I recently started on lexapro at 10mg, within 2 or 3 days it shut me down sexually. I would think these meds are suppose to help us but how can that help when it creates more or new problems. I would be able to get an erection but within a minute the pleasurable sensations would be gone and acheiving an orgasm was beyond difficult or pleasurable. It would be real straining. I mentioned to my girlfriend that I was starting the lexapro and we were fooling around several days later and I could not get off, she stopped, hugged me and said questioning me, is it the meds? I said yes and that I had to stop them. I need the meds but I cant take them for this and of course other reasons. I also noticed within that same 2 or 3 days that it was causing me fatigue when I tried to exercise. I cant have that either. I worked all too hard in the last 2 years to lose about 70 pounds, I look great and physically feel great but mentally or physicologically I am a mess at times. I am a very suicidal person, I know I need the meds but I also cant help but feel that meds can not make a person a happy person, just not possible. I am trying, I fight to stay within the here and now all too often. I have no desire most of the time to be here but im still here. I was suppose to be on effexor for the last 2 years and my Dr thinks it was working for me but little does he know I started that and stopped that immediately as well. Any med I have tried has shut me down sexually. Another thing that scares me is the withdrawal symptoms that I read about when coming off of the drugs. I dont want to go on something and not really be able to get off of them too easily. I notice Drs are too quick to perscribe meds for anything we complain about. The only thing I feel I can do is just hang in there, let my Dr think I am taking the meds, and if I need the time off from work due to my crazy head and thinking then at least I know I have a history to fall back on. Honestly, I would love to take the meds, I do find they make me feel more calm, or shall I say they take the urgency away from the depression, but they cause more problems and scare me all too much.