It is known that medications like Cipralex can cause sexual side effects, such as difficulty reaching orgasm. In addition to discussing potential medication changes with your doctor, you may also consider lifestyle factors that can impact sexual function. For example, regular exercise has been shown to be beneficial, while smoking and excessive alcohol consumption can have a negative impact. Making sure to take your medication at a different time than when you are engaging in sexual activity, such as in the morning if you have sex in the evening, may also help. If you are uncomfortable with changing your medication, there is some limited evidence suggesting that Gingko Biloba, a natural health product, may help improve sexual function. However, it is important to consult with a healthcare professional before trying any new supplement.