I've been dx'd will idiopathic small fiber PN since about 2005, ran the full course of the usual meds. I'm now on cymbalta, 60mg, vimpat 300mg/day, topramax 200mg/day, and percocet 10/325 1 tab every night with ambien CR to get to sleep. Occaisional I'll take tramadol 2 tabs, or nucynta 50 mg during the day if I can't stand the foot pain.

OK, my "problem" is that I am 51 years old, married only 11 years and my sex drive is somewhere down between the basement and the sub-basement. This has been going on for about 4-5 years now. Oh yes, the wonderful change of life with that crap came along in 2009 on top of everything else soooooooooooo......how the heck am I supposed to figure out what is causing this lack of interest in sex and is there anything that we can do to get over it?