Continual Worsening over 8 years (esp. after COVID19)

Welcome to our community. Please fill in the following template as a way of introducing yourself, and helping others to understand your background and situation.

Where are you from (country)?
Austria

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 - Post Finasteride Syndrome

What is your current age, height, weight?
37, 182cm, 64kg

What specific drug did you use (finasteride, dutasteride, saw palmetto, isotretinoin/Accutane, fluoxetine, sertraline, citalopram, leuprorelin, etc…)?
Finasteride

What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)?
1.25 mg/day every day

What condition was being treated with the drug?
Hairloss (in retrospect likely caused by having taken Accutane prior) - it didn’t actually help my hairloss

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

Date when you started the drug?
19.04.2017

Date when you quit the drug?
22.10.2017

Age when you quit?
29

How did you quit (cold turkey or taper off)?
Cold Turkey

How long into your usage did you notice the onset of side effects?
On the first days, massive pain in my testicles for a day or so.
After 5 months undeniable Gynecomastia and secretion of fluids out of my nipples which made me stop.

What side effects did you experience that have yet to resolve since discontinuation?
During the treatment: Erectile Dysfunction, Gynecomastia - but many more have started since

Check the boxes that apply. You can save your post first, then interactively check/uncheck the boxes by clicking on them. If your symptoms change, please update your list.

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

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

Physical
[ ] Penile Tissue Changes (narrowing, shrinkage, wrinkled)
[X] Penis curvature / rotation on axis
[X] Testicular Pain
[ ] Testicular Shrinkage / Loss of Fullness
[X] Genital numbness / sensitivity decrease
[ ] Weight Gain
[X] Gynecomastia (male breasts)
[ ] Muscle Wastage
[X] Muscle Weakness
[ ] Joint Pain
[ ] Dry / Dark Circles under eyes

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

[ ] Other (please explain)

What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug?
Various behavioral changes (5+ years of Psychotherapy, trying to work out more).
Menagerie of Supplements (ALCAR has made the biggest difference but the positive effects seem to have gone away).

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 have a single CBC blood test pre-finasteride, which clearly shows that my lymphocytes have permanently dropped by 10% (moving to ~22%, below range) and my Neutrophiles have permanently been raised by 15%. - Moving my NLR from 1.40~ to 2.80~. Absolute counts for both remain within range.

This holds for every single blood test I have taken directly after I stopped finasteride until today.

Hormon-wise I have no pre-drug hormone panel, however post-drug it persistently shows (multiple hormone panels):

High Testosterone (8.89 ng/ml (+) [2.50 - 8.40])
High SHBG (61.7 nmol/l (+) [18.3 - 54.1])

Anything not listed in the above questions you’d like to share about your experience?
No

Tell us your story, in your own words, about your usage and side effects experienced while on/off the drug.
On the first few days I had massive testicles pain which subsided afterwards.
I was told by my Dermatologist that this is likely due to a Varicocele, so I visited an Urologist who claimed to find one (my dad also had one, however none of the symptoms I ever had) - 8 years later Urologists claim I don’t have a Varicocele.

Eventually I developed Gynecomastia, but I was in denial about it until I started excreting a fluid out of my nipples. I also lost the ability to have erections. My Dermatologist ignored all of these side effects and did nothing, I then stopped cold turkey myself.

My erections came back stronger for a bit then mellowed out, the first years after Finasteride, as far as I remember, I still had good penile sensitivity and pleasurable orgasms.

From there on over years many psychological symptoms would arise, that I predominantly misattributed to ADHD (since I was born with ADHD).

Quite soon after Finasteride I had suicidal thoughts for the first time in my life and sleep issues.

My condition just gradually has been worsening ever since, especially since having had COVID19 for the first time.

I now suffer from:

  • Almost permanent brain fog, I struggle to do simple math calculations in my
    head.

  • Starting 2 years ago (since I first had COVID19) parasthesias (tingling) in
    both my hands and feet that came and went

  • Over the last 3 years or so reduced bodily sensation (not only penile
    sensitivity) - reduced smell/taste.

  • Unrefreshing sleep (I can sleep 8-10 hours since optimizing my sleep routine
    and I always wake up unrefreshed and “hung over” - I’ve stopped dreaming)

  • Tinnitus on both ears, which gets louder during stress/overstimulation

  • Extremely low stress tolerance

  • Emotional blunting

  • Hypersensitivity to stimuli - noise and too many audio/visual input “lock me
    down” and I become unable to do much of anything

  • Vision changes (Dry Eyes, Blurry Vision) - I have been using Hylo Gel for my
    eyes regularly

  • Dry upper lip

  • My beard has thinned

  • My ADHD medication (low-dose Vyvanse) has stopped working

  • Itchy forehead under stress

After Finasteride I had mostly sexual and depression-like symptoms that were manageable, I mostly focused on working instead of relationships.

Along with COVID19, I now seem to have Dysautonomia/Neuropathic issues including brain fog that severely limit my ability to be productive.

I stronly suspect a link between my PFS having been worsened by COVID19 - Doctors don’t see a “classic” Long-COVID19 progression and all the symptoms I now have seem to also be linked to PFS.

Self-reporting template - ONLY USE FOR FUTURE POSTS TO REPORT ANY TRIALS OF TREATMENTS, NOT YOUR INITIAL MEMBER STORY

  1. Name of the therapy/substance:
    • Dosage:
    • How often you took it:
  2. Status
    • Still using [ ]
    • Stopped with no lasting change to initial symptoms [ ]
    • Stopped with persistent change to symptoms [ ]
  3. Duration of use: Days [ ] Months [ ] Years [ ]
  4. Response when you started:
    • Greatly improved [ ]
    • Slightly improved [ ]
    • Stayed the same [ ]
    • Slightly worsened [ ]
    • Greatly worsened [ ]
  5. Current response (if you’re still using the therapy/substance) OR Response in the time before you stopped the treatment
    • Greatly improved [ ]
    • Slightly improved [ ]
    • Stayed the same [ ]
    • Slightly worsened [ ]
    • Greatly worsened [ ]
  6. Lasting changes to initial symptoms after cessation (if you have stopped for more than 3 weeks)
    • Greatly improved [ ]
    • Slightly improved [ ]
    • Stayed the same [ ]
    • Slightly worsened [ ]
    • Greatly worsened [ ]
1 Like

Just an update, I now suspect that ALCAR has made my penile tissue worse / has accelerated/caused Peyronie’s for me.

I think I have mistaken the tingling feeling that I got from it in my genitals as “my nerves regrowing” - when in fact it caused inflammation which I’m now paying for.

Could’ve developed without ALCAR as well, but I strongly suspect it.

For sure it did not improve anything.
(Been taking it for months, recently stopped and seem “stable” now)

Just a warning from my experience.

2 Likes

I was going to try ALCAR but I guess I’ll cross that off the list. Have you tried another stimulant based ADHD medication? I used Concerta for years before PFS. I’ve considered trying that again so I can derive dopamine from more than a bag of chips.

@tiredofthispostfin

Someone before here (or on reddit) said they tried ALCAR and crashed from it, having worsening penile pain and shrinkage and eventually recovered over months.

Others say it helps them - I never crashed from it, it just seems to cause some sort of inflammation in my penis that I mistook for some sort of a positive effect - I took it for months continuously.

There’s really no way to tell ofc. if you’d crash from it or not - it’s a risk.
Somewhere I read that it helped someone ditch LDX, so apparently it can have quite some positive effects as well.


I have an ADHD diagnose since birth, was unmedicated for the longest time (wasn’t fun), eventually was doing great on LDX for some years, which eventually stopped working (I’m still heartbroken about it) and now it only makes things worse. I take a bit of Ritalin 5-20mg / 1-2x on many days and that’s what works best for me atm. as it’s short lived and I value that atm. to budget energy expenditure and still get some feeling of sunshine every now and then.

Do you suffer from anhedonia? Wondering if Concerta could help with mine. I’m so desperate to feel positive emotions again.

Do you suffer from anhedonia? Wondering if Concerta could help with mine. I’m so desperate to feel positive emotions again.

I have tons of Anhedonia since my Finasteride usage, yeah.

Stimulants initially helped me move out of this - but e.g. if I’m in PEM (like I am currently, because I did too much physically and had too much stress) - then there is no sunshine, period - the only thing that helps is letting go and reminding myself that this is not a persistent state and that I will be out of this if I calm and rest as best as I can.

I got Pregabalin prescribed the other day and currently am slowly trialing it.
(Going up slowly from 25x2 to 75x2 per day in +25mg steps every 3 days, 1-0-0-1 for 3-4 weeks then continuously phasing it out over 2 weeks to carefully prevent withdrawal symptoms).

One pet theory of mine around Allo, is that PFS (Allo reduction), chronic stress (also reduces Allo) + Stimulant usage (additional multiplier of stress) and possibly LongCovid (still have no diagnose, but is a known cause of consistent Sympathetic activation) put me in Sympathetic Overflow and Gabapentinoids can possibly reset Sympathetic tone persistently over some period if there’s no underlying endocrinological etc. issues.

Of course I likely do have underlying endocrinological issues (at least a subtype of ADHD might correlate with low Allo to begin with + Finasteride messing it up even further), but I’m willing to give it a try.

Am also still awaiting results from Zitzmann (Endocrinologist/Andrologist specializing in PFS) to check if there’s some hormone therapy I can trial - we’ll see, but I’m not particularly hopeful in that area - as every time I checked my hormones previously, I never had something looking super off - high SHBG aside (which could also be genetic) and I’ve never read of a case where someone got their SHBG in check and then their [PFS] Symptoms got significantly better.


I also got a prescription for Brintellix but I’m not yet willing to risk PSSD.

1 Like

That’s interesting

Pregabalin has significantly helped with Tinnitus, I’m currently strongly suspecting Small Fiber Neuropathy (SFN) - which was reported on this board as a cause of PFS as well (1 2 3).

There also seems continuing interest as more and more cases of Post-Covid SFN occur and are researched - e.g.: https://pmc.ncbi.nlm.nih.gov/articles/PMC11343176 which links Post-Covid SFN to disimmunity but mentions that in many cases there likely have been underlying risk-factors that Covid then pushes over the edge.

Considering that, it wouldn’t surprise me if PFS has the potential to be such a setup to end up causing SFN.

In either case, I’m currently with a neurologist with whom I’m attempting to get a skin biopsy to objectively diagnose SFN or not.

Curious what will come from this. Is there even a cure for SFN or just symptom management? I’d have this tested, but I honestly don’t feel like giving doctors my money anymore lol.