I expect this opinion to be controversial in this community and for very good reason but it needs to be heard. Lots of guys are suicidal on here with zero prospect of treatment and it makes no sense at that point if you are thinking of going through with it to be too scared to try SSRIs. There are other drug classes such as MAOIs, SNERIs, anticonvulsants, atypical antidepressants that don’t carry the same SSRI risks. Every single one of here got burned, but that doesn’t mean we should stop taking medicine for the rest of our lives. Zuranolone will be another antidepressant when it comes out that will carry its own set of risks and potential rewards. I certainly won’t jump to be the first PFS patient to try it but it carries some promise. There’s a reasonable way to approach this that will be different for everybody.
Regarding finasteride, I think it might make sense for professional actors, models, people whose biggest strength are their looks and hair, or people who are really suicidal over the prospect of losing hair. Personally, I think it is a bad idea for most anybody to take this drug and they should see a therapist to work through these issues if they are so attached to their looks, but it isn’t up to me to make this decision for them.
Generally, when you respect the fact that they are really struggling with this decision and you present the facts and risks so they can make up their own decision, they’re much more inclined to properly weigh the risks of finasteride. There are a million PFS patients who go on Reddit and other forums and cry bloody murder and it doesn’t help anybody, especially the credibility of our community here.