I HAD SOMETHING SIMILAR. I WAS ON "ELVIL" (AMITRIPTYLINE) TAKEN AT NIGHT. I WOULD WORK MYSELF TO THE POINT OF EJACULATION BUT COULD NOT. FELT LIKE A "CLOG" COULD NOT (CUM) AND UNABLE TO REACH CLIMAX (ORGASM). DR TOOK ME OFF ELVIL, AND BEGAN SHOTS OF TESTOSTERONE. IN ONE WEEK WAS ABLE TO REACH CLIMAX, AND EJACULATION. NEEDLESS TO SAY I WAS "RELEIVED", AND HAD WONDERFUL CLIMAX. OF COARSE I AM A MALE. NOT SURE IF WOULD WORK FOR YOU. DON'T KNOW IF YOU ARE MALE OF FEMALE. HAVE YOUR DR RECHECK YOUR MEDS. THERE ARE OTHER OPTIONS. GOOD LUCK!