How Lexapro affects libido and sex drive
Libido and sex drive are commonly affected by medications, sometimes intentionally (e.g. ED therapies) and sometimes as an unwelcome side effect. Lexapro (Escitalopram) may or may not affect libido depending on Escitalopram; this page outlines what is documented at 5mg, 10mg, 20mg and what users typically report.
Documented effects of Lexapro on libido
Some medications in Anti-Depressants are designed specifically to affect sexual function; for those, libido changes are expected and central to the indication. Others have libido changes as side effects of altered hormones, mood, energy or autonomic function. According to the prescribing information for Escitalopram, the documented frequency varies and is listed in the side-effect profile.
Managing libido changes
For unwanted libido suppression, the right response often depends on whether the issue is the medication itself, the underlying condition, fatigue, or relationship factors. Lexapro acts by selectively inhibiting the serotonin reuptake transporter (SERT) at the synapse, increasing serotonin availability for postsynaptic receptors. A dose review, a switch within the same class, or addressing other contributors are all reasonable strategies and should be discussed with the prescriber rather than self-managed by stopping Lexapro at 5mg, 10mg, 20mg.
Frequently asked questions
Does Lexapro lower libido? ▾
Some users on Lexapro report reduced libido, some report no change, and a few — particularly on indications targeting sexual function — report improvement. Whether this happens depends on Escitalopram and individual factors. The prescriber can review options if libido changes are persistent or distressing.
Can libido recover after stopping Lexapro? ▾
For most users, libido changes attributable to Lexapro resolve within weeks of stopping the medication, though the timeline varies by active ingredient and individual. Persistent changes after stopping warrant medical evaluation, as the underlying condition may be the contributing factor.
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.