Sex and Prozac

Guys on Prozac probably know where this is going.

I may be making an assumption here, but I feel safe in generalizing that the great majority of those suffering from depression have associated image and esteem issues. That being the case, it's terribly ironic that the popular treatments for depression cause difficulty in sexual performance. Obviously there's a disconnect (heh) here. Even when everything works it still becomes much more like work and less like fun. Which sucks. So you get depressed, take medication, impact your sex life, feel worse about yourself, take more medicine... you can see where this is heading.

I can often tell how effective the level of medication I'm on is by how easy sex is. A bit of a catch 22, really, once sex starts getting easier and more enjoyable then I know my depression is about to get worse. And in reverse fashion, once I start feeling better, there goes the sex. Of course, one could always respond by more medication, but the insurance companies are awfully stingy with Viagra, seems they want to try and tell you how often to have sex.