New here with some questions

I am a 36 year old male suffering from ED, low libido, no morning wood, etc. I took Propecia 10 years ago for 2 months. I quit b/c of low sex drive, and simply never recovered my old state. I spent many, many, many years with no understanding of what was happening, except that my libido was just so severely decreased. I was in a serious relationship at the time and obviously the sex suffered greatly, but we both chalked it up to maybe the sex getting stale as it tends to do in long-time relationships. I really just wasn’t aware enough to conclude anything differently, and contributed a lot to stress, etc.

Fast forward through marriage to the same woman and an increasingly dysfunctional sexual relationship (but great relationship otherwise), two children (thankfully no male infertility problems besides barely being able to have sex), etc.

About a year ago I stumbled upon this site, instantly knew this was what happened to me (as I long suspected Propecia as the root cause anyway, since it was immediately after its usage that my life changed). I’ve spent the last year in abject fear and denial that there could be no recovery ever (although it has been 10 years already, and I’ve lost age 26 to 36- a devastating loss already). But now I’m ready to at least TRY some things out, to try to rejuvinate or regain even a part of my former sexual function.

So my questions are:

Is there a standard set of things most of you men go through? Do most seek a medical doctor immediately? (I’m reluctant, since they got me here in the first place, and since then have told me everything is psychological after my testing came back normal (testosterone levels, etc.).

What are the most common herbal supplements/remedies? If there was any resultant recovery, how long was your committment to the supplement?

What is the general thought about accupuncture as a way to help the situation? I am very interested in trying this method out.

What about TRT? I know it only works for some, but I’d love to hear general thoughts.

I’m sorry all of us are here. It is so devastating that I haven’t been able to face it yet, and I’m probably one of the “lucky” ones with a good marriage (except for sex life) and complete family, and no neurological issues (brain fog, etc.).

Thanks. By the way, I’m in New York City, so any local doc recs would be greatly appreciated.

Here’s my response to the template:

  1. Where are you from (country)? United States (New York)

  2. 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. don’t remember what exactly.

  3. What is your current age, height, weight? 36, 6’0", 175lbs

  4. Do you excercise regularly? If so, what type of excercise? yes, running and yoga

  5. What type of diet do you eat (vegetarian, meat eater, raw, fast-food/organic healthy)? non-veg but pretty organic and healthy (lean meats, get a lot of vegetables, whole grains, etc.)

  6. Why did you take Finasteride (hair loss, BPH, other)? hair loss (biggest, biggest mistake of my life)

  7. For how long did you take Finasteride (weeks/months/years)? 2 months

  8. How old were you, and WHEN (date) did you start Finasteride? 26, and it was 10 years ago - 2001.

  9. How old were you when you quit, and WHEN (date) did you quit? Still 26. Only on it for 2 months, so it was still 2001.

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

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

  12. What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)? Don’t remember- probably 1mg/day

  13. How long into your use of Finasteride did you notice the onset of side effects? I can’t remember exactly, but pretty I quit pretty quickly after I noticed, so it must have been about 2 months, or maybe 1.5 months

  14. What side effects did you experience while on the drug that have yet to resolve since discontinuation? ED -no spontaneous erection, weakened/smaller erection, no libido, no real enjoyment of sex, no morning erection, very rare nocturnal erection. It has come and gone a little bit in terms of intensity of the issues (for example, for awhile couldn’t get an erection at all), but it has never, ever returned to the function of pre-fin days.

Put an X beside all that apply:

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

Mental
[ ] Emotional Blunting / Emotionally Flat
[x ] 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
[x ] 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
[x ] Frequent urination
[ ] Lowered body temperature

[ ] Other (please explain)

  1. What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug?
    none. I am interested in trying something.

  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 don’t have the exact levels with me anymore, but I was told most of the major hormone levels were all just normal.

  3. Anything not listed in the above questions you’d like to share about your experience with Finasteride?
    Besides how much I HATE this drug and company? No.

  4. Tell us your story, in your own words, about your Finasteride usage and side effects experienced while on/off the drug.
    I was 26 and in a committed, serious relationship (with a great sex life) when I started this drug. Immediately thereafter, our sex life starting going rapidly south. I could still have sex most of the time, but my erection would come and go, and it was just not enjoyable anymore b/c I was so stressed about keeping it. I also lost my libido entirely, so I never really wanted sex. Both of us, at first, thought this was just a normal decrease in sex drive b/c things had gotten a bit routine and stale, and since it really wasn’t the main reason we were together, it didn’t affect our continued relationship that much- we just resolved to work on it, have more sex, etc. In the next few years, into our marriage and onwards, I can count on 1 hand the times when I really wanted sex, had a full and normal (spontaneous) erection, and was able to have a great sexual experience with my wife as a result. The episodes were few and far between (but they did happen a very few times).

I still didn’t really know what was going on, but we still figured that we just didn’t have a good sex life, and that was that. We then started trying to have a baby, and hit a really rough time for a few years b/c of some issues on my wife’s side. My sperm issues all checked out fine, but having sex to try to conceive became an increasingly stressful and extremely unpleasant experience all around. I was usually able to finish, but it was almost always with an erection that would come and go at best. It was really, really tough. But we had bigger problems with the actual infertility and a lot of other stressful things in our life, and this issue was tabled for awhile.

We then had our kids (thankfully) and have lived a relatively normal life, with the exception that we never have sex. The last time we did was 2 years ago, and it was another disappointing and frustrating (and frankly terrifying) experience for me- enough so that I just never have wanted to do it again.

I can masturbate ok with manual stimulation, but never get morning erections and my noctural erections, although they do happen, are very, very rare. Most of all, I just don’t have any spontaneous erections, interest in sex, or a normally functioning erection during sex.

I’ve spoken to doctors about this and they say it is psychological (when I know it is not- it was like a switch was flipped and I can actually remember the specific sexual experience where there was a change that simply never recovered). About a year ago I saw this website and immediately knew that this is what had happened to me (I’d always suspected it anyway, but just never let myself believe- b/c it’s such a devastating thought). I’ve been afraid to get involved or really spend too much time on here or researching this till now. I’ve basically been somewhat in denial. But I’m here now and I’m interested in investigating what might or might not work. My expectations are not high, but at the same time, I am beyond petrified of even starting to try to treat and learning that nothing is going to work. It is hard to face a lifetime of no libido, even though I realize I am one of the true lucky ones on here in terms of my marriage and kids at least.

That’s my story, and here are my questions:

  1. Is there any guideance out there for a good place to start in terms of treatment? There seems to be so many random things to try, and I want to be a bit systematic about stuff. As in, try x for at least x months and if it doesn’t make a difference, move on. Any good posts that go through treatment options?

  2. Is there any good rule of thumb out there about what % of people the various treatments (of any variety) do help? As in, is it safe to say that over 50% of men have some improvement? Or is it more like a lucky 10% have some change? I’m just looking for ballparks, based on your experiences on this board.

  3. I saw the docs that were recommended, but does anyone know of a doctor in New York City or the northeast of USA that has experience with this?

  4. Has anyone tried out accupuncture? I’m pretty interested in this avenue- particularly b/c it involves no medications, and also I think helped my wife during her infertility days.

Thank you for reading, although I’m beyond sorry and angry that we’re all here. I can’t wait till a class action lawsuit comes to the U.S.- I’ll be first in line to sign up. I would like nothing more than to bring Merck down.

PFS or not you need to get blood testing mentioned on the boards - most docs will only start with the basics and then keep sending you back for more tests if they do not find anything. Which means multiple trips to the lab testing sites and months of frustration…

Plead/beg for minimum to start:
Total T
Free Test
Estradiol
DHEA
SHBG
DHT
LH
FSH

There are more that you want to look at but these are the basics