Chronic over-masturbation/over-ejaculation and street/medication drugs abuse (pot, ecstasy, cocaine, SSRIs, antidepression and psychotic drugs killed his brain and penis for no more sexual orgasm

Case Title: Chronic over-masturbation/over-ejaculation and street/medication drugs abuse (pot, ecstasy, cocaine, SSRIs, antidepression and psychotic drugs killed his brain and penis for no more sexual orgasm

Reader: 8/19/2005>
Dr. Lin,

Congrats on a very informative site. I’m fairly well-educated on most of these issues, so I have a good idea about what’s wrong with me, but I don’t know so much about the neurotransmitter science behind it and hence how to correct my problems safely and efficiently, so thanks in advance for your taking the time to look this over. I’m sorry if I go into too much detail, but I really want you to have as much info as possible.

I am a 28 year-old male. I haven't had sex in almost 2 years due to probably a combination of performance anxiety, mild erectile dysfunction, and decreased libido. Over these 2 years, this issue has been a severe source of depression and negative pattern thinking. I have had many chances to have sex with several very beautiful women, but never could keep the confidence in my erection to go through with it. A few times I tried and failed which was so embarrassing and painful. I recently fell in love and ruined the relationship losing a great girl due to my struggle with these issues. I’m so irritated and frustrated it’s beyond belief, so I did my research and luckily found your site.

Masturbation has become increasingly difficult recently—I seem to really have to focus to get release. However, I think I might have gone a while over the past two months over-masturbating, and now I have mild testicular pain on occasion; I think my scrotum may be looser than normal, as well. I am now committed to masturbating no more than once every 5 days, thinking that’s safe. Erection is not a big problem, but with my low libido, I rarely get them when not masturbating. I believe most of my problems can be linked to the intake of SSRI's, marijuana, and perhaps past drug abuse. I’ll go ahead and break down my relationship with each one of these 3 things and shoot you a few general questions, and then I’ll step aside and await your reply.

Ever since being diagnosed with generalized depression, I have been on several different SSRI's over the past 8 years. While most have had sexual side effects, Wellbbutrin was the only one I'm sure did not cause any type of ED. However, since I was correctly diagnosed with an agoraphobic type of panic disorder 3 years ago, I have been searching for a new SSRI, as Wellbutrin has a well-documented side effect of anxiety. Paxil had a MAJOR sexual side effect, so I jumped off of that immediately after trying it for a bit. Lexaapro has a sexual side effect too, but I have still been on it or Celexxa for a good while over the past 3 years. I just switched from Lexapro to Effeexor about one week ago under the supervision of my psychiatrist. I have already noticed that the Effexxor side effect, if any, is delayed/difficult ejaculation, but that may be the Lexaapro lingering.

I started using marijuana 9 years ago, and have been a steady user since, taking a few 2-month breaks over the years, but I haven’t had a break now in about 8 months, and have smoked mild amounts almost every evening. I am 100% prepared to quit to fix this problem, but I am addicted and will miss the drug.

As for other street drugs…I used ecstasy heavily about 15 times from ages 19 to 27, mostly toward the younger end of that spectrum, and I’m fairly convinced that my use of this drug may affect me in the future but hasn’t done anything to affect my sex life. I have tried acid about 5 times, and the last time was a very bad experience. It was 3 years ago, and it seemed to have permanently altered my brain chemistry, as I have had a panic disorder ever since. (This is when I was pulled off of Wellbuutrin.) I have been taking Klonoopin (1mg/day at least) to curb that issue for the past 3 years, but I am tapering off already and if the Effexxor works at all (it does for my mom), will be free of Klonipiin within 3 weeks. I am positive that my panic disorder guides my performance anxiety, as the physical effects are very similar. My cocaine use has been minimal until this past year, when I have done it about twice a week. I recently went on an eight-day binge (during which I masturbate!
d a lot, with difficulty of course…not sure why I did this—depression?) that almost ruined my career and life and then I immediately quit; this was about a month ago. I feel very confident that I won’t touch cocaine again.

So, I am prepared to do whatever it takes to get my sex life back. Nothing is more important to me at this point aside from survival J. I would really appreciate you letting me know what you think is wrong with me and what products combinations you recommend. I’m thinking some detoxifying products and maybe something for both my dopamine and/or serotonin levels? An add-on? I would like to stay conservative as far as the amount of products I’m on, but I don’t want to be cheap either. What would you say is a normal masturbation schedule for a “non-active” like myself? I am also curious about this penile enlargement technique called ballooning. I know nothing about the techniques involved, but I’m curious. There was another technique too, but I can’t remember. If it’s not too time consuming, I’d give it a shot I suppose. Again, thank you so much, Dr. Lin.

Dr. Lin: 8/20/2005>You have severe brain and nervous disorders and destruction resulted from your over-ejaculation practices, medication and street drugs abuse (SSRIs, anti-depression/psychotic drugs, pot, esctasy, cocaine....). I don't know how much hypothalamus-pituitary-testicular and liver function is left.
You will need a blood test for
1. Pituitary hormones: LH, FSH, prolactin and oxytocin;
2. Androgen hormones: DHEA, testosterone and DHT;
3. Estrogen.

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