3 doses of finasteride

Where are you from (country)?
UK

How did you find this forum (Google search – if so, what search terms? Via link from a forum or website – if so, what page? Other?)
Google search - Finasteride side effects

What is your current age, height, weight?
33 years old
179cm
88kg

What specific drug did you use (finasteride, dutasteride, saw palmetto, isotretinoin/Accutane, fluoxetine, sertraline, citalopram, leuprorelin, etc…)?
Finasteride (I was also using topical tretinoin at the time, but I don’t think this caused issues as I had been using it for a while prior without issue.)

What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)?
0.25mg one day, 0.05mg about 3 to 4 days later, then 0.04mg 3 days later. That was all.

What condition was being treated with the drug?
Male pattern balding

For how long did you take the drug (weeks/months/years)?
3 doses

Date when you started the drug?
October 2025

Date when you quit the drug?
October 2025

Age when you quit?
33

How did you quit (cold turkey or taper off)?
It ended up being a taper. After taking my first dose, I read more about finasteride and saw that it could suppress DHT even at very small doses. I also came across reports of severe side effects, which made me think that lowering the dose might help me avoid them. I had heard of some side effects before, but not to the extent of a lot of them here. Unfortunately, I still developed side effects after my third dose, so I stopped taking it then.

How long into your usage did you notice the onset of side effects?
3rd dose

What side effects did you experience that have yet to resolve since discontinuation?
All that I listed below

Sexual
[:heavy_check_mark:] Loss of Libido / Sex Drive
[:heavy_check_mark:] Erectile Dysfunction
[ ] Complete Impotence
[:heavy_check_mark:] Loss of Morning Erections
[ ] Loss of Spontaneous Erections
[:heavy_check_mark:] Loss of Nocturnal Erections
[ ] Watery Ejaculate
[:heavy_check_mark:] Reduced Ejaculate
[:heavy_check_mark:] Inability or Difficulty to Ejaculate / Orgasm
[ ] Reduced Sperm Count / Motility

Mental
[:heavy_check_mark:] Emotional Blunting / Emotionally Flat
[ ] Difficulty Focusing / Concentrating
[ ] Confusion
[ ] Memory Loss / Forgetfulness
[ ] Stumbling over Words / Losing Train of Thought
[ ] Slurring of Speech
[:heavy_check_mark:] Lack of Motivation / Feeling Passive / Complacency
[:heavy_check_mark:] Extreme Anxiety / Panic Attacks
[:heavy_check_mark:] Severe Depression / Melancholy
[:heavy_check_mark:] Suicidal Thoughts

Physical
[ ] Penile Tissue Changes (narrowing, shrinkage, wrinkled)
[ ] Penis curvature / rotation on axis
[ ] Testicular Pain
[ ] Testicular Shrinkage / Loss of Fullness
[:heavy_check_mark:] Sensitivity decrease (Moderate)
[ ] Weight Gain
[~] Gynecomastia (No development yet, but tingling nipples)
[ ] Muscle Wastage
[ ] Muscle Weakness
[ ] Joint Pain
[ ] Dry / Dark Circles under eyes

Misc
[ ] Prostate pain
[:heavy_check_mark:] Persistent Fatigue / Exhaustion
[ ] Stomach Pains / Digestion Problems
[ ] Constipation / “Poo Pellets”
[ ] Vision - Acuity Decrease / Blurriness
[:heavy_check_mark:] Tinnitus (ringing or high pitched sound in ears)
[ ] Hearing loss
[ ] Increased hair loss
[ ] Frequent urination
[ ] Lowered body temperature

Other (please add)
[:heavy_check_mark:] Loss of hunger

What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug?
None, it doesn’t look like there’s any reliable / universal treatments? I am just going to try and live a healthy lifestyle for now and look into if diet can have an impact.

If you have pre or post-drug blood tests, what hormonal changes have you encountered since discontinuing the drug (please post your test results in the “Blood Tests” section and link to them in your post)?
I’ve got some blood tests booked in with my doctors. Once done I will post the results to the forum.

Anything not listed in the above questions you’d like to share about your experience?
N/A

Tell us your story, in your own words, about your usage and side effects experienced while on/off the drug.
Nothing to add. I took finasteride for hair loss, got side effects as listed and here I am.

SYMPTOM UPDATES:
3rd Nov 2025…

  • Dulled sensation in palms, fingertips, feet, and scalp (noticed when scratching).
  • Abs remain constantly tense. I can relax them slightly if I focus, but they quickly tighten again when I stop paying attention.

4th Nov 2025…

  • Bodyweight dropping fast, down 2.9kg (6.4lbs) in five days. PFS has shut off my appetite but I’m still trying to eat enough.
  • The reduction in sensitivity in my palms, fingertips, feet, and scalp remain.
  • Penis sensitivity mostly returned to the head in the morning but dropped to around 10% by evening. Complete loss of shaft sensitivity.
  • Zero libido and full ED even with attempted manual stimulation.
  • Penis looks smaller, reduced blood flow?
  • Balls / groin has been slightly aching today and have mostly been pulled close upto my body.
  • Chest tenderness has worsened.
  • One plus, my anxiety is lower than yesterday so far; hoping it stays that way when I go to bed, as lying down and closing my eyes to sleep usually worsens it.

5th Nov 2025…

  • Constipation since last night. I still haven’t been able to go despite eating a tin of prunes about 8 hours a go.
  • My body looks noticeably softer. I’ve always been muscular and in good shape from regular exercise and a physical job, but now I seem to be holding water and looking puffy.
  • A dull aching sensation has started in my cheeks for some reason.
  • Chest and nipple tenderness has increased.
  • The ache in my groin has worsened. To clarify, it’s not the testicles themselves that’s worsened, but close to them.
  • Feeling a huge amount of regret and depression today. I don’t feel this is a direct symptom of finasteride like the rest, but more due to the situation I’m in.

I’m not going to do any more updates as things are changing rapidly it seems, for the worse. If there are any drastic or alarming changes I will probably add a new comment to this post instead.

Yes SSRI and Accutane usage is relevant. SSRIs can cause PSSD and Accutane can cause PAS. Not everyone gets these though and that’s what makes these class of meds a dice roll.

Serum DHT levels do not represent tissue DHT levels but it’s still worth getting a hormonal panel done.

Crashwaganda is rumored to act on serotonin and can unfortunately cause a syndrome similar to PSSD.

I can relate to this. My sexual symptoms are devastating but the relentless anxiety, anhedonia, and sleep disturbances drive me insane. Not medical advice but Ramelton may help. It’s a melatonin antagonist.

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Of course, no problem. In the early stages, I knew I had PFS but was doing alright because I did not have anhedonia. Anhedonia makes dating impossible but it’s definitely possible without it. I’m living proof of that even if you have ED. Women can be understanding if you’re unfront, even if they don’t understand the severity of the situation.

I’ve personally avoided benzodiazepines and zolpidem (baby brother of benzos for sleep) but I can understand for sleep and silencing the anxiety. I can almost promise you if you can get rid of the emotional blunting/anhedonia that the other symptoms will improve (especially sleep).

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You’re not being negative, even if it feels like it. There is really no way to sugarcoat anything more than mild PFS. When I crashed I noticed a bunch of strange things too. I would look in the mirror and I could feel stuff happening on the inside, yet I couldn’t see it visually at that time. Something just felt amiss 24/7. New symptoms would pop up in place of old ones. You can actually feel like you are worsening for quite some time, but it’s extremely like you settle at a baseline and have some symptoms improve.

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you probably won’t deteriorate much more, this is your new normal however. at least that how it went down for me, 2 months of decline and now 1+ year in that has become my new “normal”.

it’s kinda unbearable at times, but there is only one way out and it ain’t pretty…

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the skin thing hit me about 2 months in, overnight my skin became strecthy and loose, and took on this weird texture, it’s also very dry and flaky not oily like pre pfs

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doctors are useless for this, and frankly a lot of other diseases, they cant cure shit

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I’ve had watery and reduced semen volume since I got PFS after two pills of finasteride. When ejaculating a month ago that introduced additional physical sexual issues.

I can fully relate to the sexual dreams. The waking up from them is like torture. I’ve had occasional nocturnal emissions from them but the volume is very low.

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Obviously this affects everyone differently but I haven’t had any issues with food but I’d try to not obsess over what food you consume. If possible, just try to eat cleanly. Getting a stool test may be a good idea to see your microbiome in your gut.

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I used to exercise and had a physique to be proud of. When PFS hit I didn’t have the strength or frame of mind to exercise and in 9 months I gained 100 pounds. It’s been 6 years I still have not been able to take it off. Don’t let this happen to you! This weight gain is as depressing to me as the original PFS was. I don’t post as often as I used to, frankly because everything seems so hopeless. Just a word to the wise my friend: don’t gain weight, you may never shed it! … Jim

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I can relate this to this. Dopamine binge eating to cope with anhedonia has to led to me gaining 10 pounds. It seems to be building up on my waist like I’m being feminized. Good times, what a wonderful drug for hair loss. I remember seeing @Toughluck24 mention this in an interview one time and I’d hope I would not get this symptom.

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the problem with pfs “recovery” is that you can easily be plunged back to square 1 if you mess up with wrong supplement, medication, hygiene product, food etc list goes on.

that is the scary part…

there is definitely a strong link between fapping and crashing, every time i do it my symptoms get way worse for like 2 days

Masturbating to completion perma worsened my sexual symptoms and introduced new ones

but then again what is the alternative to never jerk off again…

this is the ultimate nightmare condition man, either your dick stops working completely or fapping makes your other symptome 10x worse

Yeah it’s a fucking nightmare that we desperately need to escape

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im convinced this disease is progressive, ive also noticed some symptoms like skin etc get worse and worse