{"id":88917,"date":"2022-05-11T15:40:14","date_gmt":"2022-05-11T15:40:14","guid":{"rendered":"https:\/\/www.exseedhealth.com\/?p=88917"},"modified":"2026-06-29T13:54:21","modified_gmt":"2026-06-29T12:54:21","slug":"antidepressants-and-male-fertility","status":"publish","type":"post","link":"https:\/\/www.exseedhealth.com\/pl\/antidepressants-and-male-fertility\/","title":{"rendered":"Leki przeciwdepresyjne a p\u0142odno\u015b\u0107 m\u0119\u017cczyzn"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Wiele os\u00f3b przyjmuje leki przeciwdepresyjne, aby pom\u00f3c im w radzeniu sobie ze zdrowiem psychicznym, ale czy mog\u0105 one wp\u0142ywa\u0107 na m\u0119sk\u0105 p\u0142odno\u015b\u0107?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Je\u015bli przyjmujesz leki przeciwdepresyjne i masz nadziej\u0119 zosta\u0107 ojcem, wa\u017cne jest, aby uzyska\u0107 informacje na temat ich wp\u0142ywu na p\u0142odno\u015b\u0107. Najwa\u017cniejsz\u0105 rzecz\u0105 jest rozmowa z lekarzem na temat przyjmowanych lek\u00f3w i plan\u00f3w budowania rodziny, poniewa\u017c b\u0119dzie on w stanie udzieli\u0107 porady. Ale aby pom\u00f3c Ci przygotowa\u0107 si\u0119 do tej rozmowy - oto kr\u00f3tki przegl\u0105d bada\u0144.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">R\u00f3\u017cne rodzaje lek\u00f3w przeciwdepresyjnych\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Zanim przejdziemy do wp\u0142ywu lek\u00f3w przeciwdepresyjnych na m\u0119sk\u0105 p\u0142odno\u015b\u0107, warto przedstawi\u0107 r\u00f3\u017cne rodzaje lek\u00f3w przeciwdepresyjnych, kt\u00f3re mog\u0105 by\u0107 przepisywane. Zazwyczaj dziel\u0105 si\u0119 one na dwie g\u0142\u00f3wne kategorie.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Selektywne inhibitory wychwytu zwrotnego serotoniny (SSRI)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">S\u0105 one zwykle pierwszym wyborem w\u015br\u00f3d lek\u00f3w przeciwdepresyjnych, poniewa\u017c wydaj\u0105 si\u0119 mie\u0107 najmniej skutk\u00f3w ubocznych. Wykazano, \u017ce opr\u00f3cz depresji pomagaj\u0105 one r\u00f3wnie\u017c w innych schorzeniach psychicznych, w tym w zaburzeniach obsesyjno-kompulsywnych (OCD) i zespole stresu pourazowego (PTSD).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Niekt\u00f3re z najcz\u0119\u015bciej stosowanych lek\u00f3w z grupy SSRI obejmuj\u0105:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">citalopram (Cipramil)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">dapoksetyna (Priligy)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">escitalopram (Cipralex)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">fluoksetyna (Prozac lub Oxactin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">fluwoksamina (Faverin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">paroksetyna (Seroxat)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sertralina (Lustral)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">wortioksetyna (Brintellix)<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Inhibitory wychwytu zwrotnego serotoniny i noradrenaliny (SNRI)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">SNRI dzia\u0142aj\u0105 bardzo podobnie do SSRI, ale s\u0105 nowsz\u0105 klas\u0105 lek\u00f3w i s\u0105 stosowane w leczeniu du\u017cej depresji i innych zaburze\u0144, w tym przewlek\u0142ego b\u00f3lu.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Powszechnie stosowane leki z grupy SNRI obejmuj\u0105:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">wenlafaksyna (Bonilux, Depefex, Foraven, Politid, Venlalic, Winfex, Efexor)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">duloksetyna (Cymbalta, Yentreve)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Mo\u017cna r\u00f3wnie\u017c skorzysta\u0107 z antagonist\u00f3w serotoniny i inhibitor\u00f3w wychwytu zwrotnego (SARI) - z kt\u00f3rych g\u0142\u00f3wnym jest trazodon (Molipaxin) - kt\u00f3re zwykle nie s\u0105 pierwszym wyborem, ale mog\u0105 by\u0107 przepisywane, je\u015bli inne nie dzia\u0142aj\u0105,\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nast\u0119pnie mamy r\u00f3wnie\u017c noradrenalin\u0119 i specyficzne serotoninergiczne leki przeciwdepresyjne (NASSA) - najcz\u0119stszym z nich jest mirtazapina (Zispin). Mog\u0105 one by\u0107 dobr\u0105 alternatyw\u0105 dla os\u00f3b, kt\u00f3re zmagaj\u0105 si\u0119 z SSRI i co ciekawe, uwa\u017ca si\u0119, \u017ce powoduj\u0105 mniej seksualnych skutk\u00f3w ubocznych!\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Czy leki przeciwdepresyjne mog\u0105 wp\u0142ywa\u0107 na m\u0119sk\u0105 p\u0142odno\u015b\u0107?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Badania w tej dziedzinie wci\u0105\u017c trwaj\u0105, ale jest to wa\u017cna rozmowa, kt\u00f3r\u0105 nale\u017cy przeprowadzi\u0107, zw\u0142aszcza \u017ce cz\u0119sto nadal istnieje tak wiele stygmat\u00f3w zwi\u0105zanych zar\u00f3wno ze zdrowiem psychicznym, jak i niep\u0142odno\u015bci\u0105 - tabu, kt\u00f3re nale\u017cy prze\u0142ama\u0107.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zdecydowana wi\u0119kszo\u015b\u0107 bada\u0144 nad m\u0119sk\u0105 p\u0142odno\u015bci\u0105 i lekami przeciwdepresyjnymi wskazuje, \u017ce chocia\u017c przyjmowanie tych lek\u00f3w mo\u017ce mie\u0107 wp\u0142yw na pewne parametry, skutki te s\u0105 kr\u00f3tkotrwa\u0142e i odwracalne. Wci\u0105\u017c pozostaje wiele do zbadania i potwierdzenia, ale oto, co wiemy do tej pory.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Leki przeciwdepresyjne i ruchliwo\u015b\u0107 plemnik\u00f3w<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4463894\/\"><span style=\"font-weight: 400;\">Badanie z 2015 r.<\/span><\/a><span style=\"font-weight: 400;\"> wykaza\u0142o, \u017ce leki przeciwdepresyjne z grupy SSRI mog\u0105 by\u0107 zwi\u0105zane ze zmniejszeniem ruchliwo\u015bci plemnik\u00f3w. W badaniu stwierdzono jednak, \u017ce \"nie ma wystarczaj\u0105cych danych\", aby sugerowa\u0107 zmian\u0119 recept na SSRI dla m\u0119\u017cczyzn, kt\u00f3rzy maj\u0105 nadziej\u0119 zosta\u0107 ojcami.\u00a0<\/span><span style=\"font-weight: 400;\">Co ciekawe <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34374108\/\"><span style=\"font-weight: 400;\">ma\u0142e badanie 2021<\/span><\/a><span style=\"font-weight: 400;\"> wykaza\u0142y, \u017ce duloksetyna (popularny SNRI) nie mia\u0142a wp\u0142ywu na ruchliwo\u015b\u0107 plemnik\u00f3w ani \u017cadne inne parametry zdrowotne nasienia. Naukowcy zasugerowali, \u017ce ten konkretny lek przeciwdepresyjny mo\u017ce by\u0107 dobr\u0105 alternatyw\u0105 dla m\u0119\u017cczyzn zmagaj\u0105cych si\u0119 z depresj\u0105, ale pragn\u0105cych zaj\u015b\u0107 w ci\u0105\u017c\u0119.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Leki przeciwdepresyjne i liczba plemnik\u00f3w<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Niekt\u00f3re badania wskazuj\u0105, \u017ce SSRI mog\u0105 mie\u0107 szkodliwy wp\u0142yw na liczb\u0119 plemnik\u00f3w. A <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/iju.14111\"><span style=\"font-weight: 400;\">Przegl\u0105d naukowy 2019 f<\/span><\/a><span style=\"font-weight: 400;\">Stwierdzono, \u017ce te leki przeciwdepresyjne zdawa\u0142y si\u0119 obni\u017ca\u0107 jako\u015b\u0107 wszystkich parametr\u00f3w zdrowotnych nasienia, w tym liczb\u0119 i st\u0119\u017cenie. W tym samym przegl\u0105dzie stwierdzono, \u017ce SNRI (w szczeg\u00f3lno\u015bci wenlafaksyna) nie maj\u0105 znacz\u0105cego wp\u0142ywu na liczb\u0119 plemnik\u00f3w i w rzeczywisto\u015bci mog\u0105 potencjalnie pom\u00f3c w poprawie jako\u015bci nasienia. <a href=\"https:\/\/www.exseedhealth.com\/pl\/what-is-sperm-morphology\/\">morfologia plemnik\u00f3w<\/a>.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Leki przeciwdepresyjne i fragmentacja DNA\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Fragmentacja DNA jest trudniejsza do zbadania, a naukowcy wci\u0105\u017c nie s\u0105 pewni, czy jest to dok\u0142adny wska\u017anik m\u0119skiej p\u0142odno\u015bci. Niekt\u00f3re badania wskazuj\u0105 jednak, \u017ce uszkodzone plemniki mog\u0105 mie\u0107 trudno\u015bci z zap\u0142odnieniem kom\u00f3rki jajowej, a nawet mog\u0105 by\u0107 powi\u0105zane z poronieniem, wi\u0119c warto o tym pomy\u015ble\u0107.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Je\u015bli chodzi o leki przeciwdepresyjne i fragmentacj\u0119 DNA, obecnie nie wiemy zbyt wiele. Jednak\u017ce, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19515367\/\"><span style=\"font-weight: 400;\">badanie z 2010 r.<\/span><\/a><span style=\"font-weight: 400;\"> wykaza\u0142y, \u017ce m\u0119\u017cczy\u017ani przyjmuj\u0105cy Paxil - SSRI znany r\u00f3wnie\u017c jako paroksetyna - mieli wi\u0119ksz\u0105 fragmentacj\u0119 DNA po przyjmowaniu leku przez miesi\u0105c. Przed za\u017cyciem Paxilu \u015bredni poziom fragmentacji DNA plemnik\u00f3w wynosi\u0142 13,8%, ale 4 tygodnie p\u00f3\u017aniej, po codziennym przyjmowaniu Paxilu, poziom ten by\u0142 ponad dwukrotnie wy\u017cszy i wynosi\u0142 30,3%.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Leki przeciwdepresyjne i zaburzenia erekcji\u00a0<\/span><\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Chocia\u017c nadal konieczne s\u0105 dalsze badania nad wp\u0142ywem lek\u00f3w przeciwdepresyjnych na p\u0142odno\u015b\u0107 m\u0119\u017cczyzn, wiemy ju\u017c, \u017ce mog\u0105 one wywo\u0142ywa\u0107 zaburzenia erekcji oraz inne problemy, w tym spadek libido i op\u00f3\u017aniony wytrysk. Chocia\u017c problemy te mog\u0105 nie by\u0107 bezpo\u015brednio powi\u0105zane z p\u0142odno\u015bci\u0105, to oczywi\u015bcie wszystko, co utrudnia (lub nawet uniemo\u017cliwia) uprawianie seksu z penetracj\u0105 i osi\u0105gni\u0119cie orgazmu, mo\u017ce znacznie zmniejszy\u0107 szanse na pocz\u0119cie.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Je\u015bli aktywnie staracie si\u0119 o dziecko, zaleca si\u0119 codzienne uprawianie seksu w okresie p\u0142odno\u015bci, wi\u0119c je\u015bli macie z tym trudno\u015bci, mo\u017ce to utrudnia\u0107 pocz\u0119cie. Niekt\u00f3re leki przeciwdepresyjne cz\u0119\u015bciej ni\u017c inne mog\u0105 powodowa\u0107 problemy w sypialni, wi\u0119c je\u015bli macie obawy, porozmawiajcie z lekarzem.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Je\u015bli zmagasz si\u0119 z zaburzeniami erekcji, lekarz mo\u017ce przepisa\u0107 Ci Viagr\u0119 do stosowania razem z lekami przeciwdepresyjnymi. Nale\u017cy jednak zachowa\u0107 ostro\u017cno\u015b\u0107 \u2013 badania wskazuj\u0105, \u017ce mo\u017ce istnie\u0107 zwi\u0105zek mi\u0119dzy stosowaniem Viagry a obni\u017con\u0105 jako\u015bci\u0105 nasienia. Aby dowiedzie\u0107 si\u0119 wi\u0119cej na temat tego, co faktycznie m\u00f3wi\u0105 badania na temat Viagry, BlueChew i p\u0142odno\u015bci, zapoznaj si\u0119 z <a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"https:\/\/www.exseedhealth.com\/pl\/adhd-medication-viagra-and-male-fertility\/\">Leki na ADHD, Viagra i p\u0142odno\u015b\u0107 m\u0119\u017cczyzn<\/a>.<\/p>\n<h2><span style=\"font-weight: 400;\">Czy powinnam odstawi\u0107 leki przeciwdepresyjne, je\u015bli chc\u0119 zaj\u015b\u0107 w ci\u0105\u017c\u0119?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Odstawienie lek\u00f3w przeciwdepresyjnych to powa\u017cna decyzja, kt\u00f3rej nie nale\u017cy podejmowa\u0107 pochopnie. Chocia\u017c istnieje szansa, \u017ce odstawienie lek\u00f3w przeciwdepresyjnych mo\u017ce poprawi\u0107 zdrowie nasienia, nale\u017cy por\u00f3wna\u0107 to z negatywnym wp\u0142ywem, jaki mo\u017ce to mie\u0107 na samopoczucie psychiczne.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Je\u015bli masz trudno\u015bci z zaj\u015bciem w ci\u0105\u017c\u0119, zastan\u00f3w si\u0119 nad badaniem nasienia - nasz domowy test sprawia, \u017ce jest to \u0142atwiejsze ni\u017c kiedykolwiek! Po uzyskaniu wynik\u00f3w mo\u017cesz zdecydowa\u0107, czy musisz zmieni\u0107 swoje leki. Po pierwsze, przyjrzyj si\u0119 innym czynnikom stylu \u017cycia, kt\u00f3re mog\u0105 wp\u0142ywa\u0107 na Twoj\u0105 p\u0142odno\u015b\u0107 - czy palisz? Czy masz nadwag\u0119? Czy w Twojej diecie jest wi\u0119cej \u015bmieciowego jedzenia ni\u017c warzyw? Je\u015bli odpowied\u017a jest twierdz\u0105ca, mog\u0105 to by\u0107 bardziej pal\u0105ce kwestie, kt\u00f3rymi nale\u017cy si\u0119 zaj\u0105\u0107 - i mog\u0105 one przynie\u015b\u0107 korzy\u015bci zar\u00f3wno dla p\u0142odno\u015bci, jak i zdrowia psychicznego.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Je\u015bli nadal nie jeste\u015b zadowolony ze stanu zdrowia swoich p\u0142ywak\u00f3w, rozwa\u017c podzielenie si\u0119 swoimi obawami z lekarzem. By\u0107 mo\u017ce b\u0119dzie on w stanie zasugerowa\u0107 inny lek o mniejszym ryzyku lub doradzi\u0107 spos\u00f3b bezpiecznego odstawienia lek\u00f3w, je\u015bli zdecydujesz si\u0119 na taki krok.\u00a0<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Many people take antidepressants to help them manage their mental health, but could they impact male fertility?\u00a0 If you are taking antidepressants and hoping to become a father, it\u2019s important to get informed about the impact they could have on your fertility. The most important thing is that you take to your doctor about your [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":98675,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[200,198,201],"tags":[],"class_list":["post-88917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lifestyle-environmental","category-mens-fertility","category-mind-body"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Antidepressants and Male Fertility<\/title>\n<meta name=\"description\" content=\"Many people take antidepressants to support their mental health but could they impact your fertility? 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