Propecia, containing finasteride, reduces DHT, a hormone crucial for hair growth and prostate health. This reduction occurs because finasteride inhibits the enzyme 5α-reductase, responsible for converting testosterone to DHT. Lower DHT levels slow hair loss in many men. However, this mechanism raises concerns about fertility.
While studies show a correlation between finasteride use and decreased sperm parameters (concentration, motility, morphology) in some men, the long-term impact on fertility remains unclear. Some men experience a return to normal sperm parameters after discontinuation. Individual responses vary significantly.
The impact on fertility seems to be dose-dependent; higher doses might correlate with a greater likelihood of decreased sperm production. Moreover, pre-existing fertility issues might exacerbate these effects. Studies on the impact on pregnancy outcomes are limited and inconclusive.
Consult your doctor before starting or continuing Propecia, especially if you’re trying to conceive or have fertility concerns. Open communication with your healthcare provider is vital for making informed decisions about your treatment options and reproductive health.
