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Thanks for this reply. To be honest I'm not so worried about the well-known sexual side effects. Instead I worry about fertility effects. The paper I mentioned in the OP says that fertility should return to normal when you come off SSRIs, so I guess that's good. But then I came across an article mentioning a study on rats, where they apparently found impaired fertility "which persisted after the drug was stopped".
I bet most local doctors don't even know of these effects. They'll know about erectile dysfunction etc, but this is something different to that.
Maybe I'm worrying too much, I don't know. I wonder if anybody on this site has heard of these effects before.
I don't know anything about its effect on fertility. I know people who have conceived while on SSRIs, but that's purely anecdotal.
It's going to be a judgement call on your part. SSRIs have been in use for long enough that I would expect there's a big pool of data around fertility rates, even if it's not had much analysis done on it. Also, rat models are useful but need to be understood in their context. One study in rats is not overwhelming evidence.