But there are many beta blockers on the market. The best confidence builder is a satisfied partner, the biggest confidence killer is a non satisfied partner. Once you have ruled out a cause like low T levels, and other medications, My advice is to get back on the bike and practice practice practice. Is Lex more associated with weight gain or loss? But the underlying anxiety could be the real problem. Find what position causes the least amount of pain,, and gives your partner more control over the outcome. An orgasm is similar to a seizure—in both, sensory input triggers a body response—says Dr. Considering I came off a high dosage of Effexor, mg, perhaps I just need more than 10mg of Lex to feel an elevation in mood. The evidence base on erectile dysfunction, decreased libido, hypogonadism, anorgasmia, and risky sexual behaviors in patients abusing tramadol is inadequate. As all primary studies had suffered from selection, allocation, performance, or assessment bias, additional rigorous well-designed controlled trials are warranted to further investigate the potential long-term risks of tramadol and to determine the safe and the effective minimum daily dose. I don't know if this is a coincidence, but I'm taking 2 Tramadol tabs too, and maybe the Tramadol has taken a month to get to a good level in my system. But some doctors do still prescribe them to treat not only depression, but also nerve pain such as that associated with shingles. Just I've never heard that before? In rare cases, even eye drops containing the beta blocker Timolol used to treat glaucoma can decrease libido, says Dering-Anderson. Sometimes all it takes is a little confidence that may have been lost by a few interuptions caused by pain and stress of performing.