hi Wayne ,
it is a well known fact that any long term illness e.g. Hepatitiis C infection is associated with depressive symptoms .the current practice is to give SSRI
class of drugs as anti depressant
medication , and lexapro
(escitalopram ) is one such drug .However the SSRIs are also associated with sexual side-effects- namely decreased sensations on penile stimulation and delayed time for ejaculation. a possible alternative is to try Welbutrin as the anti -depressant drug . olanzapine
may also contribute to sexual problems via an increase in prolactin
levels ;however this association is not very strong. i hope this answers your query. bye for now.