Impact of Premature Ejaculation on Fertility and Baby Gender - Obstetrics and Gynecology

More Info

---

Premature ejaculation (PE) is a common condition that can raise concerns about fertility and the potential impact on the gender of a baby. Let's address your questions systematically.

1. Impact of Premature Ejaculation on Baby Gender: Current medical research indicates that the gender of a baby is determined by the chromosomes carried by the sperm that fertilizes the egg. Specifically, sperm carrying an X chromosome will result in a girl, while sperm carrying a Y chromosome will result in a boy. There is no scientific evidence to suggest that premature ejaculation affects the likelihood of conceiving a boy or a girl. The notion that PE might lower the chances of having a boy is largely anecdotal and not supported by robust clinical data. Therefore, while PE can affect sexual performance and satisfaction, it does not have a direct impact on the gender of the child conceived.

2. Use of EMLA Cream: EMLA cream contains lidocaine and prilocaine, which are local anesthetics. When applied topically, they primarily affect the area where they are applied and are not expected to significantly enter the bloodstream in amounts that would affect sperm quality or fertility. However, it is always prudent to wash off any topical medications before engaging in intercourse to minimize any potential exposure. The use of EMLA cream is unlikely to impact fertility or the health of the fetus if conception occurs shortly after its application, especially if it is washed off prior to intercourse.

3. Antidepressants and Fertility: Clomipramine and sertraline are medications that can be prescribed to help manage premature ejaculation. While some studies suggest that certain antidepressants may affect libido or sexual function, the overall impact on fertility is not well established. Generally, these medications are not known to significantly impair fertility in men. However, it is essential to consult with a healthcare provider regarding the use of these medications during conception and pregnancy, as individual responses can vary.

4. Combination of Medications: You mentioned taking Diovan (valsartan) for hypertension and occasionally using Viagra (sildenafil) or Cialis (tadalafil). These medications are generally considered safe for use in men with PE, but combining them with antidepressants should be done under medical supervision. There is a potential for drug interactions, and the overall health of both partners should be considered when planning for pregnancy. It is crucial to have an open dialogue with your healthcare provider about all medications being taken to ensure that they do not adversely affect fertility or fetal health.

In conclusion, while premature ejaculation can be a source of concern for many couples trying to conceive, it does not appear to have a direct impact on the gender of the baby or significantly affect fertility. The use of topical anesthetics like EMLA cream, as well as certain antidepressants, should be discussed with a healthcare provider to ensure safe practices during conception. Always consult with a healthcare professional for personalized advice tailored to your specific situation, especially when planning for pregnancy.