Long-Term Treatment With Finasteride: Sexual Adverse Events and Fracture Rates

The conversation discusses the effects of finasteride on libido, with the original poster experiencing a significant decrease in sexual desire after starting the medication. Other users share similar experiences and suggest potential remedies, including Vitamin E supplementation and lifestyle changes like avoiding pornography.

Finasteride use led to a slight increase in estradiol and some erectile dysfunction, but libido remained good. Suggestions included monitoring weight, exercising, and considering supplements like Yohimbe and Tongkat Ali to manage side effects.

Finasteride is not linked to a 60% risk of persistent sexual dysfunction; this figure applies only to those already experiencing sexual issues. Most users do not have side effects, and the study's methodology is criticized for selection bias.

Finasteride can cause side effects like erectile dysfunction and decreased libido, possibly due to increased estradiol from testosterone aromatization, especially in those with higher body fat. Side effects vary widely and may also be influenced by genetic factors or neurosteroid inhibition.

The user discusses experiencing changes in libido and erections while on finasteride, noting that supplements like tongkat, citrulline, arginine, zinc, and vitamin D help maintain morning erections. Other users share varied experiences with finasteride, with some reporting reduced libido and weaker erections, while others notice no significant changes.

Finasteride improved hair but severely reduced libido. Users suggest stopping or adjusting the dosage, considering alternatives like Dutasteride, or consulting a doctor.