Lexapro (escitalopram) is a prescription antidepressant often used to treat anxiety and depression. While it can help improve mood, some men notice changes in their sexual performance while taking it — including erectile dysfunction (ED). If you’ve experienced this, you’re not alone. Let’s break down why it happens, what you can do about it, and when to talk to your doctor.
What Is Lexapro?
Lexapro belongs to a group of medications called SSRIs (Selective Serotonin Reuptake Inhibitors). These medicines work by increasing serotonin levels in the brain, which can improve mood and reduce anxiety. However, serotonin also plays a role in sexual function, which is why changes in sexual performance can occur.
How Lexapro May Cause Erectile Dysfunction
Lexapro can sometimes lead to sexual side effects such as:
Difficulty getting or keeping an erection
Reduced sexual desire
Delayed ejaculation
The reason? High serotonin levels may interfere with dopamine, a chemical that plays a big role in sexual arousal and function. This can make it harder for the brain and body to respond sexually.
How Common Is ED from Lexapro?
Not every man experiences ED while taking Lexapro, but studies suggest that sexual side effects can affect 30–50% of men on SSRIs. For some, symptoms are mild and temporary; for others, they persist until the medication is changed.
What to Do If You Experience ED on Lexapro
If you think Lexapro is affecting your sexual health:
Talk to your doctor — Never stop taking Lexapro suddenly. Your doctor can help adjust your dose or suggest alternatives.
Consider switching medications — Some antidepressants, like bupropion, may have fewer sexual side effects.
Use ED treatment options — Medications like sildenafil (Viagra) or tadalafil (Cialis) can help in some cases.
Make lifestyle changes — Regular exercise, stress reduction, and healthy eating can improve sexual function.
Wait it out — In some cases, sexual side effects fade after your body adjusts to the medication.
Can ED From Lexapro Be Reversed?
Yes — in most cases, ED caused by Lexapro improves once the medication is stopped or changed. However, recovery time varies. Some men notice improvements within weeks, while others may take longer.
When to Seek Medical Advice
You should speak to your doctor if:
ED is persistent or worsening
It affects your relationship or confidence
You have other symptoms like low libido or depression getting worse
The Bottom Line
Lexapro is effective for anxiety and depression, but it can cause erectile dysfunction in some men. If this happens, don’t ignore it. With the right medical guidance, you can find a treatment plan that supports both your mental health and your sexual well-being.
As a pharmaceutical researcher and medical writer with over 10 years of experience, I focus on erectile dysfunction treatments—from clinical insights to real-world use. I’m passionate about improving men’s health through safe, effective, and research-backed solutions.
Copy Code