{"id":1857,"date":"2020-10-16T08:23:00","date_gmt":"2020-10-16T13:23:00","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=1857"},"modified":"2024-04-03T14:27:24","modified_gmt":"2024-04-03T19:27:24","slug":"les-antidepresseurs-affectent-la-fertilite-des-femmes","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/antidepressants-affect-womens-fertility\/","title":{"rendered":"Comment les antid\u00e9presseurs affectent la fertilit\u00e9 des femmes"},"content":{"rendered":"

According to a 2017 report<\/a> from the CDC, between the years 2011-2014, 12.7% of Americans aged 12 and over were on antidepressant medications [1].<\/span><\/span><\/span>\u00a0<\/span><\/span>Notably<\/span><\/span>,<\/span><\/span>\u00a0a<\/span><\/span>dult women are 2.5 times\u00a0<\/span><\/span>more<\/span><\/span> likely to take antidepressant drugs than adult men<\/span><\/span>.\u00a0<\/span><\/span>While well-intentioned doctors prescribe these medications to help\u00a0<\/span><\/span>patients<\/span><\/span>, little attention is paid to how <\/span><\/span>antidepressants<\/span><\/span>\u00a0can affect a woman\u2019s fertility and overall health.<\/span><\/span>\u00a0<\/span><\/p>\n

It is crucial\u00a0to informed\u00a0consent that\u00a0women\u00a0understand the impact psychiatric drugs have on their reproductive system. Further, they\u00a0ought\u00a0to be informed\u00a0about\u00a0healthy alternatives\u00a0to antidepressants\u00a0that preserve or\u00a0may\u00a0even enhance their natural fertility.\u00a0Charting\u00a0one\u2019s cycle\u00a0with what\u2019s known in the medical community as a Fertility Awareness-Based Method (FABM), more informally called fertility awareness methods (FAM) or natural family planning (NFP),\u00a0allows a woman to know some of the hidden dysfunctions her body\u00a0may have,\u00a0through the signs of her menstrual cycle.\u00a0Charting with a fertility awareness method\u00a0can be a vital\u00a0part of the\u00a0process of achieving\u00a0mental and\u00a0reproductive\u00a0health\u00a0and healing.<\/p>\n

Not\u00a0everyone on an antidepressant may actually be depressed<\/h2>\n

Shockingly, a<\/span>\u00a0<\/span>New York Times<\/span><\/i>\u00a0editorial<\/span><\/a>\u00a0<\/span>reported in 2013 that one in four women are taking psychiatric drugs <\/span>[<\/span>1<\/span>]<\/span>, but<\/span> up to 2\/3 of those taking them do not fit the criteria for major depression disorder as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM5)\u00a0<\/span>[<\/span>2<\/span>]<\/span>. These women may experience symptoms of fatigue, anxiety<\/span>,<\/span>\u00a0or depression<\/span>, and\u00a0<\/span>p<\/span>rimary care doctors<\/span>\u00a0(<\/span>who originate the highest number of anxiety medication prescriptions<\/span>)<\/span> may use these drugs to help patients with <\/span>the<\/span>\u00a0temporary option<\/span>\u00a0of antidepressants<\/span>,<\/span>\u00a0<\/span>to<\/span>\u00a0allow them some daily life functioning.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

More recent studies have found\u00a0similar trends in the prescription of antidepressants.\u00a0For example, a\u00a02016 study published in\u00a0JAMA\u00a0found that\u00a0only\u00a055% of antidepressant prescriptions written by primary care providers in Quebec, Canada, were\u00a0indicated for\u00a0depression [3]; this led to a\u00a0Time\u00a0headline\u00a0boldly\u00a0declaring \u201cHalf of the People Taking Antidepressants Aren\u2019t Depressed\u00a0[4].\u201d\u00a0Likewise, a\u00a0study\u00a0published in 2018 in the journal Health Services Research\u00a0evaluated\u00a0the\u00a0data collected\u00a0by\u00a0the 2006-2015 National Ambulatory Medical Care Survey, and found that\u00a0\u201cAltogether, at\u00a060.4% of visits at which a new psychotropic prescription was initiated, no psychiatric diagnosis was recorded for the visit\u00a0[5].\u201d<\/p>\n

The concerning side effects of antidepressants<\/h2>\n

The prescription of antidepressant medications for non-psychiatric diagn<\/span>oses\u00a0<\/span>is\u00a0<\/span>troubling<\/span>\u00a0given the\u00a0<\/span>unintended effects of these drugs, especially\u00a0<\/span>when they are used\u00a0<\/span>long<\/span>–<\/span>term.<\/span>\u00a0<\/span>For example<\/span>,<\/span>\u00a0<\/span>r<\/span>esearch from 2018 found a \u201crobust association\u201d between the use of a<\/span>nticholinergic drugs\u00a0<\/span>(a drug class which includes some antidepressants)\u00a0<\/span>and future dementia <\/span>[<\/span>6<\/span>]; <\/span>research<\/span><\/a>\u00a0published in 2020<\/span>\u00a0<\/span>likewis<\/span>e\u00a0<\/span>found<\/span>\u00a0<\/span>that\u00a0<\/span>adults<\/span> who use <\/span>anticholinergic<\/span>\u00a0drugs<\/span>\u00a0<\/span>have a<\/span>\u00a047%\u00a0<\/span>higher risk of developing mild cognitive impairment, which is a\u00a0<\/span>known\u00a0<\/span>precursor\u00a0<\/span>to<\/span> dementia and Alzheimer\u2019s <\/span>disease<\/span>\u00a0[<\/span>7<\/span>].\u00a0<\/span>\u00a0<\/span><\/p>\n

As\u00a0<\/span>evidenced by the<\/span>\u00a0increased investigation into\u00a0<\/span>birth control drugs<\/span><\/a>, medication side effects are to be expected<\/span>\u2014and\u00a0<\/span>antidepressant drugs are obviously no different<\/span>.\u00a0<\/span>Any drug entering the body has an\u00a0<\/span>effect<\/span><\/i> because the chemicals contained in the drug are designed to alter a believed <\/span>malfunction <\/span><\/i>occurring within a body part or body system. That is what pharmaceutical drugs are supposed to do, right? But because brain functions control and help balance the performance of <\/span>other body systems, the effects of\u00a0<\/span>antidepressant\u00a0<\/span>drugs<\/span>\u00a0(and other drugs that have a<\/span>\u00a0direct<\/span>\u00a0effect on the brain, like h<\/span>ormonal birth control)<\/span>\u00a0tend to reach\u00a0<\/span>even further <\/span>beyond the intended outcome<\/span>\u2014even to the point of\u00a0<\/span>a<\/span>ffecting fertility.<\/span><\/p>\n

How\u00a0antidepressants\u00a0can\u00a0affect fertility<\/h2>\n

For instance, we know that anti-depressants and some anti-psychotic drugs interfere with the hormonal regulation of ovulation and a brain-produced hormone called prolactin. A\u00a0<\/span>2013\u00a0<\/span>study showed that women taking antidepressants in the form of selective serotonin reuptake inhibitors (SSRIs) took significantly longer to conceive. SSRIs were <\/span>also\u00a0<\/span>shown to reduce the efficacy of infertility treatments and were linked to miscarriage and preterm birth\u00a0<\/span>[<\/span>8<\/span>]<\/span>.\u00a0<\/span>In an article from Parents.<\/span>com,\u00a0<\/span>Dr.\u00a0<\/span>Alan\u00a0<\/span>Copperman<\/span>, M.D., director of reproductive endocrinology at the Icahn School of Medicine at Mount Sinai in New York City, <\/span>explains<\/span><\/a>\u00a0<\/span>the reasons for\u00a0<\/span>these effects well:<\/span>\u00a0<\/span>\u201cBecause a woman\u2019s menstrual cycle is tightly controlled by the interaction between the brain, ovaries, and uterus, any health problem or medication that disrupts this communication could adversely affect ovulation and make it challenging for women to achieve a pregnancy<\/span>.<\/span>\u201d\u00a0<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

And the\u00a0fertility-altering\u00a0effects\u00a0of certain antidepressants\u00a0may not be limited to women. After all,\u00a0the hypothalamus and pituitary gland (both of which are structures in the brain)\u00a0are responsible for spermatogenesis and testosterone production\u00a0in men\u00a0[9]. So, yet another critical\u00a0consideration\u00a0for couples who are trying to achieve pregnancy\u00a0is this: a review of the available research shows that SSRIs (a common class of antidepressants) \u201cexert a harmful effect on semen quality and rates of DNA fragmentation, as well as increase oxidative stress within reproductive organs\u00a0[10].\u201d<\/p>\n

How fertility awareness can\u00a0be an important part of\u00a0improving your\u00a0mental health\u00a0and fertility\u2014naturally <\/span><\/h2>\n

Fertility awareness\u00a0methods\u00a0(FAM)\u00a0of charting the menstrual cycle offer important benefits for women who experience emotional or mental health symptoms and want to preserve their fertility.\u00a0Fertility awareness\u00a0teaches\u00a0a woman to recognize simple biomarkers of her body so that she can know the distinct stages of her cycles.<\/p>\n

First,\u00a0<\/span>FAMs<\/span>\u00a0can be used instead of hormonal birth control, which is now proven to\u00a0<\/span>increase the risk of depression <\/span><\/a>among women who use them. Second,\u00a0<\/span>fertility awareness<\/span>\u00a0can help\u00a0<\/span>women and their doctors <\/span>understand <\/span>any\u00a0<\/span>hormonal imbalance<\/span>s<\/span>\u00a0that\u00a0<\/span>may\u00a0<\/span>be at the root of the<\/span>ir<\/span>\u00a0emotional or psychological symptoms, such as depression, PMS<\/span>,<\/span>\u00a0or low energy. Finally, FA<\/span>Ms help couples to achieve or space pregnancies<\/span> in a more <\/span>natura<\/span>l <\/span>and <\/span>emotionally\u00a0<\/span>fulfilling way.<\/span>\u00a0<\/span><\/p>\n

Weighing the benefits of\u00a0antidepressants against the potential\u00a0effects\u00a0on\u00a0your fertility<\/h2>\n

For women who are not suffering from clinically diagnosed depression,\u00a0<\/span>i<\/span>t is important to\u00a0<\/span>carefully\u00a0<\/span>weigh<\/span> the benefits <\/span>of <\/span>antidepressant<\/span>\u00a0<\/span>drugs<\/span>\u00a0and their possible\u00a0<\/span>affects<\/span>\u00a0on\u00a0<\/span>fertility<\/span>, especially if\u00a0<\/span>they are<\/span>\u00a0trying to become\u00a0<\/span>pregnant, or<\/span>\u00a0hope to become pregnant\u00a0<\/span>in the future<\/span>.<\/span>\u00a0<\/span>\u00a0<\/span>It is also important to know that there are\u00a0<\/span>other proven ways to evaluate and treat anxiety, depression<\/span>,<\/span> and other mild to moderate emotional\/mental conditions that do not require psychiatric drugs.\u00a0 <\/span>Cognitive<\/span>\u00a0Behavioral<\/span> Therapy <\/span>(CBT)<\/span>, <\/span>t<\/span>alk\u00a0<\/span>t<\/span>herapy, <\/span>h<\/span>ealth <\/span>c<\/span>oaching, and Functional & Integrative Medicine are <\/span>excellent <\/span>options <\/span>to consider<\/span>\u00a0for mental health\u00a0treatment<\/span>,\u00a0<\/span>\u00a0as\u00a0they\u00a0<\/span>wo<\/span>rk to <\/span>understand the body-mind connection, <\/span>the\u00a0<\/span>gut-brain relationship<\/span>,<\/span> and other health imbalances that may be rooted in detrimental diet and lifestyle habits.<\/span>\u00a0<\/span><\/p>\n

In some situations (as with severe depression), psychiatric drugs can truly be a lifesaver. However, as a health coach and corporate wellness consultant, I am convinced that too often, psychiatric drugs not only mask other problems, but they have far too many detrimental, unintended effects\u2014which certainly seems to be the case with fertility.<\/p>\n

References:<\/em><\/p>\n[1] Products – Data Briefs – Number 283 – August 2017. Cdc.gov. https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db283.htm. Published 2021. Accessed May 19, 2021.<\/p>\n

[2<\/span>]<\/span>\u00a0<\/span>Moore T, Mattison D. Adult Utilization of Psychiatric Drugs and Differences by Sex, Age, and Race. JAMA Intern Med. 2017;177(2):274. doi:10.1001\/jamainternmed.2016.7507<\/span>\u00a0<\/span><\/p>\n

[3<\/span>]<\/span>\u00a0<\/span>Takayanagi<\/span>\u00a0Y,\u00a0<\/span>Spira<\/span>\u00a0A, Bienvenu O et al. Antidepressant Use and Lifetime History of Mental Disorders in a Community Sample. J Clin Psychiatry. 2014;76(01):40-44. doi:10.4088\/jcp.13m08824<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

[4<\/span>]\u00a0<\/span>Wong J,\u00a0<\/span>Motulsky<\/span>\u00a0A,\u00a0<\/span>Eguale<\/span>\u00a0T,\u00a0<\/span>Buckeridge<\/span>\u00a0D,\u00a0<\/span>Abrahamowicz<\/span>\u00a0M, Tamblyn R. Treatment Indications for Antidepressants Prescribed in Primary Care in Quebec, Canada, 2006-2015.\u202f<\/span>JAMA<\/span><\/i>. 2016;315(20):2230. doi:10.1001\/jama.2016.3445<\/span>\u00a0<\/span><\/p>\n

[5<\/span>]\u00a0<\/span>Half of the People Taking Antidepressants Aren’t Depressed: Study. Time. https:\/\/time.com\/4345517\/antidepressants-depression-insomnia-depression-migraine\/. Published 2020. Accessed October 16, 2020.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

[6<\/span>]\u00a0<\/span>Rhee T,\u00a0<\/span>Rosenheck<\/span>\u00a0R. Initiation of new psychotropic prescriptions without a psychiatric diagnosis among US adults: Rates, correlates, and national trends from 2006 to 2015. Health Serv Res. 2018;54(1):139-148. doi:10.1111\/1475-6773.13072<\/span>\u00a0<\/span><\/p>\n

[7<\/span>]\u00a0<\/span>Richardson K, Fox C, Maidment I et al. Anticholinergic drugs and risk of dementia: case-control study. BMJ.\u00a0<\/span>2018:k<\/span>1315. doi:10.1136\/<\/span>bmj.k<\/span>1315<\/span>\u00a0<\/span><\/p>\n

[8<\/span>]<\/span>\u00a0<\/span>LaFee<\/span>\u00a0S. Common Class of Drugs Linked to Increased Risk of Alzheimer\u2019s Disease. UC Health – UC San Diego. https:\/\/health.ucsd.edu\/news\/releases\/Pages\/2020-09-04-common-class-of-drugs-linked-to-increased-risk-of-alzheimers.aspx. Published 2020. Accessed October 16, 2020.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

[9] <\/span>Domar<\/span>\u00a0A,\u00a0<\/span>Moragianni<\/span>\u00a0V, Ryley D,\u00a0<\/span>Urato<\/span>\u00a0A. The risks of selective serotonin reuptake inhibitor use in infertile women: a review of the impact on fertility, pregnancy, neonatal health and beyond. Human Reproduction. 2012;28(1):160-171. doi:10.1093\/<\/span>humrep<\/span>\/des383<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

[10<\/span>]\u00a0<\/span>Clavijo R, Hsiao W. Update on male reproductive endocrinology.\u00a0<\/span>Transl<\/span>\u00a0<\/span>Androl<\/span>\u00a0Urol. 2018;7(S3<\/span>):S<\/span>367-S372. doi:10.21037\/tau.2018.03.25<\/span>\u00a0<\/span><\/p>\n

[<\/span>11<\/span>]\u00a0<\/span>Beeder<\/span>\u00a0L,\u00a0<\/span>Samplaski<\/span>\u00a0M. Effect of antidepressant medications on semen parameters and male fertility. International Journal of Urology. 2019;27(1):39-46. doi:10.1111\/iju.14111<\/span>\u00a0<\/span><\/p>\n

This article was originally published on\u00a0<\/span><\/i><\/b>September 18, 2017<\/span><\/i><\/b>\u00a0as written by\u00a0<\/span><\/i><\/b>Virginia Schoenfeld<\/span><\/i><\/b>. It has since been updated by Natural Womanhood to offer more resources. Last updated\u202fOctober 16<\/span><\/i><\/b>, 2020.<\/span><\/i><\/b>\u202f<\/span>\u00a0<\/span><\/p>\n

Additional Reading:<\/strong><\/em><\/h4>\n

The Powerful Link Between Fertility Awareness and Mental Health<\/span><\/a>\u00a0<\/span><\/p>\n

4 Ways Fertility Awareness Methods Can Improve Mental Health<\/span><\/a>\u00a0<\/span><\/p>\n

How I Overcame Postpartum Depression with Bioidentical Progesterone<\/span><\/a>\u00a0<\/span><\/p>\n

PMDD: are women\u2019s periods making them mentally ill?<\/span><\/a>\u00a0<\/span><\/p>\n

The Benefits of Charting for Your Mental Health<\/span><\/a>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"Selon un rapport de 2017 du CDC, entre 2011 et 2014, 12,7% des Am\u00e9ricains \u00e2g\u00e9s de 12 et...","protected":false},"author":25,"featured_media":11621,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5374,5181],"tags":[4104,5455],"class_list":{"0":"post-1857","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pms-pmdd-depression","8":"category-reproductive-and-menstrual-disorders","9":"tag-fertility-awareness-methods","10":"tag-pms-pmdd-depression","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nHow antidepressants affect women\u2019s fertility - 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