Harold, sadly the psychiatric medications very frequently cause sexual dysfunction. The options for different drugs (that may have less frequent sexual side effects) typically have a risk of increasing blood sugar or Blood pressure. Sometimes the addition of wellbutrin helps but your MD really needs to check it for interactions with other drugs, and it is a long shot. In your situation, you have to find other ways for expressing sexuality. I would hate to see you change medicines as it is so difficult to find a combination that works, especially with other medical problems.