Post-Finasteride Syndrome and Post-SSRI Sexual Dysfunction: Two Clinically Similar Conditions

    November 2023 in “ Frontiers in Neuroendocrinology
    Silvia Giatti, Silvia Diviccaro, Lucia Cioffi, Roberto Cosimo Melcangi
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    TLDR Some people experience lasting sexual, psychological, and sleep problems after using finasteride or SSRI antidepressants, possibly due to similar underlying causes.
    The document discusses the persistent side effects of two drugs, finasteride and SSRI antidepressants, even after discontinuation, leading to conditions known as post-finasteride syndrome (PFS) and post-SSRI sexual dysfunction (PSSD). These side effects include sexual dysfunction, psychological issues, and sleep disorders. The paper suggests that these conditions may share common pathological mechanisms, involving brain modulators, neurotransmitters, and gut microbiota. The role of steroids is also highlighted, as they can affect the nervous system and are involved in the gut-brain axis. The document concludes that more research is needed to better understand these conditions and develop effective diagnostic markers and therapeutic strategies.
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