I don´t understand the conclusions. Why is he saying that most of PFS developers were before taking finasteride psychiatric patients like diagnosed of depression and others or have psychiatric family history, genes?
From my own observation on this forum and others most PFSers or simply finasteride siders (we) were normal healthy people before taking finasteride with no relevant medical family history. Is he adulterating the results?
The conclusion is platitudinous. It is obvious that when it comes with psychiatric patients a doctor has to be careful in giving medications which alter hormones and/or treatments that has to do with body image. Hence as he “ingeniously” says it must be weigh pros and cons. However, posible future PFSers are normal healthy young men which are simply worried about hairloss and unfortunately are given finasteride. Most men get worried about hairloss once in life when pre-40, but they usually don´t treat it with this medication.
Am I wrong? It seems like he is taking as pre-existing (before finasteride) personal psychiatric diagnosis what is not. Of course a PFSer is diagnosed of depression if he goes to a doctor, but we were not prior finasteride nor our personality was the same.
Results:
-“57% (n = 97) of men reported a psychiatric diagnosis”—> After finasteride, not before. Isn´t it? So Jacob now has realized that finasteride can cause psychiatric-psychological problems, bravo.
-“28% (n = 27) had a first-degree relative with a mental health disorder”—> If 100% is 170 participants, 27 are not the 28% of total, are 16%. Nevertheless, what do you mean Jacob with mental health disorder? If you take into account some factors 16% sounds understandable. One: If you are not really looking for pre-existing points and read what you want it is obvious that a father, son or brother with PFS can affect his family AFTER having taken finasteride. Two: Even if now he has read pre-existing properly, finding that 16% of people has a first degree relative with any diagnosis of mental illness it is not a big discovery as ADHD, dementia or anxiety are widely diagnosed.
-“Nearly 50% of the men surveyed reported clinically significant depression as evidenced by Beck Depression Inventory score and 34% experienced anxiety on the Beck Anxiety Inventory”—> AFTER again.
-Results provide evidence on the need to screen for psychiatric history and counseling patients about the potential psychological consequences of finasteride. Prescribing clinicians should carefully weigh the risk/benefit ratio with these patients.—> Results don´t provide relevant evidence of PRE-EXISTING psychiatric history in PFS developers. Results say that 57% of PFS sufferers developed psychiatric-psychological problems AFTER taking finasteride. From this 57% group 50% were diagnosed AFTER finasteride depression, 34% anxiety and the rest 9% other aims. The 16% of the participants said they have (pre or post finasteride is not clear) a 1st degree relative with any mental disorder diagnosis once in life like anxiety, a son or brother with ADHD, a parent with dementia… The same % as normal people. What it is clear that clinicians should be aware of psychological consequences of finasteride when prescribing it.