Finasteride intake results in loss of sex drive, small penis, erection problem, etc. Please help.

Hello,

Welcome to icliniq.com.

I read your query and understand your concerns. First of all, I like to assure you that there are multiple treatment options available for Finasteride-induced sexual dysfunction, and there is a little to worry about. Before I proceed to recommend any treatment, I request you to provide the following details. What do you mean by shattered me as a man? Do you mean the problem with erection, ejaculation, desire, or a combination of them? How did it start? Whether it was of sudden onset or gradual onset? How it progressed over the last four years? Whether the problem remains the same or worsened or improved to some extent? When you had the last satisfying and successful intercourse? What number of sexual encounters were satisfactory in the last three months? Do you get early morning erections? If yes, how frequent and intense are they? If no, how long are you not getting early morning erections? Do you have any medical or psychiatric illness (if yes, details of each)? Are you taking any other medication? If yes, details of each user in the past or present. Attach any new reports if available as this report is around two years old and holds a little value.

Hello,

Welcome back to icliniq.com.

First of all, I like to inform you that the current problem can be attributed to two factors. Prescription of Finasteride and its action on testosterone metabolism pathway. Stress of losing manhood and absence of appropriate help despite the passage of four years (you can call it chronic stress). The condition can collectively be called Post Finasteride Syndrome (PFS), a little known but hotly debated condition persisting after three months of Finasteride discontinuation. The available data is plenty, but contrasting information is also available. Regarding PFS treatment, I often recommend the use of Tadalafil 2.5 to 5 mg plus Dopamine agonists (Pramipexole 0.25 mg to 0.75 mg) daily. Although the response varies from person to person, most of my patients show good improvement. Add-on therapy with antioxidants often helps the remaining patients who show limited or no response using Tadalafil and Dopamine agonists. I hope this helps.