Adult Patients with Aphallia: Were They Fertile?

The conversation discusses the impact of finasteride on sperm, including potential side effects like decreased ejaculate volume and total sperm count. Users share experiences and concerns about fertility tests before and after starting finasteride.

A 26-year-old male is concerned about potential infertility after using finasteride and dutasteride for hair loss, considering stopping the medication to recover fertility. He is contemplating freezing sperm and possibly undergoing a vasectomy, while others suggest stopping the medication and consulting a doctor.

Many users reported having healthy children while taking finasteride, though some doctors recommend stopping the medication before trying to conceive. Concerns about finasteride's effects on fertility and potential teratogenic risks were discussed, but experiences varied widely.

Dutasteride may cause chronic infertility by reducing semen volume and motility, with concerns about irreversible prostate fibrosis. Users consider switching to finasteride or using treatments like minoxidil and microneedling, weighing hair preservation against fertility.

Dutasteride treatment may decrease sperm concentration, but levels remain above WHO recommendations and recover after discontinuation. The study has limitations, including small sample size and lack of pre-treatment sperm data, and does not assess other fertility factors.

Finasteride can affect sperm quality, but fertility usually returns after stopping it, as shown by a user who conceived four months after discontinuation. Some users successfully conceive while on finasteride, though some prefer to pause its use to minimize risks.