oMeds
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Answer · hormone optimization

What is finasteride?

Short answer

Finasteride is a 5-alpha-reductase inhibitor that lowers DHT. It is used for androgenetic alopecia and benign prostatic hyperplasia.

Reviewed by Dr. Laura PurdyMay 29, 2026

Full answer

Finasteride inhibits the conversion of testosterone to dihydrotestosterone (DHT) by 5-alpha-reductase, reducing scalp DHT exposure and supporting hair retention. It is also used for benign prostatic hyperplasia. Side-effect profile includes potential sexual side effects in a minority of users, which usually resolve with discontinuation but in rare cases persist (post-finasteride syndrome). Within oMeds review, finasteride is provider-prescribed after candidacy review and is monitored over time alongside DHT, total testosterone, and symptom assessment.

Educational. Not a substitute for individualized provider review.

References & sources
  • Hair Restoration pathway — Primary source · oMeds
  • Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29