I am a Bipolar 74 old male and the VA syck has had me on Citalopram and lithium for over 12 years. The meds work well on my bipolar broblem, but for the past 5 years I have not been able reach orgasum. The litte BLUE pill works O.K. I just loose everything before completion. I am in very good health and active. Do you have any advice to help my problem?