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I was having sex with one of my regulars yesterday and he apologized to me when he couldn't cum. He said his doctor had put him on Celexa (citalopram) for depression a few days before and that he hadn't been able to have an orgasm since. And no matter what we tried, he couldn't cum. He has no problem getting hard, he just can't get off. He can't even cum when he jerks of to his favorite porn. I googled a bit and discovered that this is a very common side effect for men on this medication. Has anyone here heard of any ways to overcome this (other than changing meds)? I found a few posts about using herbal "enhancers" but I'm skeptical of that kind of bunk. Any suggestions?

So I went to my doctor and got PrEP I am going to take it in advance of planned sex, so PrEP on demand. I decided to start taking it after I picked up the prescription because I had plans to hook up with a buddy who's poz. After like two days of taking it I started to feel like total crap. I felt like I had the flu I had aches all over my body, my throat was sore, and I felt like I was 80 yrs old instead of 46. I had to call out sick from work for two days. I stopped taking the PrEP and the aches and sore throat went away. But I am wondering has anyone else experienced similar and is it just temporary? If I have to feel like that for a week or more I don't think I can handle PrEP, I mean I felt like total shit. And I had all the tests done before I got PrEP all came back negative so it is not the fuck flu, and I had a flu shot. Plus when I stopped PrEP it went away. Just wanted to ask if others have had this experience?

Just wondering if any of you have been doing less than daily dosing, and whether you feel sufficiently protected given your level of risk. Been thinking of going down to 4 pills per week, just to reduce the level of toxicity and dampen the side effects. I still experience mostly GI issues (loose stools, occasional abdominal cramps), despite having been on PrEP for 2 months now. But more than the persistent GI issues, I also had a bit of a scare from my last urine test, which came back with microscopic amounts of blood (not visible to the naked eye). I had to get an ultrasound on my kidneys, and a rather unsettling urological exam (cystoscopy) to check my bladder. The urologist insists that everything is normal, and that I have a case of 'essential hematuria', which he says is simply unexplained small microscopic amounts of blood in urine that we cannot really fix - it's just there, and it just happens to some people without becoming a problem. My urine test before Truvada did not exhibit this problem, and PrEP is the only thing that has changed in 2 months, but the urologist and my GP both say 'don't worry'. As far as my risk, I only bottom BB with my hubby (and I top him 90% of the time), but I do occasionally top guys raw. He has only bottomed raw once since we both got on PrEP, and the guy did not breed him. Of course, time can only tell, but for now he insists that he will not bottom raw again, even whilst on PrEP (except bottoming raw for me), unless the other person is for sure on PrEP, as well. So, I tend to believe that, all in all, both our risks are relatively low. I'd like to hear your experiences with non-daily dosing, how many doses in a week (at least 4?), how risky your behaviour has been, and whether you feel you're still sufficiently protected. Thanks!

I usually sleep on my belly and for a long time now (before going on PrEP) my neck will be a little stiff and if I sleep in one direction it sorta strains my neck and hurts a little. A few weeks ago the pain started spreading a bit into my shoulder and eventually down my arm - and not just when I'm sleeping and sometimes the other side as well. I should try a different mattress to see if that'll fix it, but habit keeps me sleeping in my own bed. I started wondering if it was a side effect of the Truvada I'm taking, so I looked up the common side effects and found this listed first… Reading that made me recall that the last few months when I get up from the couch I sometimes get dizzy. I have to steady myself to avoid blacking out. It only lasts for a few seconds, but it matches some of the symptoms above. In the past I just chalked it up to me getting older and having (medicated) hypertension. I called my doctor. He wants me to see a neurologist, but I'm going to try a few things first. I went off Truvada for a couple days and it did seem to get a little better, but then I went back on for a day or two and it got worse. So now I'm going to go off completely. I think it takes a week or so to get Truvada completely out of your system so we'll see how things are at the end of this week. And I should mention that I did a full battery of blood tests earlier this month and everything came back normal - or at least pretty typical for what I'm used to seeing. I was low on Vitamin D, low on platelets, and slightly high on cholesterol. I should also mention that I had what I thought was food poisoning last week – it got better and then sorta came back. None of that is unusual for me - I often get stomach bugs, but the timing is a little suspicious since abdominal stuff is a symptom of lactic acidosis. It's not like I've got all the symptoms of lactic acidosis, but I've got enough symptoms for me to wonder what's going on. Being on PrEP is elective. I don't need to be on it. So it just seems like it would be prudent to not be on it right now if it could be causing the problems I'm seeing. After all, side effects were the primary reason I was opposed to PrEP initially. I've seen enough problems from (other) meds in my life to be wary. I need to remember the lessons I've learned and just be careful in this instance. And careful means not taking PrEP. So I'm going to go off PrEP for a few weeks - maybe a month. If everything clears up I'll probably go back on it, but go off at the first sign of trouble. I'm not quite sure I trust Truvada. I mean it's generally well tolerated, but it is a rather powerful drug.

Hey guys: I want to share this here to tell my story and to get helpful feedback. After a round of routine STD testing (I go every three months), I found out that I had syphilis, chlamydia of the anus, and gonorrhea of the anus. And to be completely honest, I've felt completely unsexual since I got that call on Wed. night. Has anyone else experienced this? I'm going to explain my past, and then my present for clarification. I was diagnosed with chlamydia last year, which manifested itself via a painful anal fissure. I was put on 3-week, 2-a-day doxycycline regimen, and when the anal fissure disappeared I went back to bareback sex. I managed to stay STD- free, and everything was fine. This time, though, I feel very differently. I think I may be done with barebacking. Hearing that I simultaneously have three STDs at 26 made me feel disgusting. The eyes at the clinic for treatment seemed more judgmental; the nurse was terse when administering my treatment; I felt like every person I interacted with was disgusted by me, and I was disgusted by myself. Right after my treatments (2- pills for chlamydia, a shot in my right cheek to treat gonorrhea, and 1 (of 3) shots in my left cheek for syphilis), I went to get a bite. After eating, I got the most painful stomach pains of my entire life, and spent the rest of the evening shitting and vomiting, all while dealing with muscle aches, cold sweats, and headaches. I have to go to the clinic for the next two weeks to get follow-up syphilis treatments. I'm terrified the pain of last thursday night will re-occur the next two weeks as well. I still have an anal fissure (it reoccured due to one of the STDs I was diagnosed with), and the discharge from my anus has become increasingly more red and bloodlined, and my hole is constantly sore. I previously showed now outward signs of any of the diseases I was carrying, but now, I guess as part of the treatment process, the outward signs are appearing. My penis has visible bumps and sores on it, both the skin and the head. It's disgusting. I am tired and sore all the time, and I now realize that this is it for me. As much fun as barebacking is, this pain isn't worth it. It's not. I'm not passing judgment on anyone here, but I have reached and exceeded my threshold for pain, discomfort, embarrassment, and disgust with myself. I have loved the sex I've had, and I think how fortunate I am that I had three curable diseases. To anyone that disregards this, I understand. I'm not preaching, but I also figured this could open someone's eyes as to the real consequences of barebacking. We so often talk about HIV, but there are so many other diseases and virus. I love all of you, and I hope that this website, bareback porn, and the bareback brotherhood stays strong, however I can no longer be a part of it. Good luck boys, but I'm out! I look forward to reading responses of those who have experienced the symptoms/ treatments I've gone through, as well as the opinions that agree and disagree with me.