I think it may cause overall compulsions too, not only sex..gambling, worrying...somewhat obsessive/compulsive..

When on a higher dose, my dad would get fixated/anxious about very minor things like the car registration/tags being due or possibility of a fire or some other emergency, checking & rechecking door locks...hallucinations..

After a short test time- totally off the M, we/dr added a very small dose back - as without it dad was nearly immobile in his recliner & very weak in his legs with much fatigue.. Dr also took him off the Vesicare as that may have played a part in the downhill slide..combined w/the Mirapex..
Using a older urological med now with much less side effects..

Now he is back at a much better state, but it took a couple of months to get it all balanced back to where he can be more mobile with some energy again.

Sometimes all you can do is try /test other meds and combos, it may work for you or not..sometimes just a much smaller dose is all that is needed..