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Dear Dr. Betty,

I'm 18 years old and have been having sex since I was 15. I've always masturbated since I was little and it has always felt amazing to me. But for a while now I have not been able to achieve orgasm or even have it feel good when I stimulate my clit.

I keep thinking about other things and I cannot shut my brain off. Also my clit has been feeling sore and doesn't feel good when I touch it. It takes me a very long time to get an orgasm and when I use a vibrator I have to do it for a very long time. I can't think of things that turn me on anymore either and i am anxious and afraid that something is wrong with me :/

I am also on celexa maybe that might have something to do with it???

Help please!! (:

Dear S,

Yes, your antidepressant drug is blocking your orgasm. I wonder if all doctors presented each patient with this statement: "If you take this med you must sacrifice your orgasms" how many of us would go for it? But I suspect you were not informed of the side affects of Celexa. You can Google this and get more information.

Why anyone would put an 18 year old on an antidepressant drug is beyond me. The teen years are a time to be on a roller coaster of emotions as we struggle to figure out who we are, what we want and what we want to do next. I still have days when I am flooded with choices to the point where I just have to STOP by either taking a hot shower, reading my New Yorker or doing some kind of exercising. It's all part of being human!

Of course your clitoris is sore as you press the vibe harder and keep it there longer trying to get an orgasm. So please stop abusing your clitoris. You have to make a choice: if you stay on the drug just accept a life without orgasms. Or decide to come off of the drug and enjoy a sex life with orgasms. I believe it's as simple as that unless you are suicidal. Even then, I would prefer to find a good talk therapist who could help me through these rites of passages as we grow up.

Also focusing on good health with exercise and changing your diet away from synthetic foods and embracing whole organic foods (boring I know) can create a new you. I also know that practicing Yoga saved my life in the past. Think about all this. The choices are yours to make.

Dr. Betty