I've been on Paxil for a few years, and at first, I totally had the same problem. There was NO way I was having an orgasm, whether it was me, another person, or a vibrator. It just WASN'T happeneing. But after a while I started being able to orgasm again. Sometimes even during sex- woo hoo! So my advice is that if Paxil is working for you mentally, STICK WITH IT! You'll be able to orgasm again. Invest in a super high power vibrator...like the back massager kind. Good luck! *Hugs*