Most of the time when I go to the pdoc's, I see the nurse practitioner who I like very much. The nurse practitioner is a woman so I will probably mention this difficulty with sex to her, but like I said before if the fix involves going off lamictal or decreasing it I can't imagine doing it. My mood is so much better in every way I am not going to worry about sex. I suppose There may come a time when I feel differently and really start to miss good sex.