Do It Yourself Chemical Castration For Beginners

About five weeks ago I had a shocking bad day at work with high blood pressure and a lot of anger over something that had happened that day. I’m not usually an angry guy by any stretch of the imagination, but I was fuming that particular day.

On the way home I experienced acute pain in my left upper back directly behind my heart. Worrying about a cardiac issue I went to the ER and generally got a clean bill of health save for a diagnosis of anxiety related to stress and hey ho here’s an Ativan script. Oh really?

So the rest of the physical was rather uneventful apart from my complete inability to relax my legs correctly so she could test my reflexes by tapping my knees with the rubber hammer.

“Stop helping the doctor please”.

“Can’t help it, it’s my job”.

Then we reviewed my labs. Well… she handed them to me and I looked at them and said I’d cut back on a few cheeseburgers while she documented my non-compliance with cholesterol medication without asking too hard. She’s really a very good doctor.

That being said. That’s all part of the trap that SSRI medication is. It’s advertised the hell out of and there’s very little awareness spread about the sexual side effects they cause. Even the doctors are force fed the hype and the side effects seem to be ignored. I’ve done a little more digging and discovered that even more dramatically, SSRI medications like Prozac, Lexapro, Luvox, Paxil etc can not only damage your sex drive, they can even damage your ability to experience and feel romantic love.

“It is well known that these medications can cause emotional blunting and dysfunction in sexual desire, arousal, and performance in upward of three of every four patients. But we are writing now to add that we believe these side effects have even more serious consequences than currently appreciated, due to their impact on several other related neural mechanisms….

….Due to their impact on the sex drive, these medications can also jeopardize other brain/body mechanisms that govern mate assessment, mate choice, pair formation, and partner attachment. For example, female orgasm has many functions. Among them, it aids sperm retention and enables women to discriminate between self-centered as opposed to dedicated partners—partners who might be more likely to help them rear their young. Female orgasm may also help women choose men with better genes, as women are more orgasmic with men who are healthy and symmetrical, markers of good testosterone load. Female orgasm may also enhance feelings of attachment, because it stimulates the release of oxytocin and prolactin. As these drugs impair or eliminate female orgasm, they interfere with delicate biological mechanisms designed to aid mate choice and partner attachment. As these SSRI medications impair male orgasm, they also jeopardize a male’s ability to court, inseminate, and attach to a potential partner.”

Or put in plain English. If you’re on the damn pills you are chemically castrating yourself to some degree. And as I said in my prior post, that sexual damage may be long lasting even after you come off the medication.

A little more from Dr Fisher (who has an impressive body of work and needs to be read and absorbed by the Game/PUA community)

And on a personal level. Things are a lot better now. I made a horrible decision I had been putting off a little, we’re through 3 of the 4 State inspections at work and passing well and they are hiring more nurses so my workload should settle down. Plus I figured out the chair I was sitting on that day plus a low med counter was giving me the back pain. So I’m fine. SSRI bullet dodged – but shudder to think what might have happened if I didn’t own a drug book / work as a psych nurse.

So spread the word please. These drugs have a great chance at destroying your sex life. If you truely need them, then you need them and should take them under psychiatric care (NOT a Primary MD) but I would make extremely sure that it was required to go that route.

Nice slam on primary MDs there. Not sure why that is warranted. Do you have any evidence that it is better for a patient to get side effects from a drug prescribed by a specialist than prescribed by a generalist? The average wait time to see a psychiatrist for a new appt. in most communities (certainly mine) is about 1 month. The vast bulk of psychiatric disease is treated by primary care physicians. I have no beef with your concerns about overwriting of prescriptions and a great deal of sympathy to your overall point here, but you really must understand that the quality of the professional can not necessarily be judged by title alone, and that there are very good primary care doctors who are cautious and prudent in their use of SSRIs just as there are psychiatrists who are cavalier with their use and over prescribe (there is one psychiatrist in my community who prescribes three meds to all new patients pretty much no matter what).

Also Evan this may be something that reflects medicine in Connecticut more than other places. Primary MD's routinely refuse to prescribe psych meds to my clients. Prepping 90 day orders is a shopping list of which discipline is responsible for each med.

Things may be very different in Connecticut, that is possible, but do you go to an ENT when you have a sore throat? Do you go to a gastroenterologist every time you feel stomach pain? Common things are common everywhere, and if someone has a common complaint that is treated routinely by a professional, then that professional should be competent to deal with those complaints.

If someone sees and treats lots of anxiety, depression as an outpatient care provider, then they are probably just as able to prescribe in those areas as someone who is board-certified in psychiatry, but mostly works with inpatients with mania and psychosis. If everyone should see a specialist for treatment for their genuine psych disorder, why shouldn't they see an endocrinologist for their diabetes (a genuine endocrine disorder), a cardiologist for their high blood pressure (a genuine cardiac disorder) and an ophthalmologist for their pink eye (a genuine ophthalmologic disorder)?

It sounds very different here then. Acute = primary, chronic = specialist. High blood pressure treated by primary would likely have an EKG early and the final read would be done by Cardiology and they would determine their need for involvement for example.

All our primary appointments in the last decade have been; physicals, acute illness and referal appointments to get to a specialist.

Now our insurance is gutted we pay full price for appointments up to a $6000 cap over the family, but no more need for referals from primary to see a specialist. So yeah, we go direct to specialists. We don't like paying twice to get a treatment.

There's not much question in my mind that outcomes for my family have been better from specialist advice than the early primary advice for chronic issues. Acute though I have no problem with, that makes perfect sense.

So using your revised system — Acute mania should be treated by a primary physician, but chronic anxiety should be treated by a psychiatrist. Acute appendicitis should be treated by a primary physician but chronic wound healing problems should be treated by a surgeon. Acute subdural hematoma should be treated by a primary physician but chronic lumbar disc disease should be treated by a neurosurgeon. Is that right?

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