###Human: Should I declare my medical condition to my fiance before marriage? ###Assistant: Hi. I have read the query, and I can understand your concern. You have OCD (obsessive-compulsive disorder) and co-morbid anxiety. The combination of Fluoxetine 20 mg and 10 mg Escitalopram (Nexito) was totally irrational. It is not advisable to take two SSRIs (Selective serotonin reuptake inhibitor) at the same time. Both drugs have the same mechanism of action so using two drugs together increase the risk of side effects only. This was the probable reason that you suffered a loss of libido. In my opinion, there is no need to tell your future partner about the issues related to libido. You can tell your future partner about issues only related to OCD. Anxiety disorders are not the contraindication for marriage. Your libido was normal, and I do not think there should be any problem in the marriage. One broken affair should not cause any hurdle in marriage. One should move away from any past. You are young and have a whole life ahead. Getting married will improve your mood and anxiety. So do not afraid of marriage. Try to look for good examples and avoid thinking about negativity. Ignore anything that causes negative effects on you. It is common in OCD patients to have ambivalence about anything. Try to remain relaxed, these thoughts will reduce with time. Continue to take medicine regularly. Spend at least an hour for exercise, and you will see improvement in mood. The negative thoughts are due to OCD symptoms and depression. With treatment, these symptoms will decrease.