OpenHealth Q&A

I'm sorry to hear that you're experiencing these challenges. Concerns related to ejaculation can be frustrating and may affect both your physical and emotional well-being. Let's break down your situation and outline some actionable steps you can take.

Main Points:

1. You are experiencing delayed ejaculation during solo activities and are unable to ejaculate with a partner.
2. Your medication regimen with paroxetine needs adjustment.
3. Phimosis treatment is ongoing, but consistency in application is needed.
4. Mental well-being is stable, but the changes in your sexual function are concerning.

Explanation:

Delays in ejaculation can arise from various factors, including medication effects, physical conditions like phimosis, and psychological influences like stress or anxiety. Paroxetine, an SSRI sometimes used to treat premature ejaculation, can also lead to delayed ejaculation as a side effect. It's important to manage your treatment regimen properly, especially after switching dosages.

Phimosis, or the inability to retract the foreskin, can sometimes affect sexual functioning, hence using your steroid cream as prescribed will be crucial in alleviating this condition.

Specific Next Steps:

1. Medication Management:

   • Consider speaking with your doctor about your current paroxetine dosage and its potential effects on your ejaculation. It's critical to ensure you're on the most effective regimen for your needs.
   • Don’t adjust medications without consulting your healthcare provider.

2. Consistent Application of Steroid Cream:

   • Set a reminder on your phone or keep the cream in a visible location to help you remember to apply it consistently. Continued use may help address the phimosis and improve overall comfort over time.

3. Consider Behavioral Approaches:

   • Experiment with different techniques during solo activities to ease the pressure (e.g., try relaxation exercises or mindfulness practices). This approach may help ease anxiety associated with performance and bring back confidence during partnered intercourse.

4. Journaling Progress:

   • Keep a record of your experiences, noting any changes or patterns in your ejaculation ability. This information can be helpful for discussions with your healthcare provider.

5. Communication with Your Partner:

   • Openly discuss your feelings and concerns with your partner. Sharing your experience can alleviate some emotional pressure and create a supportive environment.

Reassurance:

It's important to remember that these issues are not uncommon, and with the right approach, they can often be effectively managed. Be gentle with yourself during this process, and focus on taking one step at a time. Let me know if you need more information or support on any specific area.