Table 1. Main findings gathered in the present review.
Authors Participants Treatment Main Findings
Akasheh et al. (2014) Men
Group 1
Sertraline n=30
(25mg/day)
(50mg/day)

BT Group
n=30
behavioral
technique
EPPb
1 daily dose of antidepressant or control for 3 months
(1 week before, shorter
dosage)
Semen parameters: significant reduction in sperm concentration
(105/mL) and percentage of sperm with normal morphology (p<0.05) in Group 1.
There was no significant change in semen parameters in patients treated with BT.
FDEa was significantly higher in Group 1 than in the BT Group (p=0.004).
Bezerra et al. (2019) Rats
in vitro
Group 1
Sertraline:
(1, 3 and 10 μM)
Group 2
Fluoxetine:
(1, 3 and 10 μM)

in vivo
Group 1
Sertraline (20mg/kg)

Group 2
Fluoxetine (20mg/kg)
in vitro
KCL, phenylephrine or carbachol
isolated distal tail of
epididymis
in vivo
1 daily dose of the respective antidepressant
or control for 21 days
Pharmacological parameters:
in vitro
Groups 1 and 2 harmed the
contractions induced by KCl, phenylephrine or carbachol,
(> 3 μM).
Group 2 (1 μM) potentiated the contractions induced by phenylephrine.
in vivo
Groups 1 and 2 had an increase in spontaneous contractions of the rat’s distal tail; potentiation of induced contractions were seen with phenylephrine; Testosterone: decrease in serum levels in both groups. Semen parameters: Groups 1 and 2 had decreased daily sperm production, sperm reserves in the EPe and TTEf in the tail of the EPe.
Câmara et al. (2019). Rats

Group 1
Fluoxetine (20mg/kg)

Group 2
GCc
1 daily dose of antidepressant or
control for 11 days
Histopathological analysis: In Group 1, the frequency of abnormal TSd increased.
The areas of TSd and EPe, the number of TSDAg, DNCLh, 17β-HSD6 activity and serum testosterone levels were significantly reduced.
Erdemir et al. (2014) Wistar rats

Group 1
Control n=8

Group 2
Sertraline n=8
(10mg/kg)

Group 3
Fluoxetine n=8
(10mg/kg)

Group 4
Escitalopram n=8
(10mg/kg)

Group 5
Paroxetine n=8
(20mg/kg)
1 daily dose of antidepressant or control for 2 months LHi: There were no significant differences between the Groups (p=0.092).
FSHj: Level increased only in Group 2. Testosterone: With the exception of Group 3, levels were lower in all groups compared to Group 1. Group 2 had the lowest level compared to Group 1 [40.87 (22.3746.8) vs. 15.87 (13.5319.88), p<0.01]. MDAk: There was no
significant differences between the Groups (p=0.090).
Histological analysis:
The EJl was
significantly lower in Group 5 compared to Group 1 (p<0.05).
The negative impact of SSRIs was markedly greater in Group 5.
Galal
et al. (2016)
Rats

Group 1
Fluvoxamine n=12
(9mg/kg-1)
low therapeutic dose

Group 2
Fluvoxamine n=12
(27mg/kg-1)
high therapeutic dose

Group 3
ADm n=12 (0.5ml)

Group 4
Fluvoxamine n=12
high and low therapeutic dose

Group 5
Fluvoxamine n=12
high and low therapeutic dose
1 daily dose of antidepressant or group 3 for 8 weeks groups 4 and 5 then left without treatment for another 8 weeks
GRn
Biochemicals parameters: Groups 4 and 5 had liver, kidney and heart dysfunction.
Semen parameters: risk of male infertility, which is indicated by impacts on steroidogenesis hormones and harmful values in the spermogram.
Histological analysis: high and low therapeutic doses also induced EOo and ATTp.
The changes observed were reversed, mainly in GRn
Ilgin
et al. (2017)
Rats

Group 1
Citalopram (5mg/kg)

Group 2
Citalopram (10mg/kg)

Group 3
Citalopram (20mg/kg)
1 daily dose of antidepressant for 28 days. Semen parameters: Sperm concentration and normal morphology were reduced; FDEa: increased in Groups administered CTLq
Histopathological analysis: changes in the testicles of the rats given CTLq. LHi: increased in groups administered CTLq.
Testosterone: increased in all Groups.
Mazzilli
et al. (2021)
Men

Group 1
Antidepressants n=6
SSRI
Group 2
Benzodiazepines n=4

Group 3
Antipsychotics n=10

Group 4
Control n=10
1 daily dose of antidepressant or
control for 3 months
Semen parameters: Group 1 and 3 had semen levels significantly lower than the therapeutic serum range. Sperm concentration and progressive motility were significantly reduced in Groups treated with psychotropic drugs compared to Group 4 (p=0.03). These parameters were much lower in Group 3 (p<0.05).
Monteiro Filho
et al. (2014)
Female and baby rats
Wistar

Group 1
Fluoxetine
(5 mg/kg)

Group 2
Fluoxetine
(10 mg/kg)

Group 3
Fluoxetine
(20 mg/kg)
1 daily dose of antidepressant given from the 13th day of pregnancy to the 21st day of lactation Histopathological analysis: Group 3 with reduced testicular weight (16%),
EPe (28%), GSr (18%),
TSd (17%), VTCLt
(30%), TSd length (17%), daily sperm production (18%). increased AICLu (7%) and plasma testosterone (49%).
Other dosages led to nonsignificant changes.
Moradi
et al. (2023)
Mice

Group 1
Control

Group 2
Citalopram (10mg/kg)

Group 3
Melatonin (10mg/kg)

Group 4
Melatonin (20mg/kg)

Group 5
Melatonin (10mg/kg) and
Citalopram (10mg/kg)

Group 6
Melatonin (20mg/kg) and
Citalopram (10mg/kg)
1 daily dose of antidepressant with or without melatonin, for 35
Days
Semen parameters: groups treated with melatonin had restored spermatogenesis, improved sperm count, motility, viability, morphology and chromatin integrity.
Testosterone: improved substantially in Groups 5 and 6. Histopathological analysis:
improved substantially in Groups 5 and 6.
EOo: increased, however, melatonin restored the antioxidant status, TACv levels.
Decreased levels of NOw and MDAk in Groups 2, 5 and 6, induced an increase in the number of sperm cells positive for ETx. Groups 5 and 6 saw lesser apoptotic effects of CTLq
Yakubu & Jimoh (2015) Rats

Group 1 n=5 0.5 ml ADm

Group 2
Paroxetine n=5
(10mg/kg)
0.5 ml ADm

Group 3
Paroxetine n=5
(10mg/kg)
0.5 ml ADm and
47 mg/kg extract

Group 4
Paroxetine n=5
(10mg/kg)
0.5 ml ADm and
94 mg/kg extract

Group 5
Paroxetine n=5
(10mg/kg)
0.5 ml ADm and
141 mg/kg extract
1 daily dose group 1, per 7 days 1 daily dose of antidepressant, ADm and extract, for 21 days Biochemical parameters: groups 2, 3, 4 and 5 had reduced levels of total protein, sialic acid, glycogen, total cholesterol and testosterone (p<0.05).
Testicular analysis: groups 3, 4 and 5 had reduced alkaline phosphatase and acid phosphatase activity, LDy and GGTz.
Decreased effects with the extract, compared to Group1.
Group 5 had attenuated levels of androgenic parameters when compared to Group 1.