Finasteride And Fertility: Pregnancy, Risks and Alternatives

Table of Contents

• Understanding Finasteride
• Does Finasteride Affect Fertility?
• Can Finasteride Reduce Sperm Count?
• Can Men Take Finasteride While Trying to Conceive?
• Can Women Take Finasteride During Pregnancy?
• What Can I Take Instead of Finasteride?
• When Should I Stop Taking Finasteride If I Want To Conceive?
• Lifestyle Changes as an Alternative to Finasteride

Understanding Finasteride

Finasteride, also known as Propecia, is an oral prescription tablet for male androgenetic alopecia (male pattern baldness). It is common in men over 50 and symptoms include balding around the crowd and a receding hairline. One Finasteride 1mg tablet is taken daily although higher strengths are available.

It is classed as a 5-alpha-reductase-inhibitor and works by blocking the action of the 5-alpha-reductase enzyme. This enzyme plays a role in the conversion of testosterone into dihydrotestosterone (DHT). However, high levels of DHT in the body have been related to causing hair loss. By inhibiting 5-alpha-reductase and reducing dihydrotestosterone (DHT), Finasteride can help prevent further hair loss and improve hair growth. [1]

Does Finasteride Affect Fertility?

Research into the effects of Finasteride on fertility has mixed views and results. Studies suggest that its influence on testosterone levels, particularly the reduction in DHT, might affect sperm production. Potential side effects of Finasteride include erectile dysfunction and low sexual desire. Even at low doses, Finasteride may cause a reduction in semen count in some, but not all, male users. [2] If these side effects occur, it could potentially decrease a man’s fertility. Some studies state that Finasteride can worsen fertility issues in men who are already struggling to conceive.

On the other hand, other studies suggest that Finasteride doesn’t affect fertility and these side effects are usually temporary and often reversible once the medication is discontinued.

Despite medical research and findings, Finasteride's impact on fertility can vary among individuals. Genetic factors, pre-existing health conditions and concurrent use of other medications might play significant roles in determining any potential risk to fertility.

Can Finasteride Reduce Sperm Count?

While Finasteride can effectively reverse male pattern baldness, there are concerns as to whether it can reduce sperm count. Low sperm count is also known as oligospermia. Some men have reported poor sperm quality or were infertile while taking Finasteride, but there is little research that suggests Finasteride affects sperm count or causes oligospermia. Further research is needed to fully understand the long-term effects of Finasteride on male fertility.

Can Men Take Finasteride While Trying to Conceive?

It is possible to take Finasteride while trying to conceive. According to the NHS, only small amounts of Finasteride are found in semen. If a male partner is taking Finasteride, it is unlikely that it will cause harm to you or your baby. [3] Finasteride manufacturers do however recommend using a condom if you are sexually active and taking Finasteride. This is to remove any risk, no matter how small they may be.

If you want to maximise your chances of conception, especially if you have a low sperm count or existing fertility issues, it is best to stop taking Finasteride temporarily under medical guidance. In 2012, a study was carried out on a couple who struggled to conceive. The male partner reported having taken Finasteride for around 10 years and showed a low sperm count. After discontinuing use, sperm count increased after a few months and the couple were able to conceive naturally and have a healthy pregnancy. [4]

Can Women Take Finasteride During Pregnancy?

Women should not take Finasteride during pregnancy due to its potential risks to the developing foetus. It can increase the risk of birth defects, especially concerning the sexual development of male foetuses.

Finasteride is primarily for male use but it may be prescribed to women in rare cases. If a woman is taking Finasteride, exercise caution and use effective contraception to prevent pregnancy and foetal development issues. In addition, women, especially those who are pregnant or trying to conceive should not handle broken or crushed Finasteride tablets, as it’s possible that it can be absorbed through the skin and cause similar risks.

What Can I Take Instead of Finasteride?

For those concerned about fertility issues associated with Finasteride or who may suffer from them, alternatives are available at Chemist Click to help tackle male pattern baldness:

Topical Minoxidil Spray

Topical Minoxidil Spray is a common alternative to Finasteride as it has little to no impact on fertility as it does not influence hormones. It contains the active ingredient, Minoxidil 6% and works by increasing blood flow around the hair follicles. This stimulates the hair follicles to move from the resting phase to the growth phase. For effective results, 1ml (6 sprays) are applied and massaged into the scalp twice daily. It can take 3 to 6 months of use to see visible hair improvements.

Regaine Extra Strength Foam For Men

Regaine is a branded version of Minoxidil. It comes in a Minoxidil 5% foam solution and is formulated for men. Similar to Topical Minoxidil Spray, it increases blood flow to the hair follicles and encourages hair growth. One capful must be applied and massaged into the affected scalp area twice daily. Results are visible with Regaine in as early as 8 weeks with consistent use.

If you are unsure about the impact of Finasteride on your fertility, discuss it with your doctor or a fertility specialist. At Chemist Click, we offer a free online consultation to help you to understand if Finasteride or other hair loss treatments as part of our range are safe for you to take. If you have any concerns about your hair loss treatment, please call or email us.

When Should I Stop Taking Finasteride If I Want To Conceive?

Men who are planning to conceive often wonder about the right time to discontinue the medication to ensure that it doesn’t affect their sperm quality and overall reproductive health.

If you are planning on trying to conceive, it’s advisable to stop taking finasteride ahead of time. A general recommendation is to discontinue the medication for at least three months before attempting conception. This time frame allows for the drug to completely clear from your system, testosterone levels should also return to normal in this time too. 

It is advisable to inform your healthcare provider of this decision as they may be able to recommend an alternative treatment or lifestyle changes to help with your hair loss condition during this time.

Lifestyle Changes as an Alternative to Finasteride

If you choose to discontinue taking Finasteride whilst trying to conceive, you may want to explore some lifestyle changes to naturally support hair health and hormone balance:

1. Improve Your Diet and Nutrition

A balanced diet rich in vitamins and minerals can strengthen hair and improve overall health. Foods high in vitamins A, C, D, and E, zinc, B vitamins, iron, biotin, and protein are crucial for hair growth and retention. For instance, spinach, eggs, berries, nuts, and avocados all contain nutrients that promote hair health.

2. Reduce Stress

Chronic stress is a common factor that contributes to hair loss. Stress managing techniques and adequate sleep can help manage stress levels. Lowering stress not only supports hair health but also benefits hormonal balance and overall well-being which in turn, can have a positive impact when trying to conceive.

3. Get Regular Exercise

Physical activity increases overall blood flow, which improves the supply of nutrients to the scalp and hair follicles. Consistent exercise can help balance hormones and reduce the impact of stress, positively influencing hair health.

If you are planning to start a family in the near future and have been regularly taking Finasteride, consult your doctor or GP. Alternatively, you can start a free online consultation with Chemist Click. Our qualified pharmacists use a tailored approach to determine the best hair loss treatment according to individual circumstances and needs.
 

Sources 

1. Drugs.com. (2024). Finasteride. Retrieved 30th October 2024, from: https://www.drugs.com/finasteride.html
2. Samplaski MK, Lo K, Grober E, Jarvi K. (2013). Finasteride Use in the Male Infertility Population: Effects on Semen and Hormone Parameters. Retrieved 30th October 2024, from: https://pubmed.ncbi.nlm.nih.gov/24012200/
3. NHS. (2023). Fertility and Pregnancy While Taking Finasteride. Retrieved 30th October 2024, from: https://www.nhs.uk/medicines/finasteride/fertility-and-pregnancy-while-taking-finasteride/
4. Ricci G, Martinelli M, Luppi S, Lo Bello L, De Santis M, Skerk K, Zito G. (2012). Finasteride and Fertility: Case Report and Review of the Literature. Retrieved 30th October 2024, from: https://pubmed.ncbi.nlm.nih.gov/23377525/

Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.