I have a big problem like that when i take meds. I used to climax on my own but now i have to use my hand. You have to outway your options. is the sex more important then taking the meds. I have never had an anti depressant work forever. It really is a problem because they pills keep us turned off but if we don't take them the depression keeps us even more turned off. I don't know how to help you but i know exactly how you feel.