If the Ativan helps it every time, then it's anxiety. Are there other meds that can work? Yes, there are many new ones since Zoloft came out, and the sexual side effects are very different with the newer ones. Wellbutrin seems to have the least in that area - not causing as much decrease in libido and inhibited orgasm. Effexor works well with depression and anxiety. There are a few similar to Effexor now that deal with both of those issues, and again, less sexual side effects.
I recommend that you talk with your doctor about trying some of the newer drugs. Being depressed and not being able to have sex makes for more depression and isolation, which increases anxiety...it's a bad loop to get caught up in.
And one other point, in most people, Zoloft only works for a number of years ( from 3-7). Taking that into account, your anxiety may not have increased per se, but you just lost the effectiveness of the Zoloft to treat your depression.
I think you would do well to take a newer antidepressent with an anti-anxiety medication for breakthrough anxiety, but I'm not a doctor. You should talk with yours about this.
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