Havent orgasmed for 15 years

Im 37 and was able to reach orgasm in college. Im gay and that hasnt been the issue. I was very depressed in college over a girl i loved and it seems like since then i havent been able to. I have been on and off depression medicine and when i was off it i still could not reach orgasm. Sex feels good and it gets to a certain point and stops.I could only get close with a vibrator and i still couldnt even with that. Builds up and then gets to sensitive and does nothing for me.or doesnt build up at all..Its very frustrating and has hurt alot of relationships..I feel like its never gonna happen again..and it sucks..I have stopped using the vibrator bc i think that has desensitized me..I dont know what i can do. I have had multiple partners and nothing has changed..I told my dr and they said i should see a sex therapist but i dont see how it would help..Any ideas??

I guess a sex therapist might be able to rule out physical issues. And assess whether there might be stress or other factors relating. They could then perhaps refer you to a more specialised form of help if they're unable to be useful. Have you been using the same meds on and off for depression? Or have they been changed over time? They're infamous for killing libidos and I think some can take time to wear off. [Same as they take time to start working.]

Sorry I don't have more helpful ideas, though. I hope someone with their own knowledge or experience will post too.

I've used different medication through the years..paxil, cymbalta,lexapro..I've have gone off it for a year..didnt seem to help..Idk..very frustrating..i've been on 20mg paxil most recently..not to much..I'd like to get off them completely but my anxiety usually returns..Thx for your response..