Dear patient, Thanks for your concern about your health and medications. Welcome to HealthCareMagic. I will directly answer your question by stating that tricyclic antidepressants like Nortryptilyn cause erectile dysfunction. This is very common. If the medication is stopped, your virility will be restored and your problem will be solved. This drug has been given to you because chronic pain is usually associated with depression. However there are other antidepressants, that can solve your problem. You can be reassured that upon stopping Nortyptylin, your ability to get an erection will be restored. You are quite healthy, as regards other matters. Please speak to a doctor and voice your concerns about having a baby. I hope this information is helpful. Feel free to post further queries on this forum.