TLDR 5-alpha-reductase inhibitors may cause a low incidence of erectile dysfunction that decreases over time.
The document from April 17, 2008, reviewed the impact of 5α-reductase inhibitors (5ARIs) like finasteride and dutasteride on erectile function. It discussed various studies, including animal models and clinical trials, to assess the effects of these drugs, which are used to treat conditions like benign prostatic hyperplasia and male pattern hair loss. The review found that reported rates of erectile dysfunction (ED) in men using 5ARIs varied widely, with some studies showing no significant effect and others reporting higher incidences of ED, which could be influenced by a placebo effect. Long-term studies indicated that the incidence of ED might decrease over time. The document concluded that while 5ARIs significantly reduce serum dihydrotestosterone (DHT) levels, the incidence of ED is relatively low and tends to diminish over time, and that testosterone is likely more critical for erectile function than DHT. Further research was suggested to better understand ejaculation disorders related to 5ARIs and the role of androgens in erectile physiology.
Cited in this study
11 / 11 results
225 citations
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November 2007 in “The Journal of Sexual Medicine” Knowing about finasteride's sexual side effects increases reported dysfunction.
52 citations
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March 2006 in “Current pharmaceutical design” 5α-reductase inhibitors and alpha-1 adrenergic antagonists together effectively treat benign prostatic hyperplasia, with long-term benefits.
44 citations
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July 2004 in “Archives of Dermatology” Finasteride for hair loss has minimal impact on sexual function.
408 citations
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May 2004 in “The Journal of clinical endocrinology and metabolism/Journal of clinical endocrinology & metabolism” Dutasteride more effectively lowers DHT levels in men with enlarged prostates than finasteride.
1707 citations
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December 2003 in “The New England Journal of Medicine” Combination therapy of doxazosin and finasteride safely and effectively reduces benign prostatic hyperplasia progression risk.
15 citations
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January 2002 in “PubMed” 36 citations
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September 2001 in “Journal of The European Academy of Dermatology and Venereology” Finasteride doesn't reduce sexual function in people with hair loss.
60 citations
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December 1998 in “Clinical Pharmacology & Therapeutics” Both drugs lower DHT levels, with GI198745 being more effective.
56 citations
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April 1998 in “Steroids” Finasteride reduces hair loss and treats BPH without major hormone changes, but may cause sexual dysfunction.
15 citations
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June 1995 in “The Journal of Clinical Endocrinology and Metabolism” Finasteride doesn't affect erections much, but may decrease libido in men.
1040 citations
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October 1992 in “The New England Journal of Medicine” Finasteride effectively treats BPH but may increase sexual dysfunction risk.
30 citations
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August 1992 in “The Journal of Clinical Endocrinology and Metabolism” Finasteride doesn't affect hormone levels in normal men.