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Question:
I am a little nervous asking a sexual question. But, During the last several years, I have done a lot of work on healing from abuse (emotional and sexual). For most of my life I have struggled with fear with some PTSD symptoms. Anyway, the last several years, I am feeling safer and more confident in the world. I am branching out and taking on lots of new challenges. But, I am wondering if I have low sexual desire. The only real baseline that I have to compare is to my teenage years. Since my teenage years, I believe I have been occupied with other emotional stressors and that I haven't been concerned about desire for sex. I also have been celibate for a long time, but recently had a girlfriend for just a few months and I felt uncomfortable with my desire level. Not that I didn't want to have sex, but that I couldn't focus or would lose an erection, etx. Also, I was raised in a religious environment and have struggled with guilt.
What I am trying to say is that I realize there are probably a lot of psychological things playing a part. But, also I am wondering about medication. I am still taking a combination of Wellbutrin and 1 20mg per day tablet of Paxil.
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Answer:
by Julian Slowinski: (06/05/2004)
Each of the circumstances you mentioned can possibly interfere with sexual
interest or cause performance anxiety in a new relaitonship. What may be very
important at this time is the unintended side effects of the medication you
mentioned. Check them out with your doctor. Counseling for the anxiety
related issues may help you to see if there is a connection between lack of
sexual interest and anxiety about becoming intimate after a long period of
being single.
Dr. Slowinski
Reviewed by Sexual Health Editorial Team
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