Beliefs and Counseling Practices Among Dermatologists Regarding Sexual and Other Adverse Effects of Finasteride

    Michael S. Irwig, Jessika Sanz, Deborah Lin, Nicholas Tan, Erica D. Dommasch
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    TLDR Many dermatologists believe finasteride can cause sexual side effects and counsel patients about them.
    This study surveyed 122 dermatologists to assess their beliefs and counseling practices regarding the adverse effects of finasteride, a medication known to potentially cause low libido, erectile dysfunction, male infertility, and depression. With an 82% participation rate, 51% of respondents believed finasteride could cause sexual side effects, and 18% believed these effects could be persistent. Less than 25% thought it could cause depression or lower sperm counts. When prescribing finasteride, 69% counseled at least half of their patients about potential sexual side effects, 52% about persistent sexual side effects, and 30% about depression. The study highlights the need for improved awareness and counseling practices concerning finasteride's adverse effects.
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      A user shared their experience with Finasteride for hair loss, noting a significant reduction in DHT levels and a complete loss of libido without other side effects. Another user agreed, discussing the negative impact on sexual drive and criticizing the community's attitude towards discussing side effects.

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      in Update  47 upvotes 2 years ago
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      Fighting hair loss with "The Big 3" treatments of Propecia, Rogaine and Nizoral shampoo, as well as specific advice on how to use these products. People have shared their long-term success stories and some have discussed the side effects of finasteride. Other suggestions included Lipogaine and Pura D'or Hair Loss Prevention Therapy Shampoo & Conditioner.

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