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  • "slowfish" started this thread

Posts: 8

Reg: Jul 13th 2008

Location: Norwich

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Tuesday, August 26th 2008, 8:49am

Fertility and antidepressants

Hi everyone,

My husband and I have been trying to concieve for a couple of years now and have had a couple of goes at IVF. I am 40 yrs old and feel that are time is running out for being able to concieve natually.

However our biggest problem at the momment is that my husband has been intermittently on antidepressants which completely stop the ability to ejaculate. He has been taking citalopram which has this effect. Has anybody else experienced this problem and if so, managed to find a viable alternative antidepressant which doesn't have this major side affect.

Would very much appreciate any info




Posts: 3,154

Reg: Apr 3rd 2008

Location: UK

Children: 2 sons - Natural shock 99 & ICSI miracle 04

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Tuesday, August 26th 2008, 12:30pm

RE: Fertility and antidepressants

Hi Slow fish - tbh i would've thought your fertility specialist would be the best person to ask about the antidepressants; or if they can't committ 100% then i would say try to get a referral to a pscyhiatrist to discuss other meds if appropriate.


Proud mum to two sons - natural unexpected in 1999 :8o: and ICSI in 2004 : D

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to have the life waiting for us

Posts: 248

Reg: Jul 23rd 2008

Location: UK

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Tuesday, August 26th 2008, 2:09pm

My understanding is that the SSRI ADs (citalopram etc) and the tricyclic ADs (imipramine etc) have all been associated with either retardation of ejaculation or difficulty maintaining an erection (they are sometimes tried as a 'cure' for premature ejaculation for this reason). Tricyclics are supposed to be more problematic for this than SSRIs - but its an individual thing.

Of the SSRIs, fluvoxamine is supposed to have the least effect on ejaculation retardation (at least compared to prozac, sertraline, seroxat and citalopram) - so it might be worth discussing fluvoxamine with his doctor? Unfortunately, fertility docs tend not to know that much about psych meds and psychiatrists tend to know little about fertility and even less about male fertility.

its might be an idea to get an SA done before and after changes in ADs because for some men the SSRIs significantly reduce sperm count and motility, although not for everyone. The tricyclics don't seem to affect sperm production, but tend to give greater problems with ejaculation so he'd probably not try a tricyclic for his first choice.

that said, side effects are a very individual thing, so there might need to be some trial and error with a sympathetic psychiatrist maybe?

being on ADs only intermittently isn't generally recommended (because you don't get the full AD benefit until you have been on them for at least 1-3 months, and some types of side effects/withdrawal effects are worse if you keep stopping and starting them), but I expect your DH knows that already and he has good reasons for needing to stop and start them.

depending on what condition he needs the ADs for and its severity, there might be some non-drug therapy that he could try e.g., CBT, EFT, meditation etc but his doctor/psychiatrist would need to advise on whether it is safe for him to try this and he'd have to find something that he felt worked for him because again its an individual thing as to what works for each person.

good luck



Posts: 10

Reg: Sep 18th 2008


Children: i have 2 beautiful daughter one 8 years and the ot

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Wednesday, September 24th 2008, 4:02pm

anyone ttc while on anti depressants

i have been on my antie depressents for a year and ahalf now. Anyway i got my blood test back on monday and it shows im not ovulating like i thought as i have been chartting and i have had 3 anovulations while chartting for 5 month's!!!, So has anyone else had problems while ttc and on antie-depressents?



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Wednesday, September 24th 2008, 4:06pm

I took antidepressants while TTC and they were absolutely fine

What medication are you taking and what dose?

Have we supported you? Can you support us?


My journey has now ended. 6 babies in Heaven.

'It'll be all right in the end - if it isn't all right yet then it isn't the end!'

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