still experiencing some mild "interference" but nothing more than that.

I think it takes time for the body to adjust.

The early dry mouth and cold hands side effects have also abated, with the cold hands only for an hour or so during the day and no real dry mouth to complain about.
And here we are at about 15 weeks. Now on 100mg daily and no more dysfunction, no more interference. Everything is good.
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Old 02-12-10, 12:29 PM
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Re: Erectile dysfunction?

The 'turtle effect' is quite common with stimulants. Any amphetamines can cause this issue and it is known in the drug circles as 'meth dick' to put it crudely. It may be more pronounced in the beginning before your body can adjust to the meds. Although men are very sensitive in this area its nothing to feel bad about. Your brain chemistry controls all aspects of your body, stimulant medications interfere with all of this. It sucks, but they wouldn't call them side effects if they didn't disrupt you.
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Old 03-07-10, 06:23 PM
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Re: Erectile dysfunction?

Cialis, loading dose, then low daily doses for maintanence?

Is that the way to go
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Old 03-11-10, 01:26 AM
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Re: Erectile dysfunction?

Drop the blue bomb (viagra)! Actually any of them will work and they DO work. Expensive but your problems will instantly go away and you will be better than you ever were.
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