Hi, Doug...

Most AD's tend to have *some* sexual side effects.  But there are a couple
that don't seem to have any:  Remeron and Wellbutrin.  Wellbutrin is
actually sometims given in adjunct with SSRI antidepressants to *enhance*
libido and sexual function.  It is a bit stimulating as an anti-depressant,
so it is not usually recommended for people who have anxiety, as it can
exascerbate the anxiety levels.  But it can be a good anti-depressant for
some.  As with most of these meds, your mileage may vary.  What works for
one doesn't work the same for another... there is some trial and error
involved.  The only negative I know of with Remeron is that it tends to
cause people to gain weight.

Hope this helps a bit!

Take care!
MikeH

I did notice a definite decrease in what my doctor referred to as "libido"
when I went on Prozac over a year ago.  Decrease, not complete elimination
of interest.  Viagra gives me a stuffy nose and "blue haze" if I take more
than 100mg.  That's it.

I cannot say that the drug helped with my mood, but it had the odd side
effect of helping with my incontinence (down from 3 pads per day to 1).  My
uro told me that this was a recognized side effect and that they prescribe
drugs like Prozac for incontinence.

Doug,

If you haven't done so, you might want to try to find
someone you can talk to about depression.

Some psychiatrists these days do very little talk therapy,
just concentrating on medications.  Meds can be extremely
helpful and I don't mean to indicate that you shouldn't try
them.  But, for some people, talking to people can be
very helpful.

One approach to this is to find a support group.  The
obvious place to look is "Us Too", the prostate support
group organization.  See http://www.ustoo.com/.  You may
be able to find a group near you, and you will meet people
who really do understand your situation because they're
in it too.  Some hospitals also run cancer support groups
that are free or have a nominal fee.

A support group might also be a place where you can
ask people about local therapists.  You may get a good
contact to a counselor or psychiatrist who has helped
people in your situation before.

You can also call your insurance company or speak to
your family doctor and ask for a referral to a therapist that
has experience in depression and in cancer.

Even if you do decide to get medication, it's still a good
idea to find people to talk to about your problems, and about
theirs.  It can be an eye opening experience.

I personally have felt a lot of benefit from this Internet news
group.  Seeing how some others have coped with cancer
has been an inspiration to me.  Perhaps some face to face
meetings at Us Too, or another group, or with a therapist,
can be really helpful to you.

   Alan