### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been suffering from Sexual Anhedonia and can ejaculate but feel no orgasm. It s been about 23 years. I ve been times with psychiatric meds and again without psychiatric meds and the meds seem to have no effect on causing or helping the anhedonia issue. Several therapists have placed the cause on years of constant rejection and belittlement from my wife, who accepts no responsibility in the development of the problem. I have been trying to convince myself that I deserve to enjoy sex, since I have been conditioned to believe I don t deserve to orgasm. I see you listed something called the Masters and XXXXXXX technique? I am beyond desperate for help.

### output:

Hello Sexual Macedonia or decreased libido is really a distressing problem. You can ejaculate but feel no orgasm. You have been on psychiatric medicines also. See a number of medicines used in psychiatry can cause decrease in libido and can result in orgasmic. Persisting complaints result in dysfunction in family and which further aggravate the problem. A vicious cycle is formed in which individual loses self-confidence. Commonly used medicines like Sildenafil, Tadalafil etc. help to improve erection but these medicines don't improve libido. I would advise you to increase your diet with fenugreek seeds. These have good medicinal value in decreased libido. Apart from that herbal medicines like Wanted forte and Confide can be taken to increase the libido. The medicines can be taken without prescription also and are safe to use. Get your hormonal profile done to find out any hormonal problem. Total testosterone, Free testosterone, and DHEA values are deranged in low libido cases. Hope this helps you, thanks