My PSSD case for over 6 years after citalopram.
I have only sexual dysfunction and no other symptoms.
In particular, the excitatory/genital arousal response to every sexual stimulus has disappeared, the clitoris does not get excited and no longer gives pleasure to the stimulation. Tactile sensitivity may have slightly decreased but what has disappeared is erogenous sensitivity. Decreased libido but not disappeared: I still have some sexual desire and passion, I still have emotions and feelings. Fantasies even if much less than before. Orgasm reachable through forced stimulation even if it no longer gives an authentic pleasure.
Before, I could easily masturbate with pleasure, arousal and many orgasms, even 10 in one day and I was probably hypersexual. Now every now and then I commit myself to do it, because sometimes I feel a libidinous mental desire, often I have to give up. I clash with unresponsive genitals and let you imagine the creepy and nightmarish feeling.
I am still taking Abilify (an atypical antipsychotic) at a low dose to treat depression. If I suspend it for 3 full months, PSSD remains unchanged, but I get so terrible a suicidal anguish, so I take it.
In this condition it seems difficult to me that I may have neuroendocrine changes that could cause this serious sexual dysfunction, shouldn’t these cause many other symptoms?
Hormone analyzes seem ok, although free testosterone is not examined but only total testosterone.
Should I do peripheral neurological tests? which? I have no low back or genital pain.