RootMD

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Can Saw Palmetto Cause Sexual Side Effects? New Research Raises Questions! Saw palmetto is one of the most popular natural DHT blockers used for hair loss, but is it completely risk-free? A new 2026 case series raises concerns about possible persistent sexual and psychiatric side effects associated with Serenoa repens (saw palmetto), including symptoms reported after discontinuation. As a hair transplant surgeon, I think it’s important to discuss these findings without creating unnecessary fear. This is a small case series, and it does not establish causation or tell us how frequently these symptoms occur. Natural doesn’t always mean side effect-free. More research is needed to understand the potential risks. #SawPalmetto #HairLoss #DHTBlocker #HairTransplant #HairLossTreatment

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Hair loss can affect way more than just your hair. For a lot of people, it starts changing confidence, dating, photos, lighting, and how comfortable they feel showing up. Sometimes the anxiety around it becomes bigger than the hair loss itself. If that sounds familiar, you’re definitely not alone. 💚 #HairLoss #HairConfidence #MensHairLoss #HairAnxiety #RootMD

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Does Dutasteride Really Cause Infertility? As a hair transplant surgeon, I prescribe dutasteride regularly, and this new study is worth discussing, but I would not interpret it as proof that dutasteride causes infertility. The researchers found that longer exposure to dutasteride was associated with lower semen volume and sperm motility, with some abnormalities still present six months after stopping. Importantly, they did not find significant differences in sperm concentration, morphology, or vitality, and the study measured semen parameters, not whether men were actually able to father children. That distinction matters. Earlier randomized research found relatively modest changes in semen parameters with dutasteride and finasteride that appeared largely reversible after discontinuation. In my own clinical experience, I have prescribed these medications for years and have had many patients father children while continuing treatment. So this paper does not change my current prescribing philosophy. I continue to prescribe dutasteride when appropriate, while discussing the evolving evidence, particularly with men who already have fertility concerns or are actively trying to conceive. One study shouldn’t create panic, but it should keep us asking better questions and following the research. #Dutasteride #HairLoss #MaleFertility #HairTransplant #HairLossTreatment