Hi, Cipralex (escitalopram) is a selective serotonin reuptake inhibitor (SSRI) antidepressant medication. It is typically used to treat the major depressive disorder, anxiety disorders, and obsessive-compulsive disorder. There is no direct evidence that Cipralex can cause infertility. However, some studies suggest that long-term use of SSRI antidepressants may affect fertility and decrease sperm quality in men. Additionally, some women may experience changes in their menstrual cycle while taking Cipralex, but this is usually a temporary side effect. It is important to note that infertility can have many different causes, including age, underlying medical conditions, lifestyle factors, and medications. Therefore, it is important to consult with a healthcare professional if you are experiencing difficulty conceiving. In terms of other potential side effects of Cipralex, some common ones include nausea, headache, dry mouth, drowsiness, and insomnia. Less common side effects include sexual dysfunction, weight gain, and increased risk of bleeding. It is important to discuss any concerns or side effects with your healthcare provider. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician