I was on fluoxetine, and although I could get an erection, with viagra, the sensations were nice enough it never built up to a climax, or anorgasm. So it seemed to be a choice of being grumpy without the meds or happy but without the orgasm. I also used to E-stim as well as pump, but on the meds the E-stim sensations just did not feel nice. I read about sounding, a bit scary at first, but in desparation I gave it a go. I bought a single 22fr(7.3mm) Van Buren sound and that was good. the problem being when you get an erection it's not long enough. I now have a set of pratt sounds, long enough to reach the spot when erect. Once fully inserted the erection comes fairly quicky, without viagra, and with a normal JO. technique, a very intense orgasm. No good if you want intercourse but pretty good otherwise.
Not for everyone, but but works for me.