<s>[INST] I am 32 year old female and my husband is 36.He is got very less sperm count,so our first baby is through IVF .Now we want to have another baby through IVF.I got all the test normal but my husband has stress and anxiety due to which hr is under medication,nexito 20mg and rivotril 0.5 mg.The doctor advised him to stop the medicines.we are very confused now to go for IVF or not.Is the medication going to effect the ivf procedure. please advise us. [/INST] Hi, thanks for using Chat Doctor Next is in the family of medication called SSRI and may cause erectile dysfunction and decreased libido as sexual side effects. This would not affect fertility in IVF because they would not affect the sperm count itself. Decreased organisms and erectile dysfunction can also occur with the other medication, but again this would not impact on your chances of fertility with IVF. If you were attempting to conceive without IVF, these side effects would impact on your chances of fertility. It would be important to consider whether your husband is psychologically ready since he is now being treated for anxiety and stress. He may need some time to sort out any present issues. I hope this helps </s>