I tried Cymbalta and gave up on it quick because of sexual side effects. I know the are a lot of side effects, but most have the potential to go away after your body adjusts. Some, like sexual side effects have a tendency to not go away and therefore Cymbalta won't work. It can be very effective for nerve pain and is probably worth a shot. My doctor got me to try it by saying that if it does cause problems, just stop and it will be out of your system in a day.