I’m not sure what the point of this discussion is.
In 2018 there was over 8 million prescriptions for Finasteride in the U.S if even 1% of those got PFS that figure would hit hundreds of thousands if the drug has been on the market since the 90’s.
Total prescriptions do not represent individual prescriptions. According to this site, there were 2.8 million men approx in the US who took the drug in 2018. We also know that the onset of PFS is highly variable - some take the drug for 10 years, others for 10 days - so you cannot simply apply a percentage figure and attempt to model the total population who develop PFS. There may be a high number of dropouts who stop taking the drug for other reasons, before they develop PFS. Who knows. Also, why do people even assume that we’re talking about 1%? It is entirely possible that PFS occurs in less than 1%.
If there are somehow hundreds of thousands of PFS patients globally, how do you all propose we get them involved in our community? How would these people know about PFS, unless there was some sort of front-page special or nightly news broadcast that went out globally? How would that improve our prospects of understanding or eventually, treatments, in the short to intermediate term?
We’ve had a hard enough time getting 7000 patients registered on various online forums over the years to contribute to anything remotely coherent that advances scientific understanding, and less than 5% of total donations to the PFSF came from patients. We still can’t even get more than 300ish patients to complete a simple survey. We need to accept the fact we are a small community and that we need to work together if we’re any chance of ever making it out.
The admin team/PFS Network have been banging on about small, productive actions for a while now. Most of you have completed the survey, which is awesome. Ryan, you have spoken publicly which is 10x awesome. But there are patients in this very thread who haven’t even reported their symptoms to a regulator. If this disease continues to go underreported, anyone looking at this problem will of course be dismissive and label it as extremely rare.
Further to my question of “how do we reach the hundreds of thousands of patients”, speaking publicly is a fantastic way to increase exposure with highly shareable content that attracts interest from mainstream media, which may eventually lead to increasing the size of our community. Our Family Advocacy Group, which now has over a dozen members and will launch later this year, is another way for patients to get involved.
I could go on and on. Talking about how many patients are out there is pointless - let’s start small.