Over 10 years on Finasteride and then the side effects hit

Welcome to our community. Please fill in the following template as a way of introducing yourself, and helping others to understand your background and situation.

Where are you from (country)? Ireland

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

What is your current age, height, weight? 36; 5’11"; 12.25 stone

What specific drug did you use (finasteride, dutasteride, saw palmetto, isotretinoin/Accutane, fluoxetine, sertraline, citalopram, leuprorelin, etc…)? Finasteride, minoxidil and ketoconazole 2% shampoo

What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)? 1mg

What condition was being treated with the drug? Hair Loss

For how long did you take the drug (weeks/months/years)? 11 years

How old were you, and WHEN (date) did you start the drug? 25 (June 2008)

How old were you when you quit, and WHEN (date) did you quit? 36 (August 2019)

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

How long into your usage did you notice the onset of side effects? 11 years

What side effects did you experience that have yet to resolve since discontinuation?

Check the boxes that apply. You can save your post first, then interactively check/uncheck the boxes by clicking on them. If your symptoms change, please update your list.

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

Mental
[ ] Emotional Blunting / Emotionally Flat
[X ] Difficulty Focusing / Concentrating
[ ] Confusion
[ ] 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
[ ] Suicidal Thoughts

Physical
[ ] Penile Tissue Changes (narrowing, shrinkage, wrinkled)
[X ] 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
[X ] Joint Pain
[ ] Dry / Dark Circles under eyes

Misc
[ ] Prostate pain
[ ] Persistent Fatigue / Exhaustion
[ ] Stomach Pains / Digestion Problems
[ ] Constipation / “Poo Pellets”
[ ] Vision - Acuity Decrease / Blurriness
[ ] Tinnitus (ringing or high pitched sound in ears)
[ ] Hearing loss
[ ] Increased hair loss
[ ] Frequent urination
[ ] Lowered body temperature

[ ] Other (please explain)

What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug? Some natural supplements outlined below

If you have pre or post-drug blood tests, what hormonal changes have you encountered since discontinuing the drug (please post your test results in the “Blood Tests” section and link to them in your post)?

Anything not listed in the above questions you’d like to share about your experience?

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

Hi all,

I’ve wrote a long introduction below in the hope that someone may be able to give me some advice and that men will get some use out of what has helped me improve over the past couple of weeks. I’ve a long way to go but I think I’m making progress.

My journey: I started taking finasteride in June 2008, along with minoxidil foam and Nizoral (ketoconazole 2% shampoo). I had zero side effects until early 2019 so all was good for at least 10 years (I can remember having sex four times in under 8 hours with a hottie back in 2015). I had sex with the same woman once in January, February and March of 2019. There were no erection problems for each of these three nights. However, I noticed that I had no interest in having sex in the morning after which was the first time this ever happened to me. I put it down to the fact that I didn’t really have much interest in her and maybe wasn’t as hot as previous women, and also I was very busy at work. I had sex in April with a different woman and did it in the morning although I don’t think I had huge motivation for it. I then had zero sex until late July so I had a three month dry spell. During this time I didn’t have much interest in women and put my loss of libido down to working fairly long hours at work. I met someone early July and had sex with her late July. We had sex for about 20 minutes and I didn’t climax but that was relatively normal for me as I had about 8-10 drinks that night. However, I again had no urge for sex in the morning which I found unusual again, particularly as I fancied this girl and didn’t orgasm at night. We met up again about two weeks later. I went back to hers after three drinks, stripped her naked and then realised, hey I’m not hard. I put her hand down my pants and it came up bit by bit, but I was fairly limp. I got a condom on and had sex with her as hard as I could, so much so that I moved her fairly solid bed about two feet. The reason I did this was to try make myself harder but it just didn’t work. She then sat on top of me and I climaxed. Again, I had no interest in having sex in the morning and had no boner again. A year or two ago, I would be rock hard as soon as I woke up beside a naked woman. As I was walking home, I started thinking of my sexual encounters over the past year or two. The penny finally dropped that something was seriously amiss: I’ve never ever struggled with an erection (even after 20 drinks of alcohol) when I’ve had a naked woman in front of me. I then thought about my loss in libido, random erections and how I stopped going out a lot lately. It also kicked in that I didn’t have a morning erection all year and how I used to be frustrated with how long it took them to go away when I woke up - I would be trying to urinate with a big boner first thing in the morning. I think I then had a conversation with one of my friends and asked him if he was losing his sex drive as we’re now 36. He said no way and that his sex drive was as strong as ever. He also said that he usually woke up with a boner. I trust this friend with my life. I’m a bit of a health nut, exercise loads, very good diet etc. and I’m in great shape – my friend on the other hand drinks a beer or wine at least 6 days of the week, doesn’t do enough exercise and has put on some weight. About a week later and I was flat as a pancake with no life down there at all. I decided to come off finasteride on 27th August 2019. I was aware that some people got erection problems from finasteride so I thought well let’s stay off this for a month and see if anything happens.

I went on holidays and decided to come back early so I could schedule a visit with my GP (things didn’t improve) and the doctor who prescribed finasteride. The doctor who prescribed finasteride felt that it would be highly unlikely that my ED was caused by finasteride as I had no reaction for over 10 years and also that he had about 15,000 “patients” taking the drug. I kindof believed him. He pointed to studies (all BS in my opinion - they were probably commissioned by Merk) claiming that 50% of males in their 30s suffer from ED – laughable in my opinion. I was borderline impotent. He also claimed that about 1.5% of patients do develop ED from finasteride – I found a study carried out which said about 92% of finasteride users experienced ED. I went to my GP and explained my problems – urinary problems with more urge to go, not emptying bladder, ED, chronic fatigue etc. For some reason, I initially forgot to mention finasteride as the different doctor who prescribed it almost convinced me it had nothing to do with finasteride. After about 10 minutes and him examining me, he looked perplex and gave me a holder for a urine sample and I said to him “by the way, I almost forgot to tell you – I’ve been on finasteride for the last 10 years”; he smiled and said it was very important I remembered to tell him that. I went away to give the urine sample and when I came back he was half smiling. I asked him if he’s had other patients who were on finasteride and had similar difficulties and he said yes there’s been a few and told me it would take months for it to clear out of my system and that it’s finally caught up on me. As we were over-running on time, I didn’t get to ask him much else but I will set up an appointment in about a month’s time and ask him how many previous patients had it, have they all recovered, how long did it take, did it come back naturally etc. He seemed confident that I would improve and get back to normal in time – I think he said it could take months for this to get out of my system (I can’t remember but hopefully he didn’t say years). The conversation ended on a light hearted note so he was confident that I would improve over time. He did some blood tests (unsure exactly what they were) but nothing showed up (when I got the results back two weeks later). He also did a testosterone test which passed easily too (I had 25.4 where the normal range is 7.1-31.1). However, I never got a DHT testosterone test and I suspect this would fail miserably. Finasteride is a DHT blocker which effectively prevents testosterone from being converted to DHT (DHT is what makes you get erections, normal libido etc. as far as I’m aware).

I hope the following info helps some members:

I’ve started taking the following natural supplements:

Please remember I’m only taking these natural supplements for about three weeks.

Green tea: apparently it helps to flush toxins out of the system. I’m drinking at least two cups every day and I feel better for it. There is some caffeine in green tea too so I feel more energetic after it too.

Pine pollen: I read from some other users on this forum or a different website that pine pollen was helpful for boosting libido and energy. When I initially came off finasteride, my testicles shrunk and my penis looked horrendous - completely flat and looked like it shrunk too. I initially cycled pine pollen with the other supplements but I’m now taking a tea spoon of it every day. My penis and testicles are now back to normal in terms of appearance. I think the pine pollen and green tea have definitely lifted my energy levels and my mood. For example, some mornings I wake up feeling sorry for myself and in a bad mood e.g. within about two hours of taking the pine pollen, I have a more positive outlook. I’d even go as far to say that without the pine pollen, I’m not sure I’d be able to get an erection by touching my penis. One important point to note, I bought the Na’vi mountain pine pollen from the UK Amazon. I also bought a different (I think non-mountain) pine pollen which didn’t do much for me.

Other supplements: I cycle the following four supplements: maca root, mountain blood, ashwagandha and nettle root.

Maca root: I don’t think the maca root is doing anything for me. I was taking two tablets every 4/5 days but I’m going to scale it back to one as I felt fairly flat down there the days I took it. It’s sort of a zinc supplement and I read somewhere that this increases libido and that it can be a DHT blocker which scared me a little. However, on the basis that it aids fertility and some women posted comments on Amazon saying it boosted their husband when they were trying to conceive. I suspect my level of sperm production is very low / borderline impotent at the moment so I’m hoping this will give my sperm quality a boost (not that I have intentions of having a baby anytime soon).

Mountain blood: I think it’s helping energy levels / my mood but I’ve no strong positive / negative feelings about it. It’s very expensive too.

Nettle root: this is a powder which I mix with boiling water. It’s pretty disgusting but it seems to be helping my urinary tract, which is why most people take it. Over the past year or so, I was waking up in the middle of the night needing to go to the toilet but it’s stopped now and I think the nettle root has helped. My urination seems to be bit more powerful now too and I’ve got less of the urge to go. Sometimes when I’m in bed though, I get the urge to go if I’m lying on my belly, even though nothing will come out if I do go.

Ashwagandha: this is supposed to help with stress and anxiety. Similarly to mountain blood, I think it’s helping but green tea and pine pollen have definitely helped me the most.

As a reminder, the above has helped me feel better about myself and get some life back into me down there, but I’ve still got severe ED problems so they’re not going to cure you. Also, what has helped me may not necessarily help you - all our bodies are different. However, I’ve read reviews on Amazon and on other websites that these natural supplements have helped. I’ve read that tongkat ali is supposed to be decent but it’s similar to maca root and that hasn’t done much for me. Has anyone tried tongkat ali?

Fasting: One of my friends is a bodybuilder and recently gave me the idea of fasting – he said it’s great to flush bad stuff out of your system and replace them with new cells. I thought to myself that maybe this will help me get rid of the finasteride effects. I did a 24 hour fast and I felt more life down there and had sex three days later on 24/09/19 (3-4 weeks after I came off finasteride). The sex went like this. I struggled to get a natural erection and I needed to rub my penis against her bum while we were both standing up. It was 75% erect when I pulled my pants down but I knew there wasn’t great power in it so I just hoped it would get stronger with penetration. I put on a condom and penetrated for about 3-5 minutes, switched positions and penetrated for another 3-5 minutes. At this stage I knew I was losing the erection but didn’t want to come. I then lost it and lied to her telling her it was the alcohol (even though I only had 3 drinks – she was very understanding and didn’t care). However, I told her I would get hard again in 5-10 minutes – I was confident I would and I did although she was pulling me for about 5 minutes. We then had sex for another, say, 5 minutes and I asked her if I could come (this second erection was fairly good and maybe I could have went a little longer). She said she was happy if I took off the condom and came on her chest. I released an enormous amount of semen and I was well happy with that. However, the next morning I felt like I had run a marathon and there was absolutely no life down there. Although I was delighted that I had a great orgasm, I didn’t get an erection for another 9 days (couldn’t even get it going by stroking it) and I was absolutely flat as a pancake for these days – it was tough going and my mood was really down. It was during this period that I asked myself how I managed to get an erection and have sex that night on 24/09. What I put it down to was that I had stopped drinking green tea (unintentionally) and was only taking the mountain pine pollen once every five days. I’m now on a teaspoon of pine pollen every morning. I also did a 24 hour fast from Friday 6pm 20/09 to Saturday 6pm 21/09. This certainly boosted my erection. I said above that after having sex (on Tuesday 24/09), I did not get an erection for another 9 days. I started the daily pine pollen and green tea around Tuesday, 01/10 and did another 24 hour fast from Friday 6pm 04/10 to Saturday 6pm 05/10. Guess what, I got an erection that night when I went to bed (I might have been pushing my penis against the mattress lying on my belly) and I got up around 1am to masturbate. My penis was about 90% erect and I managed to get about 10 minutes out of it and had a decent orgasm. Unlike the 24/09 sex (with a woman, not with myself), I wasn’t flat the days after it. On Monday 07/10, I started stroking my penis and got a 75% erection. I then masturbated for about 2-3 minutes but did not orgasm as I didn’t want to. I also did it today and it was also responsive. What I noticed though was that as soon as I stopped touching it, it would go down fairly quickly. So at this stage, what I know is that I can get an erection but it would be about 75% in strength and I’d struggle to keep it going longer than 5 minutes with a constant feeling that it doesn’t want to stay erect. I can’t get an erection from thinking of hot women (and I looked at porn for 10 minutes too) – it needs to be touched. So if I had 10 hot naked women in my room and then they stripped me naked, I would be soft and would need them or me to pull it for about a minute to get a 75% erection. All in all, I’m making some improvement and I’ve decided to to do a 16 hour fast every Tuesday if possible from about 7pm to 11am the following morning. I weigh 12.25 stone and I’m in great shape and I’ve always struggled to keep on weight as I’ve a fast metabolism. I want to stay at 12 stone or above but I’m confident I can and the two 24 hour fasts haven’t led to me losing weight (for my two weekend fasts to date, I got over 3000 calories into me on the Friday and had 1500 on the Saturday after 6pm so it averages out at 2250 over two days). I go to the gym on Monday, Tuesday and Thursday so I want to eat like crazy these days and then do the fast Wednesday morning.

I haven’t lost any hair since I stopped taking finasteride (6 weeks today I think) so I’m hopeful that my body isn’t producing any DHT at the moment but the effects will reverse soon and I will start producing DHT in time.

I’m hoping someone can give me advice / share their experiences with some of the following:

Has anyone had a similar experience to me in that all was fine for 10 years and then bit by bit, all the side effects kicked in?

I’m still using minoxidil and the ketoconazole shampoo (twice a week) as I’m convinced it’s all to do with finasteride. Has anyone else kept going with these supplements or am I crazy to not have binned them? I was planning to just keep using them until they run out and then make a call on whether to buy new products.

Has anyone else had experience with fasting and do they think it helps? I don’t know much about it but doing a 16 hour fast once a week should be ok. It seems to be helping me in a big way so far.

ED pills: When my GP told me there are solutions to my problem and mentioned Viagra, I was horrified: I’m 36 years of age and I already need that sh1t is what I thought to myself. I’m a bit apprehensive of putting more pills into my system too e.g. did people on here suffer side effects? Also, I’d be scared of developing a reliance to it in that I’d never be able to have sex again without it – does anyone else have the same concerns? I presume most people here are on Cialis or Viagra? Finally, I hope the men here who have actually taken the ED pills have got a good reaction and were able to have sex.

Cialis v Viagra: I never heard of Cialis until I browsed through some of the articles over the weekend but it sounds like it’s much better than V, in that it lasts for over 24 hours which is ideal if you were meeting someone on Saturday night and wanted to have some gas left in the tank for Sunday morning. Is it ok to take, say, 4-7 drinks of alcohol with it; for example, I take it at 4pm on Saturday evening, I have a date at 9pm and have 5 pints of beer - I presume the effects would still work at midnight and the next morning although may not be as powerful. Any thoughts would be appreciated.

Muscel atrophy: this is the one which really scares me. I’ve had a tingling sensation in my feet for at least a week now and get pins and needles a few times a day. I’ve got a little in my hands too – don’t think I’ve got anything in my arms and legs. I never heard of neuropathy but it sounds like I have the symtpoms and I read that other finasteride users got it. Have people had this and does it go away? It’s a bit uncomfortable but not unbearable; I’m just concerned about the long-term implications of this. I’m going to talk to my GP about it.

Final thoughts: I’ve seen the word suicide on this forum quite a bit – please do not do anything stupid. I lost my cousin to it years ago and it destroyed his family – it’s tough on them. It was also the biggest setback of my life and I was 25 back then; I’m now 36 and the side effects from finasteride are my second big challenge. I also realise that I’m one of the lucky ones in that if this happened me when I was in my 20s, I would have taken it much worse. As you get older, you realise there’s more to life than sex. On saying that, I do realise that the impact of PFS is more than just not being able to get an erection, the fatigue, hormones all over the place, not being able to concentrate etc. is very difficult.

I want to end on a positive note: I’ve only told my parents and one of my friends about this. My friend took Propecia for 3-4 days back in 2012 and lost all control of his bladder, lost his libido, lost his erections etc. for about two weeks. His penis and testicles also shrunk badly. Then it all cleared off on its own and he’s been 100% ever since. He’s even using minoxidil. I suspect there are loads of other cases like this where men have fully recovered a few months after taking the pills: we’re just the unlucky ones that need to put up with the effects a bit longer.

Ed comes first then, frequent urination then, loss of libido.
At first, fasting was effective then, it went bad for me nothing could helped, until I tried extenze pills. I have recovered my libido and one week later crashed so hard, developed anxiety disorder in my 4th year of quitting finasiteride. Then I have started modafinil, I have recovered a lot of libido after few months I have switched to Ritalin but, my major recovery came with aromasin.
i got total restoration on libido, sensitivity and refractory period but only little improvements on Ed.

Hold on over there you can recover form it it is early for you. Finasiteride messes with brain steroids it might cause mood disorders and psychiatric problems too.

Reduce your stress level and try not to fixated about ed and refractory time it might cause a performance anxiety over this and that might halt your recovery.

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I am in a similar quandary, mostly its ED and loss of libido. I have an appointment with GP tomorrow. a little scared after coming across this forum

Another 5ar inhibitor, like finasteride or Nizoral. Possibly not the best thing for you now.

Bad idea. We have people end up here through use of just one of those substances.

Sorry Greek, but to compare green tea to Finasteride regarding 5-ar inhibition is like comparing paracetamol to morphine in terms of effect. There are more plausible reasons why he may feel ‘more energised’ and better with green tea, such as it’s caffeine and l-theanine content.

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That’s fair, however I’m not sure that any kind of 5ar inhibition is a good idea post finasteride - I avoid 5ar inhibitors as a general rule.

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no doubt it was dr maurice collins in the blackrock clinic that gave you the 15,000 patients bullshit spiel… i got the same. I used to get emails off them a few times a year asking for checkups…as soon as I complained about side effects it was radio silence

my story is identical to you, on fin for years, great for my hair no sides, early 30s have urinary problems so go off it and then crash badly. Dick shrunk into a damp flimsy cocktail sausage. Know exactly the feeling you describe re struggling to maintain an erection, feels like there is a hole in your hose. Spent over 10k on the best urologists, endocrinologists and doctors in london, got electro shock therapy…all a waste of time. Went 2 years without sex and long term relationship collapsed

Its not all bad, 3 years later im making small but steady improvements and have been since the 18month mark. My hair is now falling out but random erections are coming back.

Feels like in most cases your body finds its way back to equilibrium but different for everyone in terms of how long it takes

best of luck

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Most vegetables contain 5-ar inhibiting substances. Should we avoid our leafy greens too? I think the notion of avoiding every 5-ar inhibiting substance is unrealistic advice for patients. I often feel that much advice on this forum revolves around their avoidance will little mention of the level of inhibition. Patients need to be cautious, sure, but we don’t need to erect more fences then we require. Life is hard enough as it is.

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@DHT - thanks for sharing. Maybe the fasting only gives an initial boost so I’ll monitor this. I’ve got another friend (who’s never taken finasteride) who does intermittent fasting regularly and is a big fan of the effects on his body. If things deteriorate, I’ll look into aromasin but to be honest, I’m trying to avoid all pills if possible. My stress levels are low considering what’s going on and I think the supplements are helping me with this. However, I’m a contractor and have not worked for the last two months. I’m starting a new contract next week and I’m hoping this doesn’t impact my performance at work.

Appreciate the advice and best wishes with your recovery - keep us posted.

@bodhi - good luck with the GP appointment. From what I gather, most GPs are unaware of finasteride - I told two GPs 2-5 years ago that I was on it when they asked if I was taking any medication and they responded “what’s that”. Keep positive.

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@Greek - thanks for your comments. I may try coming off the green tea for a couple of weeks and just stick to the pine pollen and see if I’m still improving. Re the minoxidil and shampoo, I’ll probably gradually ease my way off this.

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Where do you guys get the pine pollen?
I thought pollen generally is eustrogenic.

@eskimojoe - really really appreciate this post. Most of the people on here seem to have been on F for a year or less… I just wonder how many of his 15,000 disciples have experienced what me and you have, and how long it will be before the rest of them do… I’ll never forget my first appointment with him and the last question I asked - are there any side effects - he tilted his head lower, looked over this glasses directly into my eyes and said “no side effects” with a smile…

I’m living in London so well aware of the scams of local practices - I once went to a dentist here who wanted to carry out 6 fillings, even though I only had one in my entire life… I went to my dentist back home 3 months later (never told him about my appointment in London) and he said I was fine and that he would keep on eye on two of my teeth… No ethics at all over here, just try to scare you into parting with as much as your hard earned cash as possible

I’m very sorry to hear about your relationship ending… Fortunately for me I’m not seeing anyone and I’d say it would be twice as hard to deal with this if I was… I’ve no doubt you’ll bag another one and one thing I’ve realised over the past few years is that women just love older men - when I’m 40 I’ll try to meet a one in her late 20s / early 30s… I hope you don’t mind me asking a few questions and if there’s any advice in general that you’d give me:

I’m going through your other posts on here and noticed that you took Cialis but you said you went two years without sex - did you go on Cialis after the two years? Would you recommend going on it - I’m a bit worried that I’ll be relying on it forever… I’m thinking 12 months without sex may be a better option and hopefully it will sort itself out gradually, as you said that our bodies will hopefully get back to equilibrium eventually… On saying that, becoming unsociable for 12 months is not a great idea when I’m going through this thing

Did you do a test for DHT?

I’m delighted to hear you’re making improvements and I suppose losing some hair is proof of this… Do you think you’ll fully recover from this over the next couple of years and do you have plans to get into a relationship again? As soon as I start getting erections again (and it will happen), I’m going to get a sperm quality check… I think our situation could be a bit different from other men who had a horrendous reaction to it initially and that once we start producing DHT again and losing our hair, we should get back to being close to normal

Thanks again for posting and please keep in touch

@needacure - nobody else on this post has said they’re using pine pollen besides myself. I think it’s boosting life down there and I’m almost certain that my penis and balls went back to the normal size when I started taking it. Here is where I ordered it:

If the link doesn’t work, it called “Wild Harvested Pine Pollen - Broken Cell Wall Micro Powder” and it’s by Na’vi Organics on Amazon UK

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Kevin Mann has to se this…

collins clearly knows about the side effects but refuses to tell patients. His hair transplant business is heavily dependent on finasteride so he needs it to stay on market. There are loads of hrbr patients on here

Re cialis, one of the urologists told me to take it everyday to regenerate tissue. It definitely works, almost too well, after a while I stopped as didn’t want to develop a dependency but its a nice comfort blanket to have if you are in situation where you might need it

I did a whole raft of hormone tests, testosterone and dht normal but shbg and prolactin very high, a common trait on here

also did a fertility test, thankfully it was fine

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@eskimojoe - thanks a mil for that - you’re a gent… I’ve been reading through your posts since your situation is quite similar to mine… You mentioned time is the biggest healer so I’m going to relax for 6 months and then reassess… I may take the Cialis a few times but I’m not going on it every day - I’ll chat to my GP about it… I think you mentioned l’arginine helped too… I take Argi (a Forever product that my sister-in-law sells) once a week for my leg day at the gym as it’s good for blood flow to the legs… I used to take it before hurling matches and 5 aside too and you’d feel grand the following morning instead of being stuck to the couch… I might start taking it every morning now too and hopefully get a bit of blood moving to my cock!

Incredible how these guys think they can get away with this - I mean do they have any conscience at all - is there anything they wouldn’t do for money… I had absolutely zero side effects for about 8 years and just thought there was a minority of men whose body it didn’t agree with… I think some minor urinary problems kicked in around year 9 and then loss of libido, ED etc. in year 10 so I’d expect most men to break down and have a crash at some stage - it will have to get to the mainstream media eventually

From reading your posts and other posts, it sounds like I might only be after having a minor crash and the big one is yet to come… I’ll be prepared for it but will update the forum on my situation as I go along

Thanks again - the info is really appreciated

Recap : I came off finasteride 15 months ago at the end of August 2019. I had no side effects for 10 years, then I started having problems all over my body for a couple of years - I had no idea what was wrong with me. Then I lost my libido for a few months and then I just couldn’t get an erection for the first time in my life when I was with a naked woman. It was nothing to do with psychology as I was getting ready to put on a condom, I looked down and there was nothing - so I wasn’t thinking about erections. I then remembered that over the previous 6 months, it was taking me some time to get erections while masturbating, and also that I had been having some urinary problems - the pieces all came together that finasteride had worn me down and was causing this.

Tests I did, side effects and what I’ve done about it:

Testosterone : Testosterone 25.4 nmol/L 7.1-31.1 (test carried out in August 2019 one week after coming off finasteride); I did a raft of other tests in August 2019 and there were no abnormalities; I did a second testosterone test in October 2020 (I think it was slightly lower as I haven’t been to the gym much because of the virus) - Testosterone 22.4 nmol/L 7.1-31.1; so I had no issues with testosterone but started taking tribulus lately as my kinesiologist told me to take it for 5 times a week for 5 weeks and then twice a week thereafter - as things stand, I plan to take it twice a week for the next couple of years

Andostenedione : from my GP, “Once your testosterone levels are normal (which they are) you do not require measurement of sex hormone binding globulin (SHBG). Your other sex hormone (andostenedione) was within normal limits: ANDROSTENEDIONE 2.7 nmol/L (normal range: 1.5-6.5); Prolactin hormone is not relevant for a man in this situation”. Any tips for increasing androstenedione from natural foods? It’s at the low end of the range.

ED : starting to get some nocturnal and morning erections but still not very regular; chronic ED problems at the moment; I went 12 months without sex and took a 10mg cialis back in July / August – it was too strong and I was fairly sore after it and even went to the doctor as the friction burn was brutal; I had sex in September using two 2.5mg tablets and that was perfect (had sex three times within 12-14 hours); I always take some pine pollen on the day of sex too and I think that has helped me as it reduces the flaccidness; ED is my biggest problem but the orgasm and feeling is as good as it always was

Urinary problems : still not completely gone and rely on nettle root tea one or two times a week which is a massive help. Nettle root tea relieves pressure on the liver and kidneys (as per my kinisiologist). I got the Covid virus in September and this has led to bad liver / kidney bladder problems so I’m now taking the nettle root about 10 times a week. I’ve also ordered something on Amazon which has great reviews so hopefully that helps. I’m also taking some dandelion drops but unsure if these have helped much yet.

Loss of libido : lost the libido for the first time in my life for about three months before I came off the drug; got it back as soon as I came off pills and wanted to sleep with every good looking woman I saw (but I had ED)

Brain fog : was bad for a while but it seemed to clear off naturally after about two months and I have had some challenging days in work which I got through ok. I tried some lions mane for a while and I felt that helped (I listened to a Joe Rogan Paul Stammits (?) podcast on this)

Chronic fatigue : most of this cleared after two months. I got quite disciplined at going to bed early and this obviously helps. 12 months after coming off the drug, I was working 18-20 hour days for 3-4 days in a row and I got through it. It’s back again from the covid virus with chronic pains and lack of energy in my legs at times but I’m confident it will clear off after another few months

Pains in testicles : cleared off after a month

Pains in bladder : cleared off after a month (I’d say the nettle root tea helped)

Dreams : No dreams at night in last 6/12 months of taking finasteride but I got these back after about two months and having lots of relevant dreams recently

Loss of sense of humour : I didn’t laugh for the last two years I was on finasteride - I should have known something was up as I was always up for a laugh. This all came back within a week of coming off the drug.

Anxiety : I had got very anxious and stressed in the last two years I was on finasteride, and socially awkward too but that seemed to go away after within about 6 months

Neuropathy : it was bad for the first two months but then it cleared off. It’s come back a little from the covid I think

Chronic teeth pain : after 6 months, my teeth like they were being electrocuted for about a month - now I get it on and off. I take half a teaspoon of fermented butter and cod liver oil ((Green Pastures is the brand and was recommended by someone on this website)) about 4 times a week and rinse out my mouth with salt and warm water. I have a dentist appointment in 2.5 weeks time but I already had an x-ray in February and nothing is out of line

Dry skin / seborrheic dermatitis : I grew a stubble / short beard so no more shaving. The skin around my nose and eyes deteriorated for a couple of months. My GP told me to try double emmolient cream so I’ve ordered that. I also use lots of aloe vera moisturiser. It’s mainly cleared off (after about three months) but I started using some sebclair cream and sebclair shampoo so maybe this helped clear it off. I’ve also spent the last three weeks in the Canary islands and I think the vitamin D and going into the sea has helped my skin in a big way.

Constipation : this has broken my heart over the last three years but an appointment with a kinesiologist helped. I went gluten free for four months and only having wheat about 2-3 times a week now. I took 80 billion probiotics and digestive enzymes (Solgar and HCI Pepsin) – all of this helped.

Dry eyes and sensitivity to light : not as bad as it used to be. I use eye drops once a week before going to bed and this has helped. I also got some sort of anti-glare glasses for watching TV and put them on the odd time when I’m working on the computer.

Weight gain : I tried for almost 10 years to put on a stone. I am 5’11” and weighed between 11 and 11.5 stone. After I came off finasteride, I weighed over 12.5 stone and if anything, I was eating less that week. I’m now about 12 stone - the weight I always wanted to be. I do lots of gym work.

Muscle ache : mainly went away after 2-3 months

Heart burn / odd feeling of blood flow / some chest pain (back to normal after two months)

Colour of my skin : I haven’t got a tan over the last 2-4 years which is unusual as I always had nice sallow skin. I seem to have got some decent colour over the past three weeks in the Canaries so hopefully I’ll get my old colour back going forward

Anything else :

Fertility test : I had a test a few weeks ago and all is ok in terms of volume and mobility (I’m nearly 38 years old)

Hair : I had a hair transplant unfortunately back in 2017 and only for the FUT scar, I would probably have shaved my head with a zero blade by now. At the moment, I’m cutting it three back and sides and blade 6 on top. I’m expecting it to shed rapidly at some stage and I will probably look to go zero blade all over and get micro scalp pigmentation to take care of the scar.

Ashwagandha : this helped my mood and outlook incredibly. I took it once a day for 3-4 months going to bed. Now I take it 2-3 days in a row every so often if I feel myself getting stressed

Other supplements which helped : l’arginine, pine pollen, l’tryptophan, zinc (I’m cycling supplements so take these about once a week)

Other supplements which I don’t think did much : mountain blood, tongkat ali (although didn’t take too many of these), l’tyrosine

Kinesiologist : she’s helped me sort my gut out by examining me and telling me what my body needs more and less of; it won’t solve ED but at least you should feel better

As I said, I came off finasteride at the end of August 2019 and none of my hair has really started falling out yet, although I think I’m slightly balder in the crown. I’m hoping that once the hair starts falling out, I’ll be much better although I presume I’ll have a reliance on cialis for some time, and maybe even the rest of my life. If I could get to a stage where I could have a proper sex life even taking three 2.5mg cialis a week, I’d be happy with that. When I took the 5mg of cialis two months ago, I did get some side effects the next day in that I had a headache, I was absolutely exhaused and my nose gets very bloody so lots of dry red hard bits coming out of my nose for a few days after it. The 5mg of cialis worked after four drinks which is positive - I may try it out some night on 6 drinks and just see if I can masturbate when I get home. It’s very frustrating to be single and resist the pressure from friends to stop after four drinks knowing that if I have any more, I can forget about any chances of meeting someone or having sex

Lots of ups and downs - I’ll update again next year.

Gents I wanted to ask if anyone has any knowledge of prolactin levels. My last lab test was 13.2 ng/mL from what I read in searches online, my level (average for 40 year old male) should be around 7. My test (total is 770) (free is 18) seems to be in good range. LH and FSH are about average.