What do the pdocs say when asked about this? Do they just say, well that's a lamictal/AD side effect but it's worth it because your mood is better? Or do they offer to try lowering the dose? Or substitute with a different med? It seems such a serious side effect, that the docs should be concerned and try to fix it by offering alternatives.

I remember in my first years of sexual activity, I tried to take birth control pills but they had too many side effects for me to tolerate. One was total lack of libido. I mentioned to the prescribing doctor that I didn't like that I had no interest in sex now. He just saw this as no big problem, and said, well, it you don't want sex, don't have it, and that will help keep you from getting pregnant. And he laughed. I could have smacked him one. Don't they understand that sexuality is important?