As someone who used SSRI medication I quickly noticed that it had a big impact on the time&control over my ejaculation. I read about ssri and how they work, so I kind of understand what exactly happens in the brain when taking them. what I still can not really understand is why it makes people who have premature ejaculation last longer. how exactly is the serotonin connected to the sexual function?
Also here some sources (studies) to prove my statement, I once posted this question here before and people said its biased because it was my personal experience:
[source1](https://www.emjreviews.com/urology/article/the-role-of-selective-serotonin-reuptake-inhibitors-in-premature-ejaculation/)
[source2](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2374931/)
In: 17
Sexual dysfunction from psychiatric medication is a common problem. It’s not exactly a “problem” if your starting issue is high sensitivity though. A lot of these drugs are thought to depress the parasympathetic nervous system, part of which controls libido and sexual function. Depressing that means you get less response, hence the lack of orgasm and lasting longer. You also get problems with digestion and all other functions though.
The idea that it has something to do with dopamine and serotonin are just theories, and recently it was disproved that depression has anything to do a lack of serotonin. We do not actually know what these drugs do to people’s brains, we are simply guessing. They actually only work in, at best, 30% of people. To be approved, they need only demonstrate that they “work” better than a placebo. Long term reviews show they don’t actually improve wellbeing for anything but the short term.
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