Does Propecia Cause More Harm Than Good: Assessing Reproductive and Non-Reproductive Effects of Finasteride on Male Health

Finasteride (Propecia) is effective for treating male pattern baldness but has raised concerns due to its potential adverse effects on male reproductive health, including reduced libido, erectile dysfunction, and spermatogenic failure, as well as nonreproductive effects like depression. These issues may be linked to finasteride’s impact on neurosteroid hormone levels. The article reviews evidence-based research on finasteride’s effects, finding contradictory evidence regarding its adverse effects, though it notes that the incidence of these cases is generally low in both research and clinical settings.