My boyfriend is on antidepressants and some other medication, which probably cause his erectile troubles. He has no trouble getting an erection, it's keeping it up that's the issue. I doubt he has sperm in his pre-ejaculate since he says he hasn't ejaculated or had an orgasm for months, though he remembers a possible retrograde ejaculation or "dry" orgasm.
I realize that sperm only comes out when a man ejaculates, unless it was lurking in the urethra from a previous ejaculation. However, I began wondering if men with erectile issues and/or on antidepressants have any trouble with their sperm production or sperm count. After all, if they can't really maintain an erection, than who's to say the medicine is not also messing with their sperm?
Is tehre any information out there that may clear this up for me? Thanks.
Posts: 11 | From: PA | Registered: May 2008
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As for whether his pre-ejaculate may contain sperm, it's really hard to say for sure. Don't forget that men can ejaculate in their sleep without ever knowing it happened, so even if he hasn't ejaculated in his recent memory, that doesn't necessarily mean it hasn't happened. In terms of birth control, it's always best to assume that sperm will be present in pre-ejaculate and to take appropriate safety measures.
As for erectile difficulties in general, I suppose that would depend on what the cause of the issue is. The reason why antidepressants can cause erectile issues is because they increase levels of serotonin, which is a neurotransmitter that can inhibit the sexual response cycle by affecting other neurotransmitters involved in sexual response. As well, I've read that antidepressants can also cause decreased physical sexual sensation.
Either way, though, I tried to find any conclusive information on whether antidepressants decrease sperm count/production, and came across a few articles:
These articles say that there is some evidence that they may affect sperm count, however I could not find anything mentioned on any reliable medical sites, or in any medical literature that I own. The study performed in the articles is rather small and limited to a few medications, so if your boyfriend is concerned, I would recommend he ask the doctor who prescribed the meds to him.
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