A reasonable number of guys seem to have improving function, but still lower libido (myself included).
The last sticky posted on studies - “Merck BS…” is actually very interesting. Although not a new article and a lot of what it said has been mentioned elsewhere it does talk about the effects of T and DHT on the brain and nocturnal erections.
They claimed that while there was no significant reduction of the type 1 iso-enzyme (the one converting T to DHT in the brain) during the 12-week study, they acknowledge that finasteride does inhibit type 1 in higher conentrations (perhaps some individuals are more susceptible or there can be an accumulation over time, especially if DHT levels continue to fall while on the med.)
As my T levels have risen (and DHT appears to be following) I have an increase in sexual thoughts (from the start when first off Propecia, when a very attractive lady passing me wouldnt turn my head to now when my eye catches them a mile off!), and notably more frequent sexual dreams (I didnt have a single one for more than a year) and increasing nocturnals (amount and strength).
I know another recovering user who has reported similar patterns.
This may all seem obvious as rising T (esp free) will cause these results but I am just looking for trends.
I dont want this thread to become a complex debate about proven/ unproven hormonal effects, but raise it more to discuss symptoms and to see if other sufferers have experienced similar effects.