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Mens Health > Sexual Health - Men Forum > Drug side effects and conception
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Q: Drug side effects and conception
asked by: DoctorQuestion on July 24th, 2009
My husband has been on Lexapro for approx 8 months. We already have 2 healthy children and are trying now for a third child (even though there will be a 10 year age gap). I fell pregnant with my other 2 after the first cycle of being off the contraceptive pill, and have just had my first cycle after ceasing taking the pill again (only for the last 6 months).

My husbands libido is still fantastic, so no side effects there with Lexapro, but will Lexapro affect our ability to conceive? I am taking the usual folate supplements etc, and the only other meds he takes are Temaz(opan?) occasionally for sleeping, and zinc tablets for cold sore prevention. Is there anything else I can do to help conceive??

Many thanks for your time.
Lynda


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Dr. Goce Aleksovski , MD
replied on July 31st, 2009
Sexual Health - Men Answer A7002


Lexapro (generic name citalopram) is a selective serotonin reuptake inhibitor medication used in the treatment of depressive disorders.
Temazepin is hypnotic agent that belongs to the benzodiazepine group.
Both medications are not known to affect the male or female hormonal production. Citalopram might cause an erectile disorder in certain men.


Given the fact that neither you nor your husband experience side effects from the drugs you take that might interfere with the odds for conception, you are advised to keep on trying. Determining your ovulation date is primary. If your menstrual period length does not change, then your ovulation date is exactly fourteen days before the start of the next expected period. If your menstrual period length is irregular, then you might want to visit your gynecologist for a physical examination and hormonal imbalance check. Your age (42) might be close to your menopause (with all its hormonal changes) which might make the conceiption hard or even impossible.


If takes more tries then your husband might want to visit a urologist if there is a problem with the semen.


Given the fact that you already have two healthy children and you did not report any problems with the previous pregnancies, the probability that you would have any problems conceiving is minimal if you keep your mind on your ovulation day.




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