Sorry about what you are going through. The first thing to tell you is don’t despair. Hang in there. I am no expert on sexual dysfunction with PFS. I was spared the sexual dysfunction but had bone breaking depression for 6 weeks initially followed by even worst anxiety and tinnitus (ringing in the ears) the past 3+ months. I had 4 months where most days were a living hell. I tried to find ways to deal with it. With some advice from doctors listed on pfsfoundation.org, I hanged in there, and now 5 months out, my symptoms are milder and very very slowly improving. Many days are still tough, but I don’t have that devastating depression or anxiety which made life a living hell. This syndrome takes a LOT of patience, but I think most people do improve very slowly over time. It has been the case for me. I remember feeling EXACTLY like you describe in late May/early June when PFS first hit me. I had a normal happy life. Then suddenly my life became living hell. I kept thinking, how could this have happened to me? I had read about potential side effects of finasteride in detail before starting it and there was no mention of PFS. I was devastated, just like you are now. It is still hard, I won’t pretend it is anywhere near over, but it is much more bearable and I have occasional happy days. Hang in there. We have all been through what you are going through. Be patient, very patient, it will get better. All the best.