Sex
Aripiprazole is unlikely to cause side effects that affect your sex life and is also less likely to do so than other antipsychotic medications.
In rare cases, aripiprazole can cause a long-lasting and painful erection (called priapism). This is rare, but if this happens to you, seek urgent medical help.
Raised prolactin levels are a possible side effect of aripiprazole, although this is uncommon with this medicine, and less likely compared with other antipsychotic medicines. It is more common for aripiprazole to lower prolactin levels in the body.
If you have raised prolactin levels, this could cause the following symptoms:
- periods may become irregular or stop
- some breast growth and milk flow, regardless of gender
- decrease in libido (not feeling like you want to have sex)
It is also possible to have increased levels of prolactin and not have any symptoms.
Aripiprazole is more likely to lower prolactin levels. This is not thought to cause side effects that could affect your sex life although in rare cases it can cause erectile dysfunction (problems getting an erection or getting hard). It is unclear whether this is a side effect of aripiprazole or not.
If you do experience any side effects, they occur when you first start medication and improve over time. If they do not, and this is a problem for you, make an appointment to discuss this with your doctor.
Untreated illness can have a negative effect on your sex life, so if aripiprazole helps you to recover, positive effects can include improving your desire, experience and enjoyment of intimate relationships again.
Fertility
There is currently no evidence to show that aripiprazole directly affects fertility.
However, while uncommon with aripiprazole, a possible side effect includes increased levels of a natural hormone called prolactin in the body.
If you have raised prolactin levels (hyperprolactinaemia) this may affect your fertility, regardless of gender.
For people who menstruate, raised prolactin levels may cause problems with your menstrual cycle and you could miss periods (or they could become irregular or stop altogether). This means it may be more difficult to get pregnant.
Your doctor will monitor the levels of this hormone while you are taking aripiprazole.
Aripiprazole is less likely to cause raised prolactin compared to other antipsychotic medicines, and usually reduces levels of prolactin.