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.