Lose your Hairline or Fertility (Kids)

Rather lose your hair or lose your sperm count

  • Hair

    Votes: 27 55.1%
  • Sperm

    Votes: 22 44.9%

  • Total voters
    49
So here's the deal. You're thinking about taking something for hair loss, right? There are two main meds people look at: finasteride and dutasteride.


Now, they both do a similar thing—they block a hormone called DHT (which is the big villain when it comes to male pattern baldness). But here’s the key difference:


🧠 Finasteride = Chill Little Brother​


  • Blocks one type of the DHT-producing enzyme.
  • Helps with hair loss, especially at 1 mg/day.
  • Most guys have very few side effects, and it’s been around for years.
  • Fertility risks? Super low. Like, very rare, and usually reversible if they happen.

💪 Dutasteride = Stronger, Not Always Better​


  • Blocks two types of the DHT enzyme. So yeah, more powerful.
  • Can be better for hair loss in some people, but...
  • It sticks around in your body way longer (like, months).
  • And yeah—there’s growing evidence it can mess with sperm quality, especially if you take it for over a year and a half.

So, in short:




If you're not trying to have kids anytime soon, finasteride’s probably a pretty safe bet. But if fertility is something you're thinking about, it's smart to just keep an eye on it or chat with a doc first.


Want help figuring out a game plan for hair loss that's low-risk?
Finasteride = Appeal
Dutasteride = PSL

@NZb6Air
 
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but bro this is about dutasteride not FEINasteride
same mechanism of action, both finasteride and dutasteride affect semen parameters. If dutastride does it permanently its safe t assume finasteride does aswell.

Does this mean you will be infertile no but it does mean a higher percentage of men on 5-ars will be infertile or have fertility issues compared to the general population, which was known but now there is evidence that that is a permanent issue.
 
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Reactions: JohnBaza
same mechanism of action, both finasteride and dutasteride affect semen parameters. If dutastride does it permanently its safe t assume finasteride does aswell.

Does this mean you will be infertile no but it does mean a higher percentage of men on 5-ars will be infertile or have fertility issues compared to the general population, which was known but now there is evidence that that is a permanent issue.
Yes—finasteride and dutasteride work via the same mechanism (blocking 5-alpha-reductase to reduce DHT). So it makes sense that they could both impact semen parameters, since DHT plays a role in male reproductive function.


BUT here's the big thing:


  • Finasteride only blocks type 2 5AR.
  • Dutasteride blocks both type 1 and type 2—so it hits your system harder, and stays in your body longer.

So yeah, same mechanism, but different intensity and reach.




💥 “If dutasteride causes permanent changes, so will finasteride”?​


That’s not a guaranteed conclusion.


  • The study he’s referring to (on dutasteride) shows that after long-term use, some guys had sperm issues that didn’t fully bounce back even after stopping.
  • But we don’t have the same level of evidence for finasteride.
  • In fact, most studies on finasteride (at 1 mg/day) show reversible changes if any.

So jumping to "permanent damage from finasteride too" is not supported by current evidence. It's a logical guess, maybe, but not proven.




📈 “More men on 5ARIs will have fertility issues”?​


Yes, this part is probably true.


  • Taking a drug that alters your hormone balance can increase the chance of fertility issues compared to men not on it.
  • But we’re talking about a small percentage, and in most cases, it’s reversible—especially for finasteride.



🔍 So where does this leave you?​


  • If you’re planning to have kids soon, it’s smart to be cautious—maybe freeze sperm before starting, or avoid 5ARIs altogether.
  • If you’re not planning kids in the next couple years, finasteride at 1 mg/day is probably a safe option with minimal risk.
  • The idea that “finasteride causes permanent infertility” is not proven and kind of assumes worst-case logic.
 
Haircafe already debunked this, Rehabroom has fallen off so fucking bad recently, horrible videos
Muh haircafe most biased nigga on planet earth
 
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same mechanism of action, both finasteride and dutasteride affect semen parameters. If dutastride does it permanently its safe t assume finasteride does aswell.

Does this mean you will be infertile no but it does mean a higher percentage of men on 5-ars will be infertile or have fertility issues compared to the general population, which was known but now there is evidence that that is a permanent issue.
Stop saying shit that isnt researched nigga. Dutasteride does it is not finasteride does it. I dont even have to know shit about this drug to know this. They have to study that
 
Muh haircafe most biased nigga on planet earth
Literally spend 10 mins reading the study, you'll see it's bs, the sample size were already in fertility treatment too JFL. Stay balding.
 
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Stop saying shit that isnt researched nigga. Dutasteride does it is not finasteride does it. I dont even have to know shit about this drug to know this. They have to study that
Listen retard, same mechanism of action both affect sperm parameters.

If dut causes permanent damage, it is not wrong to assume finasteride does the same. How can sperm recover stopping dut but not finasteride.

Niggas said the same shit that dut doesn't cause perment sperm damage because their are no studies, look where we are now. I belive one day we will get more of these types of studies and 5-ars will be banned.
 
Listen retard, same mechanism of action both affect sperm parameters.

If dut causes permanent damage, it is not wrong to assume finasteride does the same. How can sperm recover stopping dut but not finasteride.

Niggas said the same shit that dut doesn't cause perment sperm damage because their are no studies, look where we are now. I belive one day we will get more of these types of studies and 5-ars will be banned.
have fun with your balding head then unc 🥺🥺
''saar i am bald cuz same parameters saar'' :lul::lul::lul:
 
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New study saying that dutasteride vs finasteride both have an affect on fertility and sperm quality/count
No kids or no hair?


The study doesn’t even have a control group.
The sample was taken from a Korean fertility clinic.

They should have taken baselines of all the patients before they went on treatment for a fair analysis on the drugs’ impact on male fertility.
 
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Literally spend 10 mins reading the study, you'll see it's bs, the sample size were already in fertility treatment too JFL. Stay balding.
The reason this study exists is because the people who were taking dutasteride for a short time and stopped, their fertility and semen volume improved while the ones after 17 months showed no or little improvement.

The discrepency was high.

@Snicket
 
The reason this study exists is because the people who were taking dutasteride for a short time and stopped, their fertility and semen volume improved while the ones after 17 months showed no or little improvement.

The discrepency was high.

@Snicket
I’m not even denying this.

Even if you look at their data though, all the groups had normal sperm concentration.

Even the longest term group saw sperm volume increase to normal levels after discontinuation.

Concentration is way more important than volume for fertility.


My biggest gripe with the study is that the sample group was literally from a fertility clinic.
This massively undermines the credibility of the study.
 
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I’m not even denying this.

Even if you look at their data though, all the groups had normal sperm concentration.

Even the longest term group saw sperm volume increase to normal levels after discontinuation.

Concentration is way more important than volume for fertility.


My biggest gripe with the study is that the sample group was literally from a fertility clinic.
This massively undermines the credibility of the study.
Fair i would be nice to see a new study soon.

But the things that did not increase after discontinuation were semen volume and motility. Motility is the reason why these men were at the fertility clinic their counts weren't bad. Semen volume isnt that serious as motility.
 
Fair i would be nice to see a new study soon.

But the things that did not increase after discontinuation were semen volume and motility. Motility is the reason why these men were at the fertility clinic their counts weren't bad. Semen volume isnt that serious as motility.
Agreed. I think they should do the study over, this time with a control group or even better yet, measure sperm parameters of the entire sample group before drug treatment and after.

Then we can draw some more definitive conclusions.
 
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you can read bewusst or jonas/2008's thread on it but i was going to make a massive thread with all the info i've collected on the subject but i opt'd not to post it here because the forum is shit. My only advice is to never take these drugs if you want to remain a man.
can you link it 🙏🙏
 
I've been using duta for years and my erections are weak, and my cum is watery. So by my experience, its true.
 
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I was already infertile before I started taking it.

yet my cum looks like the most fertile glue on earth for whatever reason.
thanks for sharing but i still dont belive could you send a vid
 
im on duta and cum fine bro
 


this nigga so fucking stupid I can belive I used to watch him

some notes about his video

study isn't perfect, the sample size is small, the way they took data was fine though imo, the number 40 was probably rounding down so that all groups have an equal number of men for data, etc. Now longer doses obviously dutasteride accumulates in the body and stays in for longer lol. So they should've waited longer than 6 months to see the improvements. TLDR; Don't take dut tbqh just take fin, fin is fine, side effects are a bad thing so try not to have them JFL, if u really need dut just make some concoction such as: topical liposomal dut, oral fin and RU58841 (should be strong enough to replace oral dut JFL) also a stronger minox concentration and just pray tbh. Idk tbqh I took dut for like 4-6 months, got off to try liposomal dut for summer 2024-jan 2025. During that break I did lose ground but my sperm and cock were fully back to normal and fairly quickly idk. Back on oral dut from jan to now, same old oral dut sides. Back before I ever tried oral dut I was on oral fin and had sides in the beginning but they went away and my dick and sperm were fine tbqh and Im pretty sure fin has more data that shows that even after a long while u can get off with 0 sides etc. Gonna switch to the shit I said above jfl. Glad I stick around the community enough to get these updates. Stay safe nigs
 
as it stands from what i've collected, balding this early or at all comes down to lower T than ever before thus the upregulation of the scalp ARs and ARs in general plus more DHT production when ur low T unironically lol. We have T levels of our grandpas at our age, which is why generationally we bald earlier. Simple explanation. Idk much about the B vitamins shit, could be legit, our diets are all trash anyway.
 
  • Hmm...
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Taking dut/fin is a brainlet move. High IQcels know balding is a metabolic disease and there are many reasons for it and DHT is not the root cause and is not a "useless" hormone after puberty. If i was a betting man, i'd bet on most of these fin/dut users having abnormal kids with some kind of fucked up thing, whether it's autism or some other bad genes or whatever due to fin/dut affecting 10000+ genes.
do a thread on balding being a metabolic disease, i wonder why
 
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Taking dut/fin is a brainlet move. High IQcels know balding is a metabolic disease and there are many reasons for it and DHT is not the root cause and is not a "useless" hormone after puberty. If i was a betting man, i'd bet on most of these fin/dut users having abnormal kids with some kind of fucked up thing, whether it's autism or some other bad genes or whatever due to fin/dut affecting 10000+ genes.

They cant have any kids on 5ARIs

balding is due to androgens binding to the androgen receptor thus causing negative modulation of the hair follicle environment by factors like igf1, wnt/ß-catenin pathway downregulation etc.

and DHT + 5ar arent useless after puberty, they have big importance in the brain as neurosteroids and in the penile tissue for correct semen production. most of the people experience watery cum on 5ARIs. and some other stuff

and yes they affect a ton of genes

but just be aware that balding really is due to the AR activation and gene expression, coming from a knowledgeable individual on the topic. (me)
what does it mean that they affect more than 10000+ genes? Are those that get modified only the ones responsible for hairloss and prostate enlargement or are there others (potentially undesired changes)? Are those changes temporary or permanent / transmissible to the offspring?
 
I was already infertile before I started taking it.

yet my cum looks like the most fertile glue on earth for whatever reason.
Semen consistency and volume has fuck all to do with sperm count tbh. Guys can be shooting 1ml loads and be the most fertile men on the planet.
 
High IQcels know balding is a metabolic disease and there are many reasons for it and DHT is not the root cause and is not a "useless" hormone after puberty.
what are DHT functions after puberty?

how did you get to the conclusion that hairloss = metabolic disease? what should we change in our diet / lifestyle to stop it?
 
Personally I would rather risk baldness and keep my fertility. Even if there was the slightest chance fin could harm my reproductive chances, I’d avoid it. I can always have kids with a surrogate if I moneymaxx.
 
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as it stands from what i've collected, balding this early or at all comes down to lower T than ever before thus the upregulation of the scalp ARs and ARs in general plus more DHT production when ur low T unironically lol. We have T levels of our grandpas at our age, which is why generationally we bald earlier. Simple explanation. Idk much about the B vitamins shit, could be legit, our diets are all trash anyway.
by this logic hopping on testosterone would cure hairloss? this could kinda make sense if we look at golden era bodybuilders - they had full head of hair despite blasting steroids and with finasteride not being invented yet.
Thoughts @Jonas2k7
 
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New study saying that dutasteride vs finasteride both have an affect on fertility and sperm quality/count
No kids or no hair?


You can adopt kids. You can’t adopt hair
 
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i dont give a fuck about having kids anyway

i dont want them
 
by this logic hopping on testosterone would cure hairloss? this could kinda make sense if we look at golden era bodybuilders - they had full head of hair despite blasting steroids and with finasteride not being invented yet.
Thoughts @Jonas2k7
Nooo dude lmfao blasting test fucks with ARs too nigga you need BALANCE and natural test levels of around 800ng dl wtf lmao
 
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i mean if i lose my hair im not having children soooo
 
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Thank God I don’t bald with naturally high DHT and on steroids
 
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Nooo dude lmfao blasting test fucks with ARs too nigga you need BALANCE and natural test levels of around 800ng dl wtf lmao
bro you're right I was absolutely tripping last night. after all, more T = more dht production...
 
@Jonas2k7 @JohnDoe what genes do fin / dut block?
 
btw I dont give a shit about that gene shit. I care more about my hair than some ''kids'' I might have in 20 years
@Newday*V3 why ugh react :forcedsmile:🥺
 
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@Newday*V3 bro at least explain
 
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id rather keep my hair
 
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bro you're right I was absolutely tripping last night. after all, more T = more dht production...
less AR upregulation tho
 
bro you're right I was absolutely tripping last night. after all, more T = more dht production...
when ur low T u produce proportionally more DHT anyway, if u had higher test u would have higher E, yes u would continue to create DHT but also ur scalp ARs would become less sensitive
 
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This just means I can cum in them bitches without worrying about wearing a rubber. Win Win for me
 
hair transplant is a viable option and too many people get conned int othinking they HAVE to take fin after it, no you don't. I know a lot of men personally who have had HTs and never taken fin and they look fine years later, some of them have a little thinning behind the transplanted hair but very minor and nothing a minor 2nd HT couple years down the line won't fix. Beats the hell out of chemically castrating yourself.
I got a hair transplant but noticed after 1 month just how cooked my hair over the entire top is so I had to start taking dutasteride just so that I don't end up even a bigger subhuman with a failed transplant.

What can I honestly do in this situation?

Last time I had a gf was almost 10 years ago when I was in high school and I had a full head of thick and healthy hair back then.

After that, I quickly started norwooding and ended up with a cooked hairline at just 20 yo and over time even my crown started getting very thin. After norwooding started, I am getting a 100% rejection rate for almost a 10 years and both men and women have made comments about my balding.

Balding annihilates my looks and my confidence and mental health, and I am a 5'8 wristcel with MTN-nish face and non-warrior skull so there is no scenario where I can rock a "bald look". It's either I wither away as a balding subhuman or try to salvage whatever life remains with surgery and meds which ofc bring many risks with them.

No other way for me...
 
I got a hair transplant but noticed after 1 month just how cooked my hair over the entire top is so I had to start taking dutasteride just so that I don't end up even a bigger subhuman with a failed transplant.

What can I honestly do in this situation?

Last time I had a gf was almost 10 years ago when I was in high school and I had a full head of thick and healthy hair back then.

After that, I quickly started norwooding and ended up with a cooked hairline at just 20 yo and over time even my crown started getting very thin. After norwooding started, I am getting a 100% rejection rate for almost a 10 years and both men and women have made comments about my balding.

Balding annihilates my looks and my confidence and mental health, and I am a 5'8 wristcel with MTN-nish face and non-warrior skull so there is no scenario where I can rock a "bald look". It's either I wither away as a balding subhuman or try to salvage whatever life remains with surgery and meds which ofc bring many risks with them.

No other way for me...
It takes a year for results to fully show from a HT so not sure what you were doing after only a month. What's the progress right now? How long has it been since HT. If you shave your head you have to go with a beard tbh
 
It takes a year for results to fully show from a HT so not sure what you were doing after only a month. What's the progress right now? How long has it been since HT
It's been a month and few days, but as I was fully shaved post transplant, my hair on the sides grew 4 times faster than the hair on my entire top and, because I used to wear longer hair, I didn't notice how cooked my crown is getting, I actually have diffuse thinning...

I also had acne both in my teenage and adult years, my balding is progressing slowly but there are no signs of stopping, high DHT sensitivity destroyed my life...
 
It's been a month and few days, but as I was fully shaved post transplant, my hair on the sides grew 4 times faster than the hair on my entire top and, because I used to wear longer hair, I didn't notice how cooked my crown is getting, I actually have diffuse thinning...

I also had acne both in my teenage and adult years, my balding is progressing slowly but there are no signs of stopping, high DHT sensitivity destroyed my life...
1 Month is too short to be checking results. Trim the sides of your hair if it's growing too fast. I have diffuse thinning aswell. Was your HT just for your top/temples and not filling in your crown aswell?
 
1 Month is too short to be checking results. Trim the sides of your hair if it's growing too fast. I have diffuse thinning aswell. Was your HT just for your top/temples and not filling in your crown aswell?
Just did frontal part 2500 grafts.

I don't exactly have a bald spot on the back of my head but hair is very weak and thinned out.
 
Just did frontal part 2500 grafts.

I don't exactly have a bald spot on the back of my head but hair is very weak and thinned out.
2500 isn't a huge amount and yh you can get another HT down thr line. My crown is thinning and top is thin already, longer hair helps cover temples aswell
 
when ur low T u produce proportionally more DHT anyway, if u had higher test u would have higher E, yes u would continue to create DHT but also ur scalp ARs would become less sensitive
so does that mean that if someone is low T and is losing hair due to mpb he would benefit from trt?
 
I can raw dog bitches whilst also keeping my hair let's fucking go
 
so does that mean that if someone is low T and is losing hair due to mpb he would benefit from trt?
last thing you wanna do if ur low T is get on TRT unless you are chronically low T due to some permanent defect

but yes if u hit that magic 800 ng dl you should at least start balding later in life or whenever it drops to grandpa levels
assuming your scalp ARs downregulate because of the change cuz u will keep getting hairloss until they do
 

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