Grey-Scale Penile Ultrasound Findings in Young Men with Erectile Dysfunction Who Used Finasteride for Androgenic Alopecia: A Retrospective Review

February 2017 in “ The Journal of Sexual Medicine ”

Irwin Goldstein, S. B. King, Steven L. Goldstein

finasteride androgenic alopecia testosterone therapy hypogonadal corporal erectile tissue fibrosis erectile dysfunction Propecia ED

TLDR Finasteride for hair loss can cause erectile dysfunction due to tissue fibrosis.

This document contains two separate studies. The first study looked at the effects of long-term testosterone therapy on anthropometric parameters in hypogonadal men. The study found that weight, waist circumference, and BMI decreased in men receiving long-term testosterone therapy and increased with advancing age in untreated hypogonadal controls. The second study looked at the effects of finasteride on young men with androgenic alopecia. The study found that all eight patients had corporal erectile tissue fibrosis, which led to drug-induced erectile dysfunction.

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A user has been treating hair loss with finasteride for two years without success and is experiencing an itchy scalp with seborrhea. Despite low DHT levels, they are still losing hair, suggesting that DHT might not be the main cause of their hair loss, and they are considering other treatments or causes.

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Dutasteride and finasteride may temporarily affect semen quality but are unlikely to cause permanent infertility. The Kim et al. study is criticized for poor methodology, and many prefer hair retention over potential fertility concerns, using treatments like dutasteride, finasteride, and minoxidil.

community (MTF 35) Results of 18 Months of HRT

in Transgender 772 upvotes 2 months ago

A transgender woman experienced significant hair regrowth after 18 months of hormone replacement therapy (HRT) with estrogen and bicalutamide. The discussion notes HRT's effectiveness for hair regrowth but warns against its use for cisgender men due to feminizing effects.

community Interesting new publication suggesting that MPB should be assessed as a early warning sign for type-2 diabetes.

15 upvotes 8 years ago

Male pattern baldness (MPB) may be an early warning sign for type 2 diabetes due to its association with insulin resistance. Treatments discussed include testosterone therapy and finasteride, which affects hormone levels related to hair loss and insulin sensitivity.

community 100 Day Progress & Managing Realistic Expectations (FTM 24)

in Progress Pictures 96 upvotes 2 months ago

A trans man experiencing hair loss after starting testosterone treatment has seen positive results using topical minoxidil and finasteride, though his hair remains thin. He is considering continuing his current treatment and exploring additional options like microneedling and Breezula, while acknowledging the impact of testosterone on hair loss.

community 7 months update - 1 mg fin, topical min

in Progress Pictures 736 upvotes 2 years ago

A user's 7-month progress using 1 mg finasteride and topical minoxidil, with no side effects from the finasteride, achieving baby hairs on the hairline and other positive results. Other users have discussed different treatments such as microneedling and supplements, providing advice and encouragement to the poster.

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