There has been a suggestion that sperm counts get depressed by finasteride. We know that this happens with dutasteride and this drug even produces azospermia (no sperm) with sterility in some men. The same may happen with finasteride, but the literature is not clear on it. I have now seen many doctor refuse to write prescriptions for finasteride because of the medical-legal risks suggested by articles that discuss side effects that the doctor just doesn’t want to deal with. I continue to write these prescription but place these risks in a consent document that patients must sign.