Paxil and Getting Pregnant?

Can Paxil affect my chances of getting pregnant?
profile picture of John Rinehart, MD, PhD, Reproductive Medicine Institute, Chicago
ByJohn Rinehart, MD, PhD, Reproductive Medicine Institute, Chicago
Fertility Specialist
Updated
Mar 2017
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Paxil is a selective serotonin reuptake inhibitor (SSRI) that’s prescribed as an antidepressant. It’s not thought to affect fertility or compromise your ability to get pregnant, but the medication may carry some risks during  pregnancy itself. A few years ago, the FDA issued a warning that women who take the medication during the  first trimester were about 1.5 to 2 times more likely to have a baby with a heart defect. Other SSRI medications have not been shown to produce similar risks. If you’re on Paxil and thinking about starting a family, talk to your doctor about switching to another antidepressant or changing to a different type of treatment altogether before trying to conceive.

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