Hair Fall Cure And Fertility Link: Is the medicine to prevent baldness affecting fertility? Know how much truth is there?
- bySherya
- 17 Sep, 2025

Male Fertility Concerns: The hectic pace of life and changing lifestyles have led to premature hair loss. Some people have resorted to medication to prevent this. Let us explain how dangerous this can be.

Hair Loss Medication Impact: Hair loss has become very common these days. Baldness, especially in men, is becoming apparent earlier. Many medications and treatments are available to prevent it. However, men planning marriage or having children worry that these medications may affect their fertility. Let's find out what doctors and experts have to say about this.
Finasteride and its effects
Dr. Prerna Gupta, a fertility specialist at a fertility clinic in New Delhi, explains, "Finasteride is the most common medication for hair loss. However, research has found that it can reduce sperm quantity, sperm count, and sperm motility in some men. Studies published in the National Library of Medicine and the Georgetown Medical Review also show that finasteride can affect semen quality."
The effect is temporary.
Dr. Payal, a fertility specialist at a private clinic in Delhi, says, "The good news is that these changes are mostly temporary. Once the medication is stopped, everything related to sperm returns to normal." She also explains that finasteride does not lower testosterone. In fact, the reduction of DHT may slightly increase total testosterone. However, some men may experience a decreased sex drive or changes in sexual performance.
research result
According to a 2017 report (Impacts of Medications on Male Fertility), finasteride and dutasteride reduce DHT by approximately 90 percent. They don't have a significant impact on testosterone. However, in men with already low sperm counts, the decline may be exacerbated.
Minoxidil and Safer Alternatives
Dr. Prerna Gupta explains that minoxidil doesn't affect hormones. It strengthens hair roots by increasing blood flow to the scalp. Therefore, it's safe for sperm quality and fertility. Dr. Payal also says, "Topical medications are mostly limited to the scalp, while oral medications have an effect throughout the body. Therefore, minoxidil is considered safer when it comes to fertility."
Doctors' advice
Dr. Gupta advises that if a man is planning a family, he should avoid long-term use of medications like finasteride. "High doses and prolonged use can increase the effectiveness. It's best to consider it as a short-term treatment." Dr. Payal also recommends getting a sperm count test before starting treatment and repeating it periodically. This will quickly determine whether the medication is working.
Non-drug options
Experts say that treatments like PRP therapy, hair transplants, and laser therapy (LLLT) are also available. These have a local effect and do not affect hormones or sperm. Caffeine-free shampoos, pumpkin seed oil, and a balanced diet are also beneficial for hair. Reducing stress and getting adequate sleep also promotes both hair and reproductive health.