Tramadol - Unable To Acheive Orgasm (Top voted first)

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Anyone else experiencing this side effect? Not a normal topic of discussion for me with anyone but my doctor. I found this drug to be very helpful with easing pain, no sedating effect, BUT after taking this medication discovered I was unable to acheive orgasm. It took me a while to figure out it was the Tramadol causing the problem.

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I have been taking Tramadol for about 5 years for back pain. I am getting better - down to one pill per day unless I have a flare up! Unfortunately, I have not been able to achieve an orgasm either - it's been about 3 to 4 years for me. Like you, I believe it is the Tramadol, but, I'm stuck. I haven't found anything else to ease the pain that doesn't have alot of other side effects. Thanks for sharing! I thought I was the only one!

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20

I have been using this drug for sever ovarian pain for abt 2 yrs. A few hours into taking the tablets I feel really lovey dovey and horny so no loss of sex drive as such although its never been huge. But when it comes to sex I can never reach orgasm. My partner performs oral sex on me but seriously it would take him at least an hour. If I masturbate I can do it in about ten mins but normally can come in abt 1 min if i do it myself. It's not that I cant orgasm at all, but its longer and harder to come. Anyone else had same experience? women in particular as seems to be mostly men on here.

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7

i too have experienced a decreased sex drive and inability to have an orgasm. before taking tramadol i had an extremely high libido, especially for a woman. i have very little sex drive and rarely if ever orgasm during sex (which leads to avoidance of sex altogether, so that i do not disappoint my boyfriend). does anyone know how long it will take for my libido to return to normal after discontinuing use of tramadol? i have severe lower back pain, sciatica, 4 herniated discs and broken vertebrae in my back, but i will endure the pain to get my sex drive back.

also, in my opinion, tramadol is more addicting than oxycodone, hydrocodone and other common narcotics (with the exception of oxycontin, of course). i want to stop taking it and due to the pain and the withdrawal symptoms, i have struggled for years. any suggestions?

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20 year old Male
the tramadol also affected my sex life in a similar way, except it worked in my favor. very soon after taking this drug i did notice the lessened sensation during intercourse, but because of this, i've had well over twice the longevity in bed, and a much more intense orgasm... once it's reached.
i've also been able to perform at a pace i wouldnt otherwise last for more than 20 mins.

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2

Thanks for the reply and the confirmation regarding orgasm. I'll tell my doctor that I'm even more convinced.

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17

Tramadol worked for my favor, i had pretty quick ejaculation, sometimes as soon my thingie touches hers. the doctor said to take 1-2 pills every 4 hours and an hour before the intercourse. in the beginning i didn't work for me, then i discovered that if i waited 3-4 hours after i take the pills, i was able to last for an hour!!! i noticed a side effect though that i start itching all over the place!!! but that doesn't bother me since i really had hard time in the beginning that i can't perform, but now i feel more self confident and can last.

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14

I used to take Tramadol for back pain, I too noticed a decrease in wanting to have sex. But when I did have sex I had the most intense orgasm I have ever had ever. It was the Best I want to have orgasms like that all the time, but I don't want to take Tramadol. Anyone know what will increase an orgasm ?

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13

I've taken Tramadol a few times now for neck pain. I decided to search online about Tramadol and sex drive because mine decreases considerably whenever I take the drug. However, it returns as soon as I stop taking the drug, within 24 hours. Glad to know it's not just me.

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25

My doctor prescribes tramadol for chronic fatigue and pain as well as mood enhancement. I think the serotonin effect of tramadol is responsible for the negative sexual side effects.

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188

Hello I was on tramadol for a few months and had too ween myself off them.
When I was taking them sex with my partner used to laste for ages and most of the time I wouldn't finish but since I've been off them I'm lucky if I can last a couple of minutes I'm just wondering if this is due to me coming off them and if so how long will this last for?
I'm a 26 year old male

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191

Hey my man has the same problem..i also take them with trams..i been on and off of them since I been 18 I'm now 27.. I can't cum right away either its takes awhile but my man barely takes them but tonight he can't even get hard and its so frustrating!! What's the deal?

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10

to Lisa, and all the other #'s who asked. Get off the drug for a good clean 3 weeks. It should help your body achieve balance. And i dont mean this in a bad way, i am usually a law abiding citizen, but if the pain really is that bad, try the weed. Its helps me through some intensly painful nights of gout attacks.

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11

Yes, as a male, I've had precisely the same problem. No problem having sex, just achieving orgasm. And it is definitely the Tramadol. Other pain meds don't have the same effect.

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19

Yes it does decrease the sex drive for me. However I did notice that when I did have an orgasm it was the most intense and most pleasurable one I have ever had. Has anyone else experience this?

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176

Tramadol is a very abused drug in Egypt because of this. It certainly does have an effect upon the urinary system and 90% of the people I know who take it to say that it increases their ability to maintain long periods of sexual activity without an orgasm. It also can cause constipation and difficulty in urinating

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187

Hi just read your post and i have exact same problem with my lower back/left side of the pelvis and quite honestly get desperate for pain relief i tried taking none but its impossible. Problem is now though is firstly i couldn't achieve an erection and even when i can if i ejaculate that is it, instantly soft where as prior to this happening i could happily go at least twice :-(... On top of this my partner also pointed out and we monitored further that i haven't produced any semen at all for over 3 months and we are now trying for a baby which im no expert but im sure u need semen :-/ ..

Any advice or similar experience?? I'm back in hospital thursday all my scans ultra sound of penis, testicles are normal even had prostate checks and sperm ducts and they are also fine so it has to be the tramadol surely.

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3

This is a very common side effect of pain relievers, even a mild one like this. This one probably causes the problem even more so, because even thought it does not act like a narcotic in the body, it is based on an opiate and classified as a mild narcotic.

Yes, please speak to your doctor, as there should be other options you can try that may not cause the same issue.

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27

It seems as though the men who had premature ejaculation problems can still get off but they just last longer, where as any guys who regularely last normal to long time find it impossible to go. Being that i last long without it i cannot orgasm.....believe me the time and effort was put in lol, no hope in hell. I find if i take 2 pills once in the day, within half hour i cant climax and that lasts basically until i sleep and wake up so i think i will just deal with my pain cause i cant live without my orgasms lol. to all those that can now last long enough to pleasure their women congrats on the wonder drug and for those of you like myself well..............nuff said lol

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40

In general, I've found tramadol to lessen the pleasure of sex and to reduce the intensity of orgasm. I can have sex on it but the sex just isn't quite as rewarding.

However, I greatly appreciate the long-lasting extra energy that tramadol gives me, and the lift in mood, and the reduction of life's pains.

If you reduce the dose or avoid tramadol on a day when you plan to have sex, there's little or no problem.

Tramadol is like any other tool---it can be used to one's benefit, or misused with bad effects. People who cannot control their intake should not use it. You've got to keep the cost/benefit ratio in your favor.

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150

Dear Med Student, you are overlooking that Tramadol acts on serotonin as a fast acting reuptake inhibitor. This is the main reason it causes sexual problems like all other drugs that act on serotonin. The analysis you give is mistaken because you focus only on one aspect of how the drug works. You're mistaken in stating as a fact that it should not affect sex or that it has to do with CNS. It has to do with the build up of serotonin which dampens sexual desire and ability to orgasm. Drugs have systemic effects, not just one way of affecting a body. Wait until you're actually experienced as a doctor before assuming you know the one correct answer. Doctors can be dangerous when they focus narrowly on one thing and overlook something else.

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