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Finasteride functions primarily by preventing the conversion of testosterone into dihydrotestosterone, which is facilitated by the enzyme 5-alpha reductase. By inhibiting DHT production, Finasteride can help prevent hair loss, as DHT is known to damage hair follicles. Additionally, elevated DHT levels can contribute to prostate enlargement, a more serious concern than hair loss. Research indicates that six months of Finasteride treatment can significantly reduce or even eliminate prostate enlargement.

When evaluating the effects of Finasteride, it is important to consider its interaction with anabolic steroids. Some anabolic steroids are derived from DHT, such as Oxymetholone (Anadrol), Methenolone (Primobolan), and Stanozolol (Winstrol), which cannot be further metabolized by the 5-alpha reductase enzyme, making Finasteride ineffective against them. However, when using testosterone-derived steroids, such as all forms of testosterone, Methyltestosterone (Metandren), and Fluoxymesterone (Halotestin), Finasteride can be beneficial.

Higher levels of testosterone increase the capacity for its conversion into DHT via the 5-alpha reductase enzyme, raising the likelihood of experiencing androgenic effects that Finasteride can counteract. This can help prevent hair loss and prostate enlargement, but it is particularly beneficial for those genetically predisposed to male pattern baldness; if one is not predisposed, they are unlikely to experience hair loss regardless. For those with a predisposition, while high DHT levels might accelerate hair loss, Finasteride may also aid in managing acne that can arise from strong androgenic environments, though this applies mainly to those sensitive to acne.

Finasteride can diminish the relative androgenicity of mentioned anabolic steroids, including Testosterone, Methyltestosterone, and Fluoxymesterone. However, it will not completely eliminate their androgenic properties but can have a notable impact. Men sensitive to androgenic side effects may wish to avoid potent androgenic steroids. While exogenous testosterone is necessary for anabolic steroid use, it should be kept at a minimal amount.

It's important to note that Finasteride may actually enhance the androgenic effects of certain steroids, especially Nandrolone and its derivatives like Trenbolone. Therefore, Finasteride and other 5-alpha reductase inhibitors should be avoided when using these steroids. Additionally, Finasteride does not affect DHT-derived anabolic steroids, as there is nothing for the enzyme to act upon. If specific DHT steroids are problematic due to their androgenic effects, or if one is dealing with highly androgenic steroids like Trenbolone, those should be avoided as well.

possible decrease in libido, ejaculation disorders; women who are pregnant or could become pregnant must completely avoid exposure to this compound, as it can cause severe harm to the developing fetus.

To address hair loss, the typical dosage of Finasteride is 1mg daily, while doses of 5mg per day may be used to treat prostate enlargement. For those using anabolic steroids to counteract androgenic side effects, a dosage of 1mg per day during steroid use is recommended.