Some people are just sex addicts without Bipolar, but being more preoccupied with sex than you are at baseline is a manic trait. Although my libido is quite high most of the time, with the exception of when I go into a deep depression, my sex drive is especially high when I'm manic. I am also prone to act out sexually or engage in sexual behavior that I wouldn't otherwise when manic since I can be very impulsive and place myself in situations where I am vulnerable.

There was one med a long time ago I was on that affected my ability to orgasm, but I can't remember which one. I was taken off of it though. It's been years since I've had that problem, and I've never had that issue with any other medication.