bluebug7 months ago

Just so you are aware Amitriptyline is known to have sexual dysfunction as a side effect. So it maybe that, it maybe the mini pill or it may be both.

Petalgirl in reply to bluebug7 months ago

Ah crap. I like the amitriptyline!! It has minimised my pain loads. I guess I'd better go talk to a doctor. Thank you!

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MalachiteAli7 months ago

Hi there, sorry you are having these problems. This is the thing people often don't talk about with endo, they'd rather talk about bowel issues than sex. I have felt really sad about the impact on my sex life. I think it may be both of your meds that are impacting you in terms of orgasm if you are taking them routinely. How often do you take amitriptyline? I don't take any hormonal meds cause of the impact on my mood and the fact that my doctor wants to do surgery. I do take amitriptyline occasionally, but I tend to take naproxen half the month, then I might add co-codamol or amitriptyline or both of the pain is really bad. I don't find it any harder than normal to orgasm (it's always taken me a long time!) I have libido when I'm not in pain.

Petalgirl in reply to MalachiteAli7 months ago

I take amitriptyline everyday for the past 3 months. And now thinking about it that may be when the problem started. Its difficult because I didn't have a partner and so wasn't bothered. But now I am. He's a trooper when it comes to the constant bleeding but it's very frustrating to not be able to orgasm! I think I need to go speak to a doctor about my meds.

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Anna_EndoUKModerator7 months ago

Just so you know, there are other meds that work in a similar way to amitriptyline. The ones I've tried are duloxetine, gabapentin and pregabalin. I'm currently taking pregabalin and have found the side effects much more manageable than amitriptyline. It might be that you get on a bit better with one of the other meds so defo worth discussing with your doc xx

Petalgirl in reply to Anna_EndoUK7 months ago

I've just been prescribed pregabalin to try, fingers crossed it works for me

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CryBaby917 months ago

Hey!I think it's great we are all discussing sex, it is perfectly healthy and normal so I don't know why people get all squeamish!

Are you talking about not being able to achieve orgasm through full penetrative sex? Or even through clitoral stimulation too? If it is just penetrative then honestly know you're not alone! So many women can't orgasm from penetration alone, it is actually very difficult to achieve orgasm this way and most people don't even know this. People assume that women should cum through sex the same way a man does, but that's simply not true. We are very complicated creatures who can't just cum on command (regardless of how much we wish we could lol). I like to think that's why our orgasms are so good, because they are hard earned, and few and far between at times!

Have you watched the Netflix show about sex? I believe it is called The Pleasure Principle. Honestly it opened my eyes to what orgasm really is, and it is not just a simple "I'm aroused so I should orgasm". So so so many factors come into play! Your mood, the time of month, gosh even if you have slept enough. Obviously medication is also a huge factor in sexual dysfunction, but also sometimes our brains just don't have enough chemicals to create the "bang" we need. Maybe because we've done too much that day, or we are just tired out.

My biggest advice is watch that show lol! But also experiment with different ways to orgasm, like foreplay and toys. Relax, don't make orgasm the goal if you put too much pressure on yourself then you'll likely make it harder to achieve! And if things persist then please do speak to a doctor, more of us should be open about our sex lives and honest about how important healthy sex is. I myself have really struggled with orgasms, mostly through pain but also because of previous sexual trauma as a child. So I understand how many factors can come into play in the bedroom, being open and honest is the best place to start and you're doing that already so that's brilliant.

Petalgirl in reply to CryBaby917 months ago

Even through clitoral stimulation on my own! With a toy I was previously very happy using. I don't make orgasm the end goal, I'm well aware when I'm too in my head, or distracted, or time of the month. I really do believe this is due to the medication. Me and my partner are having a lovely time regardless, and if not being able to orgasm is the price I pay for a relatively pain-free life then I will accept that, but I'll explore all my options first.

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A55557 months ago

Hi, I too also had a lower libido and bled for a week after sex when on the pill and on the implant. It greatly improved when I had the mirena IUD fitted instead. Have you tried this option? Mirena is said to be a good option with those with endo x

Petalgirl in reply to A55557 months ago

I had a mirena 10 years ago and hated it, I have agreed to have one after my surgery though. Having thought about it and spoken to a doctor I do think it's more likely to be the amitriptyline so I have switched to pregabalin as an experiment.

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A5555 in reply to Petalgirl7 months ago

Yeah that’s fair enough it’s worth a try so you can rule it out. Hopefully it works out for you

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Jennylar6 months ago

How soon can you start the pill after stopping zoladex?

RL912 months ago

Can I just ask why they stopped the zoladex injections if it was working well for your pain?