Does vardenafil hydrochloride affect male fertility?
Under normal circumstances, vardenafil hydrochloride, when used as prescribed, does not directly affect male fertility. There is currently no clear evidence indicating that it impairs reproductive function; however, caution is advised in special cases. If concerned, it is recommended to consult a healthcare provider in advance. The detailed analysis is as follows:

Vardenafil hydrochloride primarily improves male erectile function. Its pharmacological mechanism focuses on regulating vascular relaxation and does not directly affect testicular spermatogenic function or sperm quality. Clinical studies have not found significant adverse effects on sperm count, motility, or other related parameters. Most men who take the medication as directed do not experience abnormal changes in reproductive function.
However, long-term excessive use may lead to overall metabolic disturbances, which could indirectly affect the reproductive system. In rare cases, individuals with high sensitivity may experience uncommon side effects, and fluctuations in fertility-related indicators might occur in those with pre-existing reproductive system conditions. Nevertheless, such cases are not directly causally linked to the drug.
The medication should be used strictly according to medical instructions, avoiding unauthorized dosage adjustments or prolonged misuse. Men planning for children should inform their doctor before starting treatment and, if necessary, undergo reproductive health evaluations. If any discomfort in the reproductive system occurs during treatment, prompt medical evaluation is recommended to identify the underlying cause.