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.
I will keep an open mind and try.