"i experienced severe postpartum depression after my twins were born, actually it started after i stopped breastfeeding them.  my hormones were all over the place.  i was sleep deprived and suicidal.  paxil worked great on my depression, but i had negative side effects. first of all, it really flattened my emotional response.  nothing much upset me, but nothing made me excited either.  i had zero sex drive and could not achieve orgasm at all.  i also gained a lot of weight in a very short amount of time.  also, i had trouble falling asleep.  i switched to wellbutrin, and actually lost weight. i would still have difficulty coping some days, but it was manageable, and no negative side effects."