In a recent Twitter exchange triggered by the latest Melcangi et al. paper on PFS, urologists exchanged remarks about the utility of finasteride.
Dr. Garrett Pohlman wrote: “the paradigm is shifting in how we are managing men with BPH”.
Dr. Jonathan Clavell wrote: “I have personally seen in my practice otherwise completely healthy young men who come in for ED and the only medication they had taken was Finateride for hair loss. PFS is real.”
My personal comment is that it’s not that “the paradigm is shifting”, which sounds very scientific indeed, but that the lie is finally being exposed - not thanks to efforts of the medical establishment but due to the suffering of hundreds of thousands of men with decimated lives worldwide whose existence is no longer possible to deny by any doctor with a sliver of conscience.