PSA – Effexor antidepressant side effect

Please note: I am not a doctor and this post does not constitute medical advice! Please talk to your doctor regarding any decisions to take of not take any medication. 

This is a warning for woman who are prescribed the SNRI antidepressant Effexor. One of my clients, a woman 40’s was prescribed Effexor to help manage the symptoms of menopause including hot flushes and mood swings. Her GP didn’t feel that HRT was appropriate, so she prescribed and antidepressant instead.

The manufacturer had studies that showed that it was effective for the symptoms that my client was experiencing. Her GP didn’t tell her what the pottential side effects were.

This client has been seeing me monthly for over eight years now and she never has any trouble reaching orgasm from masturbation or from oral sex. However, within *three days* of starting to take Effexor she lost her ability to reach orgasm through any means!

Now, not everyone responds to a particular drug the same way, so if you are considering taking it then you may not have the same experience. Even if you do find that it has the same effect, it has to be weighed against whatever benefits it may give.

So you need to make the best decision for you and your mental and physical health. I just want women to be aware that this potential side effect exists so that they are not caught out by it unexpectedly and can make better informed health decisions.

John

Do you want to be more confident in bed?

I know – it sounds like the subject line from a spam email, but it’s a serious question. Over the years I have met many women who lacked confidence in their bodies, their attractiveness, their sexual knowledge, and their abilities to please a lover.

These concerns are so common that I even offer a course to help teach the skills and give women the opportunity to practice them in a safe, controlled environment.

Many people make the assumption that sex – being natural and normal between people – is something that everyone (except for them!) just knows how to do. In reality none of us know anything more than what we see others doing (usually porn of some form) and what we experience ourselves.

So if you have little or no experience then sex can be really intimidating.

This is why I offer my course. I want everyone who wants to be confident in bed to have a place they can go to learn the skills they want to have.

This is the course outline that I use as a starting point to plan out lessons when you book with me…

Potential topics:

  • Touch (clothed)
  • Kissing (lips)
  • Undressing
  • Touch (naked)
  • Cuddling
  • Hair
  • Erotic massage
  • Body slide/full body touch
  • Kissing (full body)
  • Reading your partner
  • Intimate touch
  • Giving oral sex
  • Receiving oral sex
  • Masturbation
  • Edging
  • “Showing off” / being seen
  • Penetrative sex, positions, rhythm, flow
  • Anal play, giving and receiving
  • Anal sex, giving and receiving
  • Spanking
  • After care

You can pick as many or as few items as you want. If it’s a short list then we can probably cover it in one or two sessions of two hours each. If it’s a longer list then it will require more.

You can of course add any topic that you might be interested in that isn’t listed here.

I prefer to keep lessons to two hours with a break in the middle as that is a length of time that is enough without being too much to handle physically and mentally.

So if you want to improve your confidence, or broaden your knowledge then why not drop me a line with your educational wish list!

John

Astroglide water based lube

After my recent posts about lube one of my clients very generously brought a tube of Astroglide water based lube for us to try.

While it has a good texture and is very slippery Astroglide has one major failing that makes it a “would not recommend” for me – as it dries out it gets sticky! That has to be my least favourite type of lube.

I don’t know why so many water based lubricants do this, but it’s not a trait I enjoy. So the “Yes WB” is still top of my list!

John

Yes Water Based lube

So my order of Yes Water Based lube arrived today!

First look and feel seems pretty good. It is very similar in texture to my preferred Sylk lube, but possibly a little thinner.

It seemed to last about as long as Sylk in a finger tip test and it also seemed to regain it’s lubricating nature reasonably well when it did dry up (just like Sylk) by adding some water.

But you don’t really know what a lube is like until you put it to the actual test! I will report back when I have had the opportunity to try it out properly with someone.

John

Yoni massage

If you have spent any time learning about, or in the sex positive community then you have probably come across the term “yoni massage”, but you may not be familiar with what it actually means.

While browsing YouTube recently I watched a video on the topic that I thought was quite a good explanation.

In short yoni massage is the massaging of the area of the mons pubis, inner thighs including vulva and the perineum, and inside the vagina. For a more detailed explanation the video does a great job.

If you are thinking about booking a session with a straight male sex worker like myself, but you aren’t sure if you want to go all the way to having penetrative sex then a yoni massage might be a great middle ground to give you an intense erotic experience without being too challenging!

It can be a very enjoyable form of foreplay or it can be an entire experience in an of itself. It can also be a great starting point for a woman who is a virgin and wants to have sex for the first time (or for the first time in a long while), but would like to build up to the experience of vaginal penetration.

John

A crisis in lubrication!

As I’m sure you can imagine lube is one of the most important things for my work. Everyone needs lube with condoms – I know that some women feel self conscious about needing lube, but condoms dry up natural and artificial lubrication and it needs to be replenished regularly during sex with a condom.

Many, many years ago I came across Sylk personal lubricant. It’s made in New Zealand, based on an extract from kiwi fruit (just think how slippery the inside of a kiwi fruit peel is!), it’s organic and PH appropriate – and it feels as natural as any lube I have ever used. I love Sylk and generally buy it in boxes of 50.

Sadly though I have just discovered that Sylk is not currently available – anywhere! Again!

Some years ago the company that manufactures Sylk was sold to an American interest, who (if I remember the story correctly) promptly changed the source of the glycerin used in Sylk to one derived from palm oil (which was cheaper I expect), causing Sylk’s “organic” status to be lost, so the product was withdrawn from sale in Australia. Eventually that issue was resolved and Sylk became available in Australia again.

In the mean time I would buy Sylk online direct from New Zealand and all was well.

However something is rotten in the state of Denmark…

I tend to buy Sylk in bulk once every year or two and my supply is currently running low. So today, I decided to order some more. Sylk is still listed in many online stores, but all but one listed it as “out of stock”. This lead me to ask Google the question “why is Sylk not available”.

The answer is that back in early 2023 Sylk (after another change of ownership) had to recall three batches of their product due to an issue with mold being found in some bottles in the UK. This is extremely disappointing of course as I have used and trusted Sylk literally for the fourteen years I have been a sex worker.

Production still has not been restored and there is only a trickle of supply available globally.

So we come to the “Denmark” question. I was very disappointed to hear that the company had been sold back in 2016. I can understand the original owner’s desire to make the most of their creation, but what is perfectly clear now is that management of the company is not what it used to be and customers who love and rely on the brand are being forced to go else where. To make matters worse the company was sold again in 2023. It really feels like Sylk as a business has lost its way.

Which is where I am left today – trying to figure out the best option for the single most important product that I use almost every day.

So far the best I can find is this: YES Organic Water Based Natural Lubricant 50ml

People online seem to like it as an alternative, so I have bought a bottle and will give it a go. I *really* hope that it is a good as it claims, but only time will tell. Sadly it’s about twice the price that I used to be able to buy Sylk for, although at least part of that will be recent inflation I expect.

I will report back when I receive it and know more.

In the mean time please feel free to drop a comment below on your favourite lube. I’m interested to hear your thoughts: water based, or silicon? Thick, or thin? What works best for you?

John

Ask me anything…

If you could ask me any question what would it be? About me, about male escorts, about the industry, about a date with me, or something else?

Drop a comment below, email john@john-oh-escort.com, or text 0437 520 539 and I’ll do my best to answer it for you.


So I have a few questions that have come in overnight. Thank you to everyone who contributed! I’ll add more questions and answers as they arrive.

Here are a couple to get started, but you can read them all here.

Q. What happens if you don’t find me attractive?

A. In the thirteen years I have been working as a male escort this has never happened. No, all of my clients are not super models! Most of my clients are normal women with all of the variety of looks and body type that comes with.

I am extremely lucky though that I really only meet decent people who are respectful of me and I can make a connection with. I think that this comes in large part from the fact that the vast majority of women who book with me take the time to read a lot of my posts here on this website and in doing so they get a clear picture of who I, what I value, and what I offer. The women who choose to see me generally share my values and therein lies the key – if we can get along and have fun together out of bed, then that for me is the foundation of attraction in bed.


Q. Is sex work legal?

A. The answer to that question is “it depends”. Australia is one the most progressive nations in the world when it comes to sex work. New Zealand is as well, but they were a bit slower off the mark!

The bottom line is that here in New South Wales in Australia (and Victoria, The Australian Capital Territory, and the Northern Territory) sex work is decriminalised – meaning that it is treated like any other job and not regulated in any way specific to sex work (there are minor exceptions to this but they won’t effect you as a client).

Queensland, Tasmania, and Western Australia all allow sex work, but it is regulated or or less harshly in those states. South Australia remains the only state to effectively criminalise any form of sex work (South Australia needs to do better).


Q. Do the interactions with clients feel transactional?

A. No they don’t feel that way for me and I do my level best to make sure that they don’t feel that way for my clients. I like to be informal, to chat and have fun together. I treat every booking like I’m on a date with someone I’ve just met and am looking forward to getting to know better.


Q. Do you talk dirty to your clients? Do you mind if a woman wants you to talk dirty to her?

A. Dirty talk can be a fun part of sex – if that is something that works for you! I have no problem with being asked to talk dirty and will happily oblige, but it’s not something I will initiate as not everyone likes or wants it. So please feel free to ask!

Read all the questions and answers here!

Continue reading

Why would a doctor prescribe a vibrator?

So today I learned that as women age the nerves in their clitoris that detect soft touch can deteriorate and degrade a woman’s ability to feel soft and gentle stimulation. However – there is another type of nerve that detects strong stimulation like vibration that is more durable and less likely to be damaged over time.

This is good news for women who through the process of aging find themselves less able to enjoy soft, gentle stimulation. Vibrators exist and it’s ok to use one and enjoy the results.

I learned this very useful information from this article:

https://www.aarpethel.com/health/why-would-a-doctor-prescribe-a-vibrator

I think that it is worth a read for any woman who finds herself in this situation, experiencing a loss of sensation as she gets older.

There is an addendum to add here though!

If you use a very strong vibrator and you use it a lot and you find that it is becoming less effective – then it’s time to dial it down and reset your responsiveness. Very strong stimulation will cause your body and brain to react and “turn down the volume”. It’s not permanent and is easy enough to reset by lowering the stimulation level and letting your body adjust to the new, lower level of stimulation.

John

There is a problem with antidepressants

Disclaimer – I am not a doctor. Please don’t take anything I say here as medical advice. Check with your doctor before you make any decisions about using antidepressants.

Over the years I have met a lot of women who have been taking SSRI antidepressants (selective serotonin re-uptake inhibitors). Many of them have, as a side effect, found it either very difficult, or impossible to reach orgasm while taking these medication – and the effects don’t just disappear as soon as you stop taking an SSRI, it can take time and may leave you experiencing sexual stimulation differently.

Everyone has to make the decision that is right for them about the medication that they take, whether they can accept the side effects given the benefits etc. My problem is that doctors seem to down play, or not explain – or possibly not even know – many of the side-effects of the medications that they are prescribing. 

In the case of SSRI’s I believe that the effects on sexual function are seen as virtually irrelevant by many doctors and are rarely explained.  You could reasonably say that treating the symptoms of depression, which can be very serious, are more important than a woman being able to have an orgasm.  But that is treating depression in a very narrow way and in my opinion overlooks the benefits of a healthy sex life.

SSRIs tend to smooth out emotional swings, preventing the huge dips and also preventing the highs, but it should also be recognised that taking away what is a very intimate pleasure – being able to achieve orgasm – can be extremely distressing. 

We shouldn’t – in my opinion – be sacrificing one thing for another – or, at the very least, making sure that people are *fully* aware of the consequences of taking the medication that they are being prescribed before they start to take it.

John

PSA for men and women – Sometimes SHE’S the one who will come too quickly!

So.  Most women take more than an minute of two to reach orgasm.  Some however can cum much quicker.  There is a group of women for whom this isn’t a problem as they can just orgasm again and again in waves.  However for women who generally only climax once (and then become highly sensitive, or just experience their arousal naturally decreasing) holding off that one big orgasm actually becomes central to a sexual experience that is satisfying and intense.

As someone who has experienced and had to overcome the curse of premature ejaculation I feel this is a topic that I can add some value to.

The problem for most men is that we are used to women who are the other way around and require a strong stimulation and a long build up.  So that’s what we tend to assume a woman needs and wants.

What really helps at this point is some direction from her – a quick “I cum really easily and I’d like to hold off until XYZ” lets us know to go slowly and gently and just tease and edge her.  I find this really fun to do.  It’s a challenge to read her body and moderate my efforts as she gets close to orgasm, then increase them again as she drifts back…

There are also some things that the woman can do as well to slow herself down.  Just like a man with premature ejaculation the techniques are simple and when practiced can produce positive results quite quickly.

  1. Open your eyes – this helps to reduce any fantasy that may be running through your head and pushing you along faster. That was a big help to me when I was dealing with this issue myself
  2. Relaaaaaax – specifically your pelvic floor muscles. Pelvic floor tension is a great way for women who have trouble reaching orgasm to push themselves along. If you have the opposite problem, then relaxing your pelvic floor will help to slow things down
  3. Breath out the tension – similar to the point above, breathing helps you to relax your muscles and mind and that helps delay orgasm
  4. Stay in the experience – don’t try to distract yourself by “thinking boring thoughts”, stay with the experience, stay in your body and experience the pleasure, but recognise that it feels good, but not *too* good…
  5. Be aware of your arousal level – spend some time really concentrating on your arousal level and noticing what builds it and reduces it. The better we are at recognising where we are the easier it is to employ the techniques above to moderate or boost our arousal as and when we need and want to
  6. You need a partner to help you practice – you can start this process on your own, but as with men, having an understanding partner to help you develop your skills will make it easier and quicker and probably get you a better result in the end.

Ultimately practice and a dedication to changing the way your sexual response is wired is the key. Practice the techniques and you will see change. Practice enough and you will get to where you want to be – with control over your arousal level and able to choose when you are ready to let go and have your orgasm.

John