Hi, I was on citalopram 20mg for about 8 years for anxiety and depression (this was years before I had any meno symptoms though.) I didn't have any problems at all while I was taking it, the only slight issue was when I stopped taking it. I followed Drs orders and slowly weaned off it but going from 5mg every other day to none at all wiped me out for a couple of weeks. However I wouldn't worry about that if you're just starting it, after all it's the benefits of taking it that is important to you at the moment. Xx