Vriligy 60 mg does not significantly affect sex hormones in the body. Vriligy 60 mg contains dapoxetine, a short-acting SSRI (selective serotonin reuptake inhibitor) used for treating premature ejaculation (PE). Its main action is on the brain’s serotonin system, not on endocrine (hormonal) glands like the testes, pituitary, or adrenal glands.   What it actually changes Increases serotonin activity in the nervous system Helps delay the ejaculation reflex Improves control during sexual activity  Effect on hormones  hange LH, FSH, or other reproductive hormones   No meaningful long-term hormonal suppression is seen with dapoxetine because it Vriligy 60 mg in the body only for a few hours  Indirect effects (rare) In some people, SSRIs may indirectly cause: Reduced libido due to brain chemistry changes (not hormone changes) Temporary changes in prolactin levels (rare and usually mild) These are neurological side effects, not true hormonal alterations.  Simple summary Vriligy 60 mg: Works on serotonin, not hormones Does not permanently affect testosterone or fertility Has minimal endocrine impact compared to long-term antidepressants If you want, I can also compare Vriligy with sildenafil-type medicines and explain which ones affect hormones indirectly and which do not.