Finasteride Use and Fertility: What Every Man Should Know
Finasteride, due to its effect on Testosterone, is often linked with fertility issues.
Some men have experienced fertility issues such as lower sperm count after taking Finasteride.
According to WHO, only 1% of the patients who have taken Finasteride experienced fertility issues.
In most cases, these side effects can be reversible, depending on the individual.
In this article, we will explore the link between Finasteride fertility and the mechanisms behind this link.
How does Finasteride work?
Finasteride is a medication initially developed to treat Benign Prostatic Hyperplasia (BPH), also known as enlarged prostate.
It works by inhibiting the conversion of Testosterone to Dihydrotestosterone (DHT), the hormone responsible for prostate growth.
Finasteride has also been approved by the U.S. Food and Drug Administration (FDA) for treating Male Pattern Baldness.
It reduces the levels of DHT in the scalp, which can slow down hair loss and promote hair growth.
Finasteride and Male Fertility
While Finasteride has proven to be an effective treatment for both BPH and male pattern baldness, studies have shown its effect on male fertility.
A 2007 study randomly assigned participants to receive either Finasteride or a placebo for one year.
In the end, the men who took Finasteride had a 25% reduction in sperm count and a 34% reduction in sperm motility compared to the men who took the placebo.
Another 2020 study concluded that after six months of Finasteride therapy, 2% of patients experienced lower sperm count.
Even the drug label of Finasteride lists Erectile Dysfunction and low libido as potential side effects.
But evidence has also shown that these sexual side effects of Finasteride were not observed during clinical trials.
Is the effect on Finasteride fertility permanent?
The effects on fertility are usually reversible and temporary, meaning that once the medication is discontinued, fertility should return to normal within a few months.
Research has suggested that sperm count returns to normal after stopping the medication.
Some studies have also reported that the sexual side effects of Finasteride were mainly observed in patients with a medical history of the disorders.
However, it is important to note that individual responses to the drug can vary, and in some cases, the effects on fertility may persist even after stopping the medication.
Current Scientific Understanding
While evidence suggests that Finasteride can negatively affect male fertility, the exact degree of risk is not yet clear.
Some studies have found significant reductions in sperm count and motility, while others have found little to no effect.
Also, the effects of Finasteride on male fertility appear reversible, with sperm counts and motility improving after discontinuing the medication.
Review studies have also concluded the link between Finasteride and male fertility requires more extensive research and trials.
Conclusion
Finasteride is a medication that has been shown to have an impact on male fertility.
While the scientific evidence is limited, men must be aware of the potential side effects.
Those who already have fertility issues or are at risk of developing should mandatorily discuss their concerns with an expert.
If you are concerned about the effects of Finasteride on fertility, contact your doctor to make an informed decision.
They may alternatively prescribe Minoxidil topical solution for hair growth.
Frequently Asked Questions
Can Finasteride cause permanent infertility?
No, studies have shown that Finasteride affects male infertility temporarily. The side effects usually go away after one stops taking medicine. But, it is best to discuss your medical history and concerns with your doctor before taking the medication.
Can you conceive while on Finasteride?
It is possible to conceive while on Finasteride. But, the medication has been found to reduce sperm count and motility, which may decrease the chances of conception. Men should discuss their concerns with their physician before attempting to conceive.
Can a man take Finasteride while trying to conceive?
Men trying to conceive should consult with their healthcare provider before taking Finasteride. While the medication may still be prescribed if the benefits outweigh the risks, discussing fertility concerns with your doctor is essential.
How much does Finasteride reduce fertility?
Finasteride has been shown to reduce sperm count, sperm motility, and semen volume in some men. The degree of reduction varies among individuals and may depend on age, dosage, and duration of use.
Is Finasteride bad for sperm?
Finasteride has been found to have a negative impact on sperm count, function, and motility in some men. However, the effects on sperm are usually reversible and temporary once the medication is discontinued.
