Google, no clue–been reading for months
34 years old, 6’, 150lbs
Finasteride for 3-4 years, then Dutasteride for about 2 years
I don’t recall fin dosage. 0.5mg when I was on Dutasteride
Male pattern baldness
Fin, 3 to 4 years
Dut, 2 years or so
~34, May/June 2018
Penile sensitivity issues and long refractory period are my primary issues.
[Slightly] Loss of Libido / Sex Drive
[Rarely] Erectile Dysfunction
[Comes and goes] Loss of Morning Erections
[Comes and goes] Loss of Spontaneous Erections
Loss of Nocturnal Erections
[YES] Inability or Difficulty to Ejaculate / Orgasm
Reduced Sperm Count / Motility
Emotional Blunting / Emotionally Flat
Difficulty Focusing / Concentrating
[Yes, but not sure if it’s related] Memory Loss / Forgetfulness
Stumbling over Words / Losing Train of Thought
Slurring of Speech
Lack of Motivation / Feeling Passive / Complacency
Extreme Anxiety / Panic Attacks
Severe Depression / Melancholy
Penile Tissue Changes (narrowing, shrinkage, wrinkled)
Penis curvature / rotation on axis
Testicular Shrinkage / Loss of Fullness
[YES!] Genital numbness / sensitivity decrease
Gynecomastia (male breasts)
[Developed dark circle under left eye] Dry / Dark Circles under eyes
Persistent Fatigue / Exhaustion
Stomach Pains / Digestion Problems
[YES, but not sure it’s related] Constipation / “Poo Pellets”
Vision - Acuity Decrease / Blurriness
Tinnitus (ringing or high pitched sound in ears)
Increased hair loss
Lowered body temperature
Other (please explain)
I have tried a lot of different things over the last 6 months or so. Maca, Amino acids, pine pollen and HCG are the primary ones
I do not have pre blood tests. POST-drug blood tests originally showed high total test and low free test. A second test recently showed normal’ish total test, but again, low free test. Prolactin was also slightly above the normal range, though not by much.
Basically I started taking Propecia back in ~2013 to stop hair less. It significantly reduced the amount of hair I was losing, but didn’t really do much to help me grow back what I’d lost already. I switched to Avodart in 2016 or so and noticed significant re-growth, so I was happy.
When I first started Propecia I noticed a slight decrease in sex drive, however, mine had always been way higher than my partners, so it more or less just reduced the number of arguments regarding sex, so I didn’t really think much of it. I did not notice any sensitivity or other issues during this time, I just wasn’t as aggressive about wanting sex.
Fast forward to late 2017 and I had been on Avodart for a few years and had just started seeing someone new with a much higher sex drive (woohoo). Everything was OK in the beginning, twice a day was no issue. Somewhere around March I stopped taking Avodart just out of sheet laziness. I had forgotten to get my prescription filled and didn’t really care so I went about about a month without taking anything. 2-3 weeks into that month without I noticed sex felt WAY better. I’m going to call this 110% of normal. My girlfriend even commented “WTF was that?” because I was so much more into it than I had been before then. I couldn’t believe how good it felt. Around this time is when I started making the connection to Avodart.
A week or two later I resumed Avodart. Within a day or two the 110% sensitivity went down to, say 80%. Things were still OK but not spectacular. I wanted spectacular back, so I stopped taking Avodart again (and for good) some time in April, 2018. I got back to the 110% of awesomeness for a few weeks, then it went downhill from there.
Sensitivity went to maybe 40-50% of normal and I noticed it was next to impossible for me to orgasm more than once every other day or so (long refractory period). In order for me to really be sure I could, I’d really need to wait more like 3-4 days, which was not an easy task in a new relationship with someone that is ready to go a lot more than that.
So around here is when I started researching and found info about PFS, etc. I found that the cycling on and off twice in a short period of time like I did was common to a lot of stories like mine, for whatever reason and that this has happened to a LOT of people.
Note: I have never really had erection problems, maybe once or twice at most… but that’s not really an issue for me.
Since then I’ve tried a few different things. The main purpose of this thread is for me to keep a diary of sorts to try to keep up with what works or doesn’t for me.
Main things I’ve tried:
Amino acids, MACA and Pine Pollen. Sort of the common natural stuff to increase libido, etc. Amino acids made me hard as a rock erection wise but sex felt… weird. It’s really hard to describe. I didn’t take the full assortment of amino acids for long after sex felt so strange. Perhaps I should have tried it longer. MACA made my head fuzzy feeling but that was about it. Pine Pollen may have actually helped a little, I’m not sure because I was trying other things at the same time. In hindsight I probably should have tried amino acids for a longer period of time. I only took them a few days.
Cabergoline. The symptoms of high prolactin matched very well with what I thought was going on before I discovered PFS, so I tried this for a few weeks. It gave me a headache and made me feel weird (seems like everything does?) so I didn’t keep taking it longer term. I did have sex twice in one day towards the end of taking this, but I was also really hungover (which also increases my sex drive) so I’m not sure which was to blame. I hadn’t done that in a really long time, though, but I couldn’t handle the headaches so I quit taking it.
Proviron. Made me worse. It seemed to have the total opposite affect on me than it should have. Even at 12.5mg sensitivity went to the worst it’s ever been, near total numbness during sex. I tried 3 different times, always the same result. The good news is it went away quickly and I went back to “baseline”. I never tried it more than 2-3 days at a time.
HCG. I saw some stories on another forum of people having some success with cycling either HCG or Clomid. I originally tried this with HCG back in mid December through mid January or so. I was using about 750 IU’s per week for 4 weeks, then stopped for 2 weeks. During the time I was using it I felt… strong, I guess? Hard to explain, but I felt good. Confident, muscles felt harder, erections were as good or better than normal, etc… Sensitivity was about the same, maybe slightly better, but nothing crazy. This was slightly annoying because I was a walking hard-on towards the end of the first 4 weeks but was still limited to every other day or so for sex without it taking like 30+ minutes
During the 2 weeks I wasn’t taking it, erection quality went down some, but sensitivity got better. I also felt depressed. It was a weird combination… but made me feel like it was worth trying another “round” since sensitivity actually seemed to get better, so I started again a week or so ago. Same amount, etc.
So, that’s pretty much where I’m at today. In typing all that out I feel like I’ve tried too many things with not enough time on each one, but there’s nothing I can do to change all of that now. We’ll see how cycling HCG goes.
Right now I’m probably at 70-80% of “normal” sensitivity on a good day, at the beginning of sex… but sensitivity almost always gets worse the longer sex lasts, and then there are bad days on top of that… so it can be quite a bit worse. It can go from somewhat close to normal to almost numb in a few minutes sometimes… I am trying not to complain as I still have libido and can still have sex, etc. It isn’t the same, but it’s still a lot better than many here.
Oh, one last thing. My latest lab tests (towards the end of the HCG break) showed mid level total test, LOW free test, HIGH prolactin, and “normal” Estradiol (though it was lower than most on body builder forums say it needs to be). Hoping HCG helps with all of those except Prolactin. Guess we’ll see.