SLE receives hundreds of calls and emails weekly from men looking to better themselves. Often discussions lead to alternative subjects (not pertaining to penis enlargement) that are important to men’s integrative health and wellness. There is a strong correlation between men seeking penis enlargement plastic surgery and men that opt for other cosmetic body and facial procedures. Hair transplantation is a primary procedure that men often choose in coordination with phalloplasty enlargement. Often, men seek out these different procedures with the leading plastic surgeons pertaining to their craft.
FDA Approved Baldness Drug Can Cause E.D.?
At our Torres Surgery Center, there are dozens of plastic surgery suites and doctors that specialize in all aspects of plastic surgery, dermal procedures, and hair transplantation. Previous to surgery, men typically seek out alternative treatments including prescription medications. A common medication men have opted for to treat male pattern baldness is Finasteride and is marketed as Propecia. Over a decade ago, our phalloplasty surgeon would prescribe Finasteride as a form of erection control for patients healing from dermal graft enlargement surgery. At the time, the post-op healing phase was much more intensive than today and erection dissuasion was vital during the healing phase. We were aware of the effects of high dose Finasteride on men’s erectile functionality and subsequent penis size shrinkage.
In 2010 Medical Daily’s article: Finasteride’s Sexual Dysfunction Side Effects Poorly Reported In Male Baldness Studies brought awareness to men worldwide about this underreported problem. Newer studies claim that sexual dysfunction side effects from baldness drugs may be permanent.
The Medical Daily article describes sexual side effects from the baldness drug lasting years opposed to original claims of sexual side effects including erectile dysfunction, lasting only 3 months. Many articles have been publicized further proving the long-term effects of baldness drugs and sexual function.
Finasteride – Erectile Dysfunction & Decreased Libido
The illuminating Drug Watch report: Propecia – Erectile Dysfunction & Decreased Libido involved a healthy 24-year-old male patient that took Propecia and after less than a weeks time, began feeling an aching sensation in his testicles and experienced symptoms of erectile dysfunction. The report later mentions that the patient still has erectile dysfunction and loss of libido 11 years after the initial side effects.
The report depicts a 2012 FDA study that concluded 14 percent of the 421 evaluated cases were identified with persistent sexual dysfunction lasting for at least 3 months. The FDA study claimed that there was not a clear connection between finasteride and sexual dysfunction side effects. However, warnings of these complications were added to the drug label.
Drug Reporter’s article: Propecia and Erectile Dysfunction describes a large number of men have reported permanent, or long-lasting sexual dysfunction problems including:
- weakened libido
- poor semen quality
- erectile dysfunction
- difficulty reaching orgasm
- diminished semen volume
The National institute of Health scientific study: Persistent Sexual Side Effects of Finasteride for Male Pattern Hair Loss details the irreversible sexual side effects caused by Finasteride. The sexual study concluded that any physician treating men for male pattern baldness should be explicit with men about the potential sexual side effects that are linked to Finasteride.
The International Society for Sexual Medicine study categorized and standardized the onset of differing sexual dysfunction symptoms associated with the baldness drug. 71 otherwise healthy men aged 21-46 years who reported the new onset of sexual side effects associated with the temporal use of finasteride as follows:
- 94% of men had low libido
- 92% of men developed erectile dysfunction
- 92% of men reported decreased arousal
- 69% of men had problems with orgasm
Post Finasteride Syndrome: Recovery & Treatment
Propecia or the generic, Proscar inhibits the 5 alpha reductase enzyme that is naturally made by the body. 5 alpha reductase is responsible for the conversion of testosterone to the more potent and available form of dihydrotestosterone, or DHT. Natural occurring DHT in the body has been proven to be a leading factor of baldness among men. DHT binds to the hair follicle and shortens the life cycle of hair follicles. Propecia is successful at blocking hair loss by shutting down the conversion of free testosterone to dihydrotestosterone.
Many authoritative sources of the post-finasteride syndrome currently claim there is no medical cure available. However, there have been several reports of alleviating symptoms of the syndrome through lifestyle changes, natural supplements, drug therapy, and hormone replacement therapy. This holistic approach to the treatment of post-finasteride syndrome seems promising.
- Natural Supplements – Omega 3’s indicated for brain health – Testosterone boosters such as Tribulus & Tonkgat Ali – Aphrodisiacs such as Maca – Natural PDE5 inhibitors like Horny Goat Weed.
Prescription Drug Therapy – Clomphine Citrate – Human Grade Chorionic Gonadotropin – Cabergoline to decrease elevated Prolactin levels – Thyroid Medication to counter hyperthyroidism or other hormonal imbalances.
Hormone Replacement Therapy – Testosterone Replacement Therapy (TRT) – DHT Replacement Therapy via injections, patches, and creams.
Post-Finasteride Syndrome & Propecia Side Effects Resources
Dr. Bruhin P-F Therapy: Recovering lost self-confidence & grievance counseling for the loss associated with PFS.
Propecia Help: Persistent Finasteride Propecia Proscar side effects info & forum. Research studies are currently underway at Baylor College of Medicine in Houston, Texas and Brigham and Women’s Hospital (a Harvard Medical School Teaching Affiliate) in Boston, Mass.
Post-Finasteride Syndrome Foundation: Dedicated to funding research on the characterization, underlying biologic mechanisms and treatments of post-finasteride syndrome (PFS).