I'm also not so sure how I feel about the sexual side effects, not that it matters right now but eventually if H and I were to work towards reconciling again it seems it could be a big issue. Especially since infrequent sex was a major complaint for him. I'll give it a few more weeks and talk to my doc. At least my #1 goal to get my emotions under control maybe on it's way to being achieved.
I had the same concerns for myself. But then I thought about how depression is a libido-killer, too. I feel like having my emotions under control will at least allow me to be able to deal with whatever other side effects there are.
(Btw, I had some sleep issues at the beginning, too. Those have mostly gone away. And strangely enough, even though I am getting less sleep than before, I have more energy and still have more control over emotions. So, for me, those side effects don't trump the overwhelmingly positive effects of AD.)