Dutasteride causes persistent infertility in men
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This study showed that even after discontinuation of dutasteride for 6 months, men that took it long-term still show signs of infertility like decreased semen volume I and motility.
If that is true for dutasteride than it's probably true finasreride as well, since they share the same mechanism of action.
"Long-term use of dutasteride may lead to male infertility by persistently impairing semen volume and sperm motility."
https://ecerm.org/m/journal/view.php?doi=10.5653/cerm.2024.07675
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I have previously posted studies showing finasteride/dutasteride can cause penile fibrosis, down regulation of the androgen receptor and upregulation of the estrogen receptor.