I have never heard of IUDs affecting orgasm... besides, a clit orgasm is more about the nerves in the clit and around that area than the actual uterus....
Sounds like it's time to go to your doctor and get your paxil adjusted- you have probably devloped a resistance to it and so it's not working like it should. You could just go off paxil completely and celebrate a drug free system
But that's just the "I hate psychoactive medications" in me talking
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Sage knows our mythic history, King Arthur's and Sir Caradoc's
She answers hard acrostics, has a pretty taste for paradox
She quotes in elegiacs all the crimes of Heliogabalus
In conics she can floor peculiarities parabolous
-C'hi