Do Erectile Dysfunction Medications Affect Sperm Quality and Pregnancy? - Obstetrics and Gynecology

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Do erectile dysfunction medications affect semen or sperm in a way that could lead to birth defects?


Hello doctor, my husband has some mild erectile dysfunction issues.
After visiting the doctor, he was prescribed Cialis.
However, since we are planning to conceive, I would like to ask if taking Cialis or Viagra will affect sperm quality or lead to birth defects?

UNI, 30~39 year old female. Ask Date: 2020/05/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2020/05/12

More Info


Erectile dysfunction (ED) medications, such as Cialis (tadalafil) and Viagra (sildenafil), are commonly prescribed to help men achieve and maintain an erection. Given your concerns about potential impacts on sperm quality and pregnancy, it’s important to delve into the effects of these medications on male fertility and fetal development.


Effects on Sperm Quality
Current research indicates that ED medications do not adversely affect sperm quality. Studies have shown that neither sildenafil nor tadalafil has a significant negative impact on sperm parameters, including sperm count, motility, morphology, or overall viability. In fact, some studies suggest that these medications may even enhance sexual function and satisfaction, which could indirectly improve the chances of conception by promoting more frequent and satisfying sexual encounters.


Impact on Pregnancy
Regarding pregnancy, there is no evidence to suggest that the use of ED medications leads to congenital abnormalities or teratogenic effects in the fetus. The medications work by increasing blood flow to the penis, facilitating erections, and do not interfere with the genetic material in sperm or the fertilization process. Therefore, using these medications while trying to conceive should not pose a risk to the developing fetus.


Considerations for Use
While ED medications do not appear to affect sperm quality or pregnancy outcomes, it is crucial to consider the underlying causes of erectile dysfunction. Conditions such as diabetes, hypertension, or hormonal imbalances can affect both erectile function and fertility. Therefore, addressing these underlying health issues with your healthcare provider is essential for optimizing both sexual health and reproductive outcomes.


Timing and Dosage
If your husband is taking these medications, it is advisable to follow the prescribed dosage and timing. Cialis can be taken as needed or daily, depending on the physician's recommendation. It is important to ensure that he is using the medication as directed to maximize its effectiveness while minimizing any potential side effects.


Conclusion
In summary, using ED medications like Cialis or Viagra should not negatively impact sperm quality or lead to fetal abnormalities. However, maintaining open communication with your healthcare provider is vital, especially when planning for pregnancy. They can provide personalized advice based on your husband’s overall health and any underlying conditions that may affect fertility.

If you have further concerns about fertility or the use of these medications, consider consulting a fertility specialist or a urologist who can provide more tailored guidance. They may also suggest additional tests or treatments to ensure that both partners are in optimal health for conception.

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