What is the final word on sexual side effects and finasteride?

I’ve heard stories about people who quit fin after 10 or so years and feel so much more better, or people who suddenly start experiencing side effects after a long time of taking fin. Is fin safe to take over a long term period?

I have been on it for years and many of my patients as well. If you don’t get the sexual side effects (which are real in 2-4% of men), then most of the changes over decades on the drug are most likely related to normal changes seen in men who develop Erectile Dysfunction.