Don't know where to turn or what to do

[Ovalbug]

Sexual dysfunction seems quite a common side effect with AD and for some one my age who lives alone the fact I'm pretty much none functioning in that department doesn't seem to matter. But you being much younger and in a relationship I can see how it would adversely affect you. I'm no doctor but have you asked your GP if there are any AD's which don't affect you so much in that department?

It's massively important to me and one of the few thing I can get any kind of pleasure from - I cannot allow that to be removed.

The only one (available in the UK) that is known not to provoke dysfunction is Mirtazapine, which I was on for 6 months. Great for anxiety, did nothing at all for depression and actually made me angry and irritable all the time. No fun for anyone.

I get that different people react to different meds in different ways - it's just that all those I've tried so far had the same dysfunctional effect, as effectively they impact serotonin levels, which is the proximate cause for the dysfunction.

The fact that Sertraline was top of their recommended list, and a quick Google search, along with all the data from NICE confirms that sexual dysfunction is right at the top of the 'most wanted list' tells me they're not taking me seriously, or simply don't have anywhere else to go with the meds.

I'll give it some thought and maybe try it, but I can't help anticipating that it will cause issues.

My husband didn't think that his last lot of therapy was going to help. He went along purely and simply to "cross it off the list and say I've tried it" and actually it's been a massive help. Don't write it off before you've even got there - but things like therapy only help if you're prepared to work hard at it.

I will keep an open mind and try.