That's a very big statement "Alot of those drugs destory testosterone levels".. Do you have any scientific data to back up your claim? I only read on Rats and Hamster that it does effect the testicular tissues..But not much on human study..yours might be different (lab work (before and after treatment)showing it?)
What OP's asking is Ritalin (for ADHD folks) which is a CNS. The question is does it effect the TT production? My answer it shouldn't because TT production starts with your LH/FSH-located in the Pituitary glands sends the chemical to produce more TT in your Testicle.. People who's taking Ritalin, Adderall, etc are different then those taking anti-depressant drugs (what you're taking) and shouldn't be an issue since it's two different system it's affecting.. Now, I don't know what the underlining issue and it's best for OP to seek advice from his Dr..
Here's a copy and paste from a
@marianco (Dr of Medicine) in 2006
@Michael Scally MD might bring some light into this topic.
SSRI effects on testosterone production
The relationship between SSRIs and Testosterone is not usually studied - unfortunately - since psychiatry tends to ignore effects on the endocrine system.
The studies which gives us clues on neurotransmitter/endocrine control of testosterone production indicate there are highly complex interactions among numerous neurotransmitter systems. The sum of these neurotransmitter interactions determines testosterone production in any given person.
The ultimate answer is that "Your mileage may vary." - in some people, serotonergic medications (such as Zoloft) may reduce testosterone, in others, they may increase testosterone production. In any case, it may be important to keep this in mind and monitor levels to see which way a person is affected.
In one example: in patients with premature ejaculation and hypogonadotropic hypogonadism, where anxiety is a contributing factor to premature ejaculation, treatment with a serotonergic medication may both treat premature ejaculation, increase luteinizing hormone production and testosterone production.
Effects of fenfluramine on ejaculatory function, luteinizing hormone and testosterone levels in men with hypogonadotropic hypogonadism and prematur... - PubMed - NCBI
There are mechanisms, however, by which increased serotonin levels can result in a reduction in testosterone production:
1. Increasing brain serotonin level results in production of dopamine, which in turn may reduce testosterone production.
2. Increased body serotonin level stimulates testicular serotonin receptors, which results in reduction of testosterone production.
Some other neurotransmitters involved in testosterone production:
1. Melatonin produced by the brain's pineal gland stimulates testicular melatonin receptors results in reduction in testosterone production. (This is a mechanism by which Rozerem, a melatonin analog used as a sleep promoting agent, may reduce testosterone production. Rozerem also reduces dopamine production which can also reduce testosterone production besides increasing
prolactin level.)
2. Corticotropin-releasing hormone (CRH) produced by the brain's hypothalamus stimulates CRH receptors in the testes, resulting in reduction of testosterone production. CRH is usually increased in response to stress - such as in anxiety states or disorders, early states of depression. CRH increases ACTH production from the brain's pituitary gland, which then increases adrenal gland production of cortisol and other hormones. The story gets more complex since CRH also stimulates brain norepinephrine production which increase sympathetic nervous system production of norepinephrine and epinephrine production from the adrenal glands and other components of the sympathetic nervous system. Norepinephrine and epinephrine stimulate adrenergic receptors in the testes, resulting in an increase in testosterone production. Thus the end result depends on the particular individual's sum of the neurotransmitters effects.
Here are a couple of references:
Interactions between testicular serotoninergic, catecholaminergic, and corticotropin-releasing hormone systems modulating cAMP and testosterone pro... - PubMed - NCBI
http://endo.endojournals.org/cgi/content/full/146/3/1541
