That's why I tell patients, nobody should ever have more than three depressive episodes in their lifetime. They probably shouldn't have more than two depressive episodes. Once a person is in their second episode, they either be treated with a kind of preventive treatment by cognitive therapy or they stay on antidepressant medications indefinitely. That's also true even with the initial episode if it becomes of longstanding, so two years or more. The answer to that is Wellbutrin.
Desipramine also does.
Murprotyline also does, because they're essentially purely noradrenergic drugs. But Wellbutrin leads the pack. It does seem to reduce the frequency or severity of sexual dysfunction in some patients. And then patients who have remitted on SSRIs and have persistent sexual dysfunction even in the face of using Wellbutrin or Viagra. In men, we use Viagra.