Hi,I am Dr. Aniruddha Malpani (Infertility Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
Prescribed Escitalopram. Trying To Conceive. Should We Not Take Medicine Till Completion Of IVF Cycle?
My partner has been prescribed Escitalopram Oxalatea Ta 10mg (previously citalopram), I have done some research to look at the side effects, of which there are many. This includes a possibility of decreasing sperm count and sperm production (not sure if this also effects the quality). I am 40 and have had my fallopian tubes removed due to them being diseased. He is 39 the last IVF cycle we did, we had to do ICSI due to the quality and quantity of his sperm. Obviously we want to do everything to give ourselves the best chance possible of being successful in our next cycle (which is February), should we hold of him taking the medication until we have finished treatment?
SSRIs can cause problems in spermatogenesis as you have mentioned. However, in your case, the risk-benefit ratio needs to be assessed regarding whether or not the medication can be discontinued.
This would depend on your husband's psychiatrist's assessment of whether or not it would be advisable for him to be off the drug; plus, if ICSI is required, then what is the exact sperm number & quality. If it is reasonable, then stopping the drug may be more harmful than continuing the medication and proceeding with IVF/ICSI
I find this answer helpful
You found this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Prescribed Escitalopram. Trying To Conceive. Should We Not Take Medicine Till Completion Of IVF Cycle?
Dear Olivia, SSRIs can cause problems in spermatogenesis as you have mentioned. However, in your case, the risk-benefit ratio needs to be assessed regarding whether or not the medication can be discontinued. This would depend on your husband s psychiatrist s assessment of whether or not it would be advisable for him to be off the drug; plus, if ICSI is required, then what is the exact sperm number & quality. If it is reasonable, then stopping the drug may be more harmful than continuing the medication and proceeding with IVF/ICSI