Based on the information provided in the conversation, it is important to evaluate the risks and benefits of taking a medication like escitalopram (Cipralex) , especially when considering potential sexual side effects. These side effects can include a decrease in libido, difficulty reaching orgasm, and erectile dysfunction. While these effects are usually reversible after stopping the medication, there is still a possibility of them persisting. It is essential to discuss these concerns with a healthcare provider to determine if the benefits of the medication outweigh the risks. In some cases, switching to a different antidepressant that is better tolerated sexually or adjusting the dosage may help manage these side effects.