You can get Preseed or Conceive Plus.

Both sperm concentration (reduction by 10Other factors, including duration of SSRI use and BMI, might synergistically adversely affect semen parameters.

Although the role of dopamine in reproductive physiology has not been clearly established, there are limited data implicating some role in male reproductive function.

The only MAOI that has been studied in this arena is selegiline, which has been shown to increase sperm counts and viability in two rat studies.Evaluations of the effects of treatment with antidepressant medication on semen parameters should consider the effects of untreated depression and anxiety on fertility as well.

Approximately 40% of male and female patients taking MAOIs will experience some degree of sexual dysfunction.Selegiline, used to treat major depressive disorder and parkinsonism, might actually have a favorable effect on male fertility. Given the contradictory results found in preliminary animal studies, there is a clear need for additional research in this area.TCAs, including amitriptyline, nortriptyline, amoxapine, desipramine, doxepin, imipramine, protriptyline and trimipramine, were one of the earliest medications used to treat depression.

Checking a baseline semen analysis and sperm DNA fragmentation might provide some level of guidance. The existing data are often based on animal studies or human studies with low numbers of patients.

Every blood test and sperm test have been normal.

Anabolic steroids can have the same effect. Decreased levels of glutathione and increased levels of malondialdehyde suggested oxidative stress as a main mechanism for the testicular toxicity observed.Citalopram has also been shown to exert toxic effects on sperm and testicles, largely through oxidative stress. YES, Celexa (citalopram) can affect this quite a bit.

It's often used to treat depression and also sometimes for panic attacks.. Citalopram helps many people recover from depression, and has fewer unwanted side effects than older antidepressants.

Men taking SSRIs were found to have significantly lower sperm counts (61 million SNRIs exert their effects by inhibiting the reabsorption of both serotonin and norepinephrine. "SSRIs may have an adverse impact on sperm quality, but further research is warranted." This class of medications includes desvenlafaxine, duloxetine, levomilnacipran and venlafaxine.

However, SSRIs in particular are known to be associated with significant sexual side‐effects, including decreased libido, increased ejaculation latency, alteration of circulating hormones and erectile dyfunction.Multiple studies carried out in animal models have shown the negative effects of SSRIs on male fertility.

We would recommend an informed discussion with patients attempting parenthood and taking these medications. This is particularly concerning, given that these medications are taken by young men, generally on a long‐term basis. In men, the most notable sexual side‐effects can include impaired libido, erectile dysfunction, delayed ejaculation or anejaculation. Rats exposed prophylactically to mirtazapine 1 week before the initiation of nitrofurazone had a significantly less pronounced decline in sperm count and viability than those receiving only nitrofurazone, as well as decreased indicators of oxidative damage.There have been no studies to date regarding the effects of nefazodone, tianeptine, vilazodone or vortioxetine on semen parameters or other markers for male fertility.Given the relatively common use of antidepressant medications, the limited data on their use is worrisome.