<s>[INST] Hi, I was on zosert 100mg daily for almost 6 months and now stopped it abruptly.After that, quantity of my semen is reduced .In fact i can only ejaculate in a small quantity on first session .After that i can t ejaculate the semen.please advise me. [/INST] Hello Thanks for writing to us, These are adverse reaction of sertraline, Genitourinary side effects including male sexual dysfunction (involving ejaculatory delay, impotence, and decreased libido) have been reported in as many as 21% of treated patients. Patients reported a decrease or loss of libido. Among male patients, nearly 18% experienced some type of sexual dysfunction including abnormal orgasm/orgasmic, ejaculation failure and erectile disturbance. You need to improve foreplay and avoid stress, you may require counselling if problem persist after few months Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care </s>