Selective serotonin reuptake inhibitor (SSRI)
Escitalopram when planning pregnancy
For couples trying to conceive, every chronic medication deserves a careful pre-pregnancy review. Escitalopram (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 Escitalopram
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 Selective serotonin reuptake inhibitor (SSRI) medications are continued safely through pregnancy; others are switched to safer alternatives before conception or in early pregnancy. Escitalopram selectively inhibits the serotonin reuptake transporter (SERT) at the synaptic cleft, 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 Escitalopram has any documented effect on fertility depends on Escitalopram; the prescribing information notes any data. Anyone trying to conceive should discuss Escitalopram with the prescriber and a fertility specialist if conception is taking longer than expected.
Frequently asked questions
Should I stop Escitalopram 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 Escitalopram affect male fertility? ▾
Effects on male fertility depend on the active ingredient. Some medications in Selective serotonin reuptake inhibitor (SSRI) 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 Escitalopram is contributing.
Products containing Escitalopram
More on Escitalopram
- With alcoholEscitalopram and alcohol — is it safe to drink?
- With foodShould Escitalopram be taken with food?
- Side effectsEscitalopram side effects: common, rare and warning signs
- Dosage guideEscitalopram dosage guide: how much to take and when
- OnsetHow fast does Escitalopram start working?
- DurationHow long does Escitalopram last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.