Can I still have kids if I’ve been on finasteride for years?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Long-term finasteride use may impact male fertility, though effects vary from person to person. Finasteride, commonly prescribed for hair loss and enlarged prostate, can lower sperm count and reduce semen quality in some men. The good news: these effects are often reversible after stopping the medication. If you're planning to conceive or have concerns about fertility while taking finasteride, consult your doctor to discuss alternatives or temporary discontinuation.

Not sure if your symptoms or medication side effects are cause for concern? Getting clarity quickly matters when it comes to your health and family planning. Take a free, instant, online symptom check to better understand what's happening in your body, identify potential causes, and get guidance on your next steps—all in just a few minutes, with no signup required. It's a smart first move before your doctor's visit, helping you ask the right questions and make informed decisions about your care.

Reviewed for medical accuracy: 07/15/2026

Important Next Steps

Learn if finasteride affects future children Discover likely risks of long-term finasteride use Find out if finasteride needs medical attention See OTC options for finasteride side effects Find a doctor for finasteride questions Understand home remedies for finasteride side effects Check if finasteride causes concerning symptoms

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Explanation

Finasteride is a medication commonly used for hair loss and prostate issues. According to the studies provided, finasteride can impact male fertility, but the effects are not the same for everyone.

Impact on Sperm: Some men on finasteride have experienced changes in their sperm, like lower sperm count or changes in how the sperm move. This might make it harder to have kids.
Reversibility: The good news is that many of these changes can be reversed if you stop taking the medication. In some cases, sperm levels and fertility returned to normal after stopping finasteride.
Consult a Doctor: If you're concerned about how finasteride might be affecting your health or fertility, try Ubie's free AI symptom checker to better understand your symptoms before your doctor's visit. They can help you understand your options and whether you should continue or stop taking finasteride.

Overall, while finasteride can affect fertility, these effects are often reversible. It's important to discuss your plans and concerns with a healthcare provider who can give you personalized advice.

(References)

Samplaski MK, Lo K, Grober E, & Jarvi K. (2013). Finasteride use in the male infertility population. Fertility and sterility, 24012200.
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 .... Journal of drugs in dermatology : JDD, 23377525.
Iguer-Ouada M, & Verstegen JP. (1997). Effect of finasteride (Proscar MSD) on seminal composition, .... Journal of reproduction and fertility. Supplement, 9404280.

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