German, 23 year old, psychology student, PFS-victim

  1. How did you find this forum?
    Via Google search. Terms like “post finasteride syndrome treatments” etc.

  2. What is your current age, height, weight?
    23 years, approx. 1,92m and 98kg

  3. Do you excercise regularly? If so, what type of excercise?
    I do sports almost everyday. Actually, I play football three times a week, and lift weights four times a week. Since the football season is over, I lift weights four times a week, and do a little bit of cardio one or two times a week.

  4. What type of diet do you eat (vegetarian, meat eater, raw, fast-food/organic healthy)?
    Meat eater, but I remember to eat enough vegetables and fruits. Especially at the evening: high protein, low fat and low carbs.

  5. Why did you take Finasteride (hair loss, BPH, other)?
    Hair loss

  6. For how long did you take Finasteride (weeks/months/years)?
    4 Weeks

  7. How old were you when you started Finasteride?
    23 years

  8. How old were you when you quit?
    23 years

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

  10. What type of Finasteride did you use – Propecia, Proscar, Fincar or other generic?
    Propecia

  11. What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)?
    1mg a day, forgot it several times

  12. How long into your use of Finasteride did you notice the onset of side effects?
    At the end of the usage

  13. What side effects did you experience while on the drug that have yet to resolve since discontinuation?

Put an X beside all that apply:

Sexual
[X] Loss of Libido / Sex Drive - Decreased Libido
[X] Erectile Dysfunction
[ ] Complete Impotence
[ ] Loss of Morning Erections - less and less rigid
[X] Loss of Spontaneous Erections
[ ] Loss of Nocturnal Erections
[ ] Watery Ejaculate
[ ] Reduced Ejaculate
[ ] Inability to Ejaculate / Orgasm
[ ] Reduced Sperm Count / Motility

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

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

Misc
[ ] Prostate pain
[ ] Persistent Fatigue / Exhaustion
[ ] Stomach Pains / Digestion Problems
[ ] Constipation / “Poo Pellets”
[ ] Vision - Acuity Decrease / Blurriness
[ ] Increased hair loss
[ ] Frequent urination
[ ] Lowered body temperature

[X] Other (please explain)
Bad sleep (I wake up after approx. 5 hours of sleeping every night); Unable to feel orgasm/Orgasm is not satisfying; Unable to laugh or feel excitement.

  1. What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug?
    I took Maca, Tribulus Terrestris, Arginin and Fish Oil Pills for two months.

  2. If you have pre or post-Finasteride bloodtests, what hormonal changes have you encountered since discontinuing the drug (pls post your test results in the “Blood Tests” section and link to them in your post)?
    I only have post-Finasteride bloodtests:
    Testosterone: normal-high
    FSH 4.9 mIU/ml (1.5-20)
    LH 12.9 mIU/ml (1.5-10) - due to Tribulus Terrestris, I guess
    Estradiol 33 pg/ml (<40)
    Prolactine 13.9 ng/ml (<15)
    DHT 21.7 ng/dl (9.4-47.6)

  3. Anything not listed in the above questions you’d like to share about your experience with Finasteride?
    This drug f***ed up my life.

  4. Tell us your story, in your own words, about your Finasteride usage and side effects experienced while on/off the drug.

Sorry in advance for my bad english.
In January this year, my dermatologist gave me a trial package of propecia to see how it works for me (28 pills), after I told him that I suffer from hair loss. At the end of the usage (beginning of march), I noticed decreased Libido, so I decided to stop taking Finasteride. After quitting, it got worse. I started to have ED, sleep badly and stop to feel orgasm. Over the time, I recognized that I have emotional flat( I could not feel excitement or joy anymore). I went to the first urologist and told him my story. That I took Finasteride, and that I believed, that I suffer from PFS. He decided to make a testosterone-test. He said, it should be at least 2.4, but 3.5 or more is better. My value was 5.82. He said, everything is fine with me and that I’ll sure be okay soon, that it must be psychological, and that he doesn’t think, that I suffer from PFS.
I went to another urologist. He seemed like a very good doctor to me. He took his time to speak with me and listened to me very carefully. As I told him, that I probably have PFS and that I have read so much horror stories about it, he started to laugh. He said: “You see, when I laugh, it is not as bad as it seems.” He prescribed me cialis and told me, that I should take it, If I feel like I need to, but he thinks, that I’m fine and just had some stress and trouble in other departments in my life, and that the horror stories in the internet afflict me. First, I got hopeful and happy. But after a couple of weeks, when it didn’t get better, I felt like “Okay, he is taking me seriously, but not my problem”.
I went to the first urologist again, and told him that my problems didn’t solve and it didn’t get better. I asked him, why no doctor takes PFS serious (meanwhile I had spoken to my family doctor and my dermatologist, too, and neither of them didn’t even know anything about PFS). He said the following to me:
“We prescribe Finasteride for decades now, in five times the dose, and noone has ever come to me and described such problems. Now, PFS is in the media for one or two years, and since then, I see how patients come to me and describe these symptoms. I don’t want to say, there is anything like PFS, but is that not weird? And I have to tell you… Who puts this horror stories in the media? The distributors, producers and retailers of cialis. And I say that as a referee of cialis. I know, there is Finasteride-Syndrome. That is a thing. But Post-Finasteride-Syndrome… I have my doubts.”
I found that very interesting. And I believe him in a way. I have no doubt, that my worries, my panic and my anxiety don’t make the symptoms better. Even worse, for sure. But I have no doubt, that my problems are not only psychological, too. Today, I’ll visit the second urologist again. I will update this post, afterwards. And in August, I have an appointment with an Endocrinologist.

Hi! Welcome to the forum. Most of us have made the very same experience that doctors don’t take our problem seriously or think it’s psychological. Unfortunately, PFS is not an officially recognized condition and it seems that doctors are right that Finasterid is subscribed too many men without any problem. Unfortunately, we are a very small subset of people that suffer from persistent side effects, so awareness of our condition among doctors is very low. But this is changing very slowly with more and more cases making the media and more research being devoted to our problem.

Keep us updated! Where in Germany do you live?

Beste Grüße

P.S.: Your English is absolutely fine.

What the dr is saying is true, but why wouldn’t he believe that a small amt of people have real side effects? You are playing with hormones. Sometimes drs act like complete morons. Maybe being a dr is more about being robotic enough to slave through medical school. Most people don’t want to spend six yrs in school

Well, imagine you are a doctor. You know about the trials for Propecia, you know of all the studies for Propecia and Proscar, you know that Finasteride have been used as a drug for many years and you have subscribed it yourself countless of times. Neither the trials, further studies nor your own experience have shown more than 2-3% of patients having mild side effects that go away after stopping the drug. And suddenly, there is the odd one out that claims to have persistent side effects and tells you about some syndrome that he heard about on the internet. Would you believe him? Keep in mind that doctors have a lot of patients with silly theories and imaginary conditions. Keep in mind, that there is a lot of silly advice and theories on the internet. Would you believe your story as a doctor? I would not.

And keep in mind that doctors are trained to comply to checklists, best practice procedures and guide lines. If someone comes to you with our symptoms the checklist in your head gives you two options - psychological or hormone issues. You can rule out the latter quite easily with a bloodtest. If the test is negative, it must be psychological. End of story from your point of view, because officially there is no PFS. There is no checklist, no testing, no therapy.

It’s unfortunate for us, but I totally understand why doctors behave the way most of them do. That’s why raising awareness and initiating research is so important. And for that, we all have to support the PFS Foundation.

Hey, Northern Star.

Thank you! Like I have written, I visited the second urologist yesterday. Despite laughing at my problem the last time, I still think he’s a good doctor. I showed him the results of my hormone test, and of course: everything is normal. As I pointed out, that in this case it must be androgen insensitivity then, he told me that I wouldn’t look like how I presently do (as I have written, I work out almost every day and so on). This time he took me definitely more seriously than the last time. He said that he knows several cases where people suffer from side effects for months or maybe a year after taking Finasteride, but can’t imagine that it happens to me, because I took it only for 4 weeks. He said, he doesn’t really know where to start, where to help me, where to fix something, since my hormone profile is okay. He suggested me to supply some testosterone for a very short time, to see how it works for me, but I refused. For me, TRT is the last option. Then I told him, that I would like to make another blood test and to check “3alpha-diol G” (Androstanediol glucuronide) (my family doctor couldn’t test it). I read that sufferers from PFS all have low 3alpha-diol G-levels. Maybe this would be a starting point for a possible therapy. He agreed and so in two weeks I will make another blood test, testing all hormones all over again…

I’m from Frankfurt… And you?

Regards…

You need free t shbg and full blood count. Free e2 if you can too

It’s getting more bizarre and more bizarre…
I made another blood test this Tuesday… Here are my results:

Testo 461 ng/dl (241 - 830)
LH 10.79 mU/ml (1.4 - 7.2) +
FSH 7.29 mU/ml (1.1 - 6.4) +
TSH 2.85 μU/ml (0.35 - 4.5)
Prolactine 11.49 ng/ml (2.1 - 17.7)
Estradiol 34 pg/ml (<39.8)
DHT 342.96 μU/ml (34.5 - 568.9)
SHBG 19.3 nmol/l (17.3 - 65.8)
Free T 82.88 (23.3 - 103)
3alpha-Diol G >50 (1.53 - 14.82) +++ (???)

Either the laboratory made a HUGE mistake calculating my 3alpha-Diol G value… Or I have absolutely no clue…

Hi, I am from a twon near Hamburg. What you say about your Urologist sounds fine.

I’m no expert on all that hormone stuff, but there is a sub forum here where people discuss stuff like that. What did your Doc say to the result?

I actually didn’t talk to him. An assistant of the doctor’s told me that I have to go to an endocrinologist…
As I visited the last time, he already told me that he will advise me to go to an endocrinologist if some hormone values will be bad.
I have an appointment at the endocrinologist in august.

is it blood or urine report?

Hey! It’s blood report… I’m confused.

Guys, I can’t see any improvement…

Emotional flatness and poor sleep annoy me the most, right now. Anyone here who can tell me how he treated this problems successfully?

I’m really frightened of being and staying like this FOR YEARS, or even FOR EVER.

Besides, I’m anxious of going to the Endocrinologist in August…

CY6290,
I am also from Germany. Munich area. Did you double-check your weird 3alpha-Diol G value? I suggest you ask a doctor who is familiar with this figure.
See you

Hey, keepup!

Thank you for your answer!

Actually, I wanted to do another blood test this week, testing the same hormones like the last time, but unfortunately my urologist is currently on holidays. There is another urologist in his surgery. I think about asking him for a new blood test. Otherwise I’ll have to wait until August…

But as I have written before… Has anybody treated emotional flatness and poor sleep successfully?

Following improved my sleep a lot:

  • in the evening: magnesium-citrate (150-300mg)+++, zinc (20mg)++, tryptophan (500mg)+
  • in the morning: methylcobalamin / B12 (500mcg)+++, folate (300mg)+, selenium (100mcg)++, TMG (200mg)+, NAC (250mg)++

+++ means very important for my sleep

It’s important to know that you have to find the right dose for you, i.e. more than 500mcg B12 destroy my sleep, so start low in dose and work your way up.

Before I started these supplements I needed Seroquel for beeing able to sleep, now I don’t need any sleep medicine at all.

Hey, Raberduck!

Thank you for your response! But this seems like a lot of supplements to me. I have decided to try valerian. I want the supplements I take to be all natural. I hope, I can see improvements in some time… But it’s like… Everytime you think something gets better, another thing gets worse :frowning:

Regards…