I have been on Paxil for about 3 years and I can honestly say that I think it has improved my life by helping me reduce my social anxiety. I can actually now give presentations in front of a group of people, eventhough I still experience the anxiety while duing it, but I think it is much more reduced that I can actually get by. In addition, I think I might have a little depression associated with my social anxiety, and so Paxil being an antidepressant helps me with that as well. So I really like Paxil, but unfortunately I also experience the sexual side effects that most of you have mentioned. Particularly, I experience the feeling that my penis is not as erect as it was before I took the medication, and I also feel a decrease in sensation and the inability to reach orgasm whenever I am ready. I then did a little research on this and found out that this side effect is common with SSRIs, of which Paxil is one of them. I also went off the medication for about 1 week and notice that the side effect was gone. I am currently working on finding a solution for this problem, because I really think Paxil is the best medication for Social Anxiety currently available (at least for me), and so if I can just solve this one side effect I will be a lot more happy. I will let you know if I find a solution, hopefully soon.