I am experiencing erectile dysfunction and low libido after taking Finasteride. Kindly help.

Hi,

Welcome to icliniq.com.

Low libido can happen with Finasteride. You must be aware that some people report sexual symptoms even after stopping Finasteride. The rise in estradiol is surprising, and it may or may not be due to Finasteride. The other changes in SHBG (sex hormone binding globulin), testosterone, free testosterone, and FAI (free androgen index) can be either way. And the changes in these hormone levels are not significant and do not directly cause sexual symptoms. I recommend stopping Finasteride and switch to different medicine for your hair loss. Before starting Finasteride, did you have depression or any sexual dysfunction?

Thanks.

Hi,

Welcome back to icliniq.com.

I want you to understand the following;

1) Your estradiol levels are not too high. Your laboratory gives an upper limit of 130 pg/mL, whereas the normal range may be up to 146 pg/mL.

2) Estradiol is not causing low libido. Usually, men need estradiol to maintain libido. So medications to decrease estradiol may be counterproductive for you.

High estradiol associated with low testosterone will cause ED (erectile dysfunction). Men on testosterone therapy can develop gynecomastia if estradiol levels are high. In such people, we give medicines like Anastrozole to bring down the estradiol level. But for you, the predominant symptom being low libido, I will not recommend that. Since you developed symptoms of low libido, which is a concern for you, I suggest you stop Finasteride and switch to alternative medicine.

Regards.