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community Reduced libido + almost no morning erections after 1.5 years of topical finasteride + minoxidil — should I stop finasteride?

72 upvotes 1 week ago

A user experienced reduced libido and fewer morning erections after 1.5 years of using topical finasteride and minoxidil for hair loss. They are considering stopping finasteride due to these side effects and are seeking advice on whether their libido will return to normal and if minoxidil alone will maintain their hair density.

community Fin nuked my libido to below zero

141 upvotes 1 week ago

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

community Is Finasteride the only way to reduce scalp DHT?

28 upvotes 10 months ago

A 24-year-old male experienced side effects like low libido and ED after starting finasteride post-hair transplant and is seeking alternatives to reduce scalp DHT. Suggestions include topical finasteride, Xpecia, DHT-reducing shampoos, and switching to dutasteride, with some users reporting fewer side effects with these alternatives.

community "nuked libido" does that mean 0 erections or just less horny?

5 upvotes 1 week ago

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.

community So does creatine boost libido, since it raises DHT?

4 upvotes 8 years ago

Creatine may not significantly boost libido despite potentially raising DHT levels. Finasteride reduces DHT and may affect libido, but individual experiences vary.

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Research

5 / 1000+ results

research Finasteride, 1 mg daily administration on male androgenetic alopecia in different age groups: 10-year follow-up

44 citations , July 2011 in “Dermatologic Therapy”

This study found that finasteride 1 mg was effective in improving androgenetic alopecia over 10 years in men, particularly those older than 30, with some reporting beneficial results even after 5 years.

research The post-finasteride syndrome: possible etiological mechanisms and symptoms

3 citations , September 2023 in “International journal of impotence research”

The authors concluded that finasteride and dutasteride might have serious side effects, including persistent sexual dysfunction for some, necessitating further research and vigilant risk-benefit analysis.

research Male Sex Hormones in Andrology Today

1 citations , October 2022 in “Springer eBooks”

This review discusses the roles of hormonal pathways in regulating male sexual function, particularly highlighting the impact of testosterone, and reports no new research findings.

Self-Referred Late-Onset Hypogonadism Hypothesis and Testosterone Replacement Therapy in Major Depressive Disorder Under Polypharmacy: A Case Report

research Self-Referred Late-Onset Hypogonadism Hypothesis and Testosterone Replacement Therapy in Major Depressive Disorder Under Polypharmacy: A Case Report

February 2026 in “Cureus”

This case report highlights the complexity of diagnosing and treating late-onset hypogonadism in a patient with major depressive disorder, suggesting parallel evaluation of symptoms, medication effects, and shared diagnostic planning.

Does Propecia Cause More Harm Than Good: Assessing Reproductive and Non-Reproductive Effects of Finasteride on Male Health

research Does Propecia Cause More Harms than Good: Assessing Reproductive and Non-Reproductive Effects of Finasteride on Male Health

June 2024 in “Georgetown medical review”

This article evaluated evidence on finasteride's effects on male reproductive health, finding contradictory data about its adverse effects, but consensus that such cases are infrequent in research and clinical settings.

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learn Overview

learn Osteopontin

signaling protein that, when suppressed, may grow hair by reducing inflammation and stem cell loss

learn Cetirizine

How does cetirizine reduce inflammation linked to hair loss? Cetirizine is proposed to lower prostaglandin D2 and raise prostaglandin E2 around hair follicles; three small trials of a compounded 1% topical report modest increases in hair density and shaft thickness, with minoxidil doing better head-to-head. Topical cetirizine is off-label and unapproved for hair loss, and the evidence is too thin to call it effective or safe.

learn Folic acid

Can folic acid help reduce hair loss in men and women, and how should it be taken? Correcting a confirmed folate deficiency is reasonable, but no published trial shows folic acid supplementation reduces hair loss on its own; the evidence is a few small observational studies and reviews that call for proper trials.

learn Ginkgo biloba

Can ginkgo biloba reduce scalp inflammation that contributes to hair loss? Ginkgo biloba may help reduce scalp inflammation, potentially benefiting hair loss.

learn Hyaluronic Acid

Can hyaluronic acid help reduce scalp irritation from medical treatments like minoxidil? Yes, hyaluronic acid can help reduce scalp irritation from minoxidil.

learn Niacinamide

Can Niacinamide help reduce scalp irritation or dandruff? Niacinamide may help reduce scalp irritation and dandruff by improving skin barrier function.

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