I've experienced the sexual side effects. For me they lessened over time (going from mostly not being able to achieve climax to that rarely happening) and takin

I've experienced the sexual side effects. For me they lessened over time (going from mostly not being able to achieve climax to that rarely happening) and taking a lower dose helps. For those that are not at risk of seizures they can take bupropion as well to decrease the dose of the other SSRI further. But honestly sex is mostly in the brain and not finishing every time is only a drag if you think that it is. Personally I find it liberating, sex becomes a fun intimate pass time without an end goal. And certainly the benefits to my depression and anxiety out weigh the negatives for me.