Update on my long term use of finasteride, reference post #25, March 3, 2015, for alopecia. (Propecia, by Merck, or, since 2009, the
generic finasteride.
After using finasteride 1mg to 1.25 mg from May of 1998, daily, I quit all use in July of 2015. As I stated in post #25 on this thread,
my two major hair transplants, by a well known American Medical Association Board Certified, Dermatologist, and, Skin Cancer M.D.,
who performed both surgeries, (May 1997) and (June 2001), retired, in the year, 2005, but, he introduced me to either Propecia, in
the year 1997, about 4 months after my first successful hair transplant, for significant male pattern baldness, at age 44.
Why did I quit? I have always had a high sex drive, (libido), I'd say from age 16/17, until, at least age 50. I started Propecia, a
expensive drug, not on my insurance formulary ever, nor was two separate, out of pocket, surgeries, of $5,000.00 each, terms cash.
I shopped around from Beverly Hills M.D's to Atlanta M.D's, (the latter, "Bosley Medical Institute" back in the mid 1990's, who had
offices, in over 26 USA cities, and often used to run "infomercials" late at night on Cable TV.
I chose a referral from my trusted hairdresser at the time, and, even met, one of my hairdresser's patients, who, was 5 yrs older than
me, who, had 3 successful transplants, and a head of hair, like a 20's rock star. I will not further digress on the process of a hair
transplant, only that the 4 to 5 hour operation, each time, painless, with narcotic drugs, and, with, local injections of liquid numbing
agents, to "scalp a rear section of one's natural hair, and each follicle, is individually transplanted, into, the common, area where,
male pattern baldness, starts, with the assistance, with the M.D, of at least two RN's. It takes, a deep desire for change, to do this, as,
the aftercare, is rather slow, it took me, as projected, about 6 months, to see noticeable results, of about 1/2 inch of growth, per month,
after the first 60 days of each operation. It boosted my self esteem a giant leap, over time! I declined a 3rd transplant, due to the
enormous expense, and, the 3rd suggested one was not for male pattern baldness, but, was suggested, for some beginnings, of some
simple hair loss, near the forehead, that, I learned to live with, with ease.
Why did I quit 17 years use of finasteride? I gradually noticed, a irregular, but, modest decline in my sex drive, after my 2nd divorce,
at age 57. I went from stages of being very horny, to, the opposite, in my mid 50's, and, I can now look back and state, with clarity,
that, my entire sex drive, "male sexual dysfunction" including the A to the Z, including a significant libido drop, a loss in sustaining a
erection, a decreased climax, and, most importantly, a complete loss, just in sex desire, I define as libido, began, at a fast tempo,
around age 60, and by age 63, in only 3 years, I lost 100% desire for any sexual relations, to be crude, "never getting horny again,
after my early 60's, even around females, in excellent physical condition, a full 20 years younger than I am. .
I began, not intentional, but by accident, reading online about, many males, ages range late 20's to late 40's, having, significant,
problems with "male sexual dysfunction" mainly, impotence, and, loss of interest, in having sex relations, within their marriages, or
within their bachelor hood days, within on average, only about 2 to 5 years use of finasteride, 1 mg per day. I read online of the
patent holder, facing FDA attention, to change, the product description, to increase substantially, the risk, by taking Propecia, for
hair loss, with a much higher rate of incidence of lack of ability to gain a erection, loss of libido, decreased climax, and, frankly,
divorce and separation, from married men, from spouses, who were not getting their sexual needs met by their male spouses....
the alarming thing, was, the age group, should have been around their prime of sexual drive, late 20's even into their late 40's..
Don't believe me? go to the link
www.pubmed.com or pubmed.net, or,
www.medscape.com and begin reading official medical
reports, from studies, not biased studies by the patent holder, but, by independent researchers, with, a alarming rate of males,
having significant issues, with male sexual dysfunction. "it does not say 100% of males experiences impotence, but, it does
give rise to a much higher rate than 1 per cent of males with issues, more like, 10 to 30+ percent or more.......I do not have
a referenced source at the moment to give out, but just google finasteride, and, or, Propecia, and male sexual dysfunction, and
you will get many "hits".
The most alarming fact, is that follow up studies, of men, average age around 40, with a standard deviation of + 2 years to
- 2 years, showed, that, legit study groups with males, who never, ever had any issues with their sex drive, before taking
finasteride, for alopecia, (the drug itself, is excellent in stopping hair loss, and, in fact, in a strong minority of cases, increases
hair growth) not the issue........"These males in groups of hundreds from multiple countries, about 50% never had their sex
drive return to even near normal, with follow-up studies, for sure, of at least 3 years of non use of Finasteride (Propecia) in the
USA, other trade names, in other modern industrialized countries around the globe!!! The last I read, some years ago, Merch &
Co, the patent holder for Propecia (Finasteride) had dozens, if not hundreds of lawsuits, from former patients who used Propecia,
for alopecia, who, were entangled in lawsuits, against Merck, in the USA, for not making clear the somewhat high risk of male
sexual dysfunction, to impotence, due to this drug. (citation needed)
It is too late for me, at my age, to find a remedy, as I see it, the side effect damage has already been done for years. Perhaps, my
"original use of ethical reasons for the opiate Percocet, did not help, but with the low doses I took, until, only, 3 years ago, upgrading
to binges on OC extended release, was, after, my entire loss of sex drive, by the year 2014, perhaps abusing OC20's, in my mid 60's.
The big issue, is that 3 month follow up's to 3 year followup's in men ages, late 20's to their 50's, showed "no return to previous
levels, of a healthy, sex drive", (libido), desire for sex, healthy erections, fulfilling male climaxes, were found in a significant population
of males who stopped using any finasteride. I do not have the, source, but, the FDA demanded a product, revision to these dangers,
and, I think I read, where, there were fines, or lawsuits, and, there was chit chat of a class action lawsuit, for the victims of the side
effects of finasteride, used for alopecia. The message, I got was a significant minority, of males, never got their former sex drive,
re-established. That hit me, very hard, psychologically.
I even had my Primary Care Physician, at my age 60, for the next 4 years to prescribe me expensive 100 mg of Viagra, and, later,
20 mg of Levetra, each for one years of use, ages, 62, and age 63, with, the vast majority of the time, no results in obtaining a
erection. Two trips, one to Amsterdam Netherlands, (red light district), and a earlier year, in my early 60's, to, Puerto Vallarta,
Mexico, to houses of prostitution, with females, half my age, I failed to perform, even with ED drugs !!!
I have been married twice, and, have counted at least 24 different opposite sex, female sex partners, from my teen's to around
age 30, and then two marriages, with, females, also with a high sex drive, that tied me up during most of my 30's, 40's, and up
to my mid 50's. I never had a problem with male sexual dysfunctiion, except, on some rare occasions, when I was too
intoxicated on booze, to maintain a erection, all before the age of 30.
I have physicals every year, since around age 50. My PSA count is unusually very, very low like, 0.04 percent, when, the average
PSA count for males in their 50's is usually around a 2.0 to a 2.5. I had a testosterone count done, in July 2015, and again, in
August of 2016, and, my lab results, were in the wide "normal range, but, were barely, inside, the normal range, for a 60 to 69
year old male, USA statistics, normal range (level) is from, 348 to 1,197 (ng/dL) My Testosterone Level was a 382, thus, my PCP
report, on forty tests on my blood sample, 6 months ago, showed, "i was technically in the normal range".
A 2nd test, with another medical group, the national "Lifeline Community Healthcare" showed a PSA count of less than 0.6 with a
reference range, from 0.0 to 4.0 mg/mL. (as a general statement, a low probability of prostate cancer) and, a Lab Corp report,
showed, by the same healthcare group, gave me a total testosterone level of 456 ng/dl (Reference range 348.0 to 1197.0) in
August of 2015, thus, considered, "normal".
I quit using finasteride, now, for, 18 months in a row, and, I see zero improvement in my libido, (sex drive), in other words, I never
get "horny" anymore. this has been the case, for at least the past 5+ full years in a row. I have been sexually abstinate, since, Feb
of 2006, that has been 10.5 years ago.
My only confession of self medicating, was, 6 months after my last Divorce, Oct 9, 2007, at age 57, when I was as horny as, any
18 to 24 year old, I began using, a low dose daily, of the narcotic analgesic, generic Percocet, size 5/325 tabs, taking 1/2 pill per day,
from age 57 for the next, 7 years in a row, never exceeding over 1 full tablet per 24 hours, with one exception, I took 4 tablets in
a 24 hour period, due to a Santa Fe New Mexico heat stroke, to avoid going to ER, and, I thought I was having a heart attack, the
pain was so intense, for about 24 hours. My DX at age 57, was, Plantar Facititis. Urgent Care, and my PCP would not dispence but
15 tabs twice on a one shot deal, so I procured, my supples of Mallincrodt generic 5mg oxycodone with 325 mg of APAP, thru, a
high school buddy, who had a long running prescription, for these pills, for exposure to Agent Orange in the Vietnam conflict, giving
him bladder cancer. He survived, and, no longer takes any oxycodone, thus, my Oxy source has been gone from this source, for
nearly 3 years. I do get on binges, about, 4 times a year, that last, from 3 weeks, to, my last binge, on OxyContin 20mg, beginning
in the year 2014, my longest binge, I just completed, lasted 97 days in a row of 20 mg of OxyContin, per day. Otherwise I have
abstained, due to high expense of OC's, for as long as 200 days at a time, most recently Oct 2015 to April of 2016.
I add this "confession" only because, I am aware that opiate users are notorious for having a low to non existent sex drive.
I still have a very full head of hair, but, I feel I paid a huge price for appearance purposes, as, the loss of my sex drive, now, 100%
over 5 years to 7 years ago, I blame the finasteride on, much, much more, than experimenting with Oxycodone, for most lately, a
desperate attempt to resolve, dysthymic disorder, to, progress, to a Major Depressive Episode.
The only other ethical USA pharmaceutical, I take, is 22.5 years continued use, of, either Dextroamphetamine x 10 mg per day, or
in the beginning, Adderall 10mg, x 4 times per day instant release, for DSM-IV 314.00 Attention Deficit Disorder, inattentive type, that
is supplied to me by a USA Psychiatrist, since June 28, 1994 + one 10 mg of Zolpidem tartrate, USA Ambien, outside USA, a/k/a as
Stilnox, or, Ivedal (SA) or Somit (Argentina) all in 10 mg doses for insomnia.