Long term use of opiates depresses the pituitary and often patients get low in testosterone. Females have some of this male hormone and it is responsible mostly for libido.
Discuss this with your OBGYN and he/she can give you an ointment to use to boost that libido back again.
I do think that Cymbalta diminishes orgasm in both females and males. (most of the SSRI drugs do this to come extent, some more so than others).
I am sorry, I can't say for Topamax or Vimpat. You can Google those with sexual side effects added to the name for more accuracy.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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