Lexapro when planning pregnancy
For couples trying to conceive, every chronic medication deserves a careful pre-pregnancy review. Lexapro (Escitalopram) at 5mg, 10mg, 20mg may need to be continued, switched, or stopped before conception, depending on the active ingredient Escitalopram and the indication. The right answer is rarely the same for everyone and rarely "just stop the medication."
Pre-conception review of Lexapro
According to the prescribing information for Escitalopram, the pre-conception decision balances the risk of the medication during pregnancy against the consequences of leaving the underlying condition untreated. Some Anti-Depressants medications are continued safely through pregnancy; others are switched to safer alternatives before conception or in early pregnancy. Lexapro acts by selectively inhibiting the serotonin reuptake transporter (SERT) at the synapse, increasing serotonin availability for postsynaptic receptors.
Effect on fertility itself
Some medications affect fertility directly — by altering ovulation, sperm parameters, hormonal balance or libido. Whether Lexapro has any documented effect on fertility depends on Escitalopram; the prescribing information notes any data. Anyone trying to conceive should discuss Lexapro with the prescriber and a fertility specialist if conception is taking longer than expected.
Frequently asked questions
Should I stop Lexapro before trying to conceive? ▾
It depends on Escitalopram and the indication. For some medications the answer is yes — switch to a safer alternative weeks before conception. For others, continuation is safe and preferable. The prescriber decides based on the full clinical picture.
Does Lexapro affect male fertility? ▾
Effects on male fertility depend on the active ingredient. Some medications in Anti-Depressants affect sperm parameters or libido; others have no documented effect. The prescribing information for Escitalopram states what is known. If conception is delayed, a semen analysis can clarify whether Lexapro is contributing.
More on Lexapro
- With alcoholLexapro and alcohol — is it safe to drink?
- With foodShould Lexapro be taken with food?
- Side effectsLexapro side effects: common, rare and warning signs
- Dosage guideLexapro dosage guide: how much to take and when
- OnsetHow fast does Lexapro start working?
- DurationHow long does Lexapro last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.