Finasteride sexual side effects question

I’ve been on finasteride for a little over 6 months now and so far up until yesterday I haven’t been experiencing any sides. But yesterday I was getting frisky with my girlfriend but couldn’t get my dick to get hard. This was the only time that this has ever happened, and there’s also other factors such as me not getting enough sleep the past few days. Was wondering if anyone knows when finasteride side effects supposedly happen. Thanks!

Maybe you are reading too much into it. Most men have days that they are off and maybe this was yours. Most men don’t get sexual side effects out of the blue. Give it some time and stop thinking about it, because you can make it happen


2021-01-27 15:06:06Finasteride sexual side effects question

Stopping finasteride after 5 years

I’ve been taking generic finasteride for around 5 years (since I was 25) and I’ve maintained the hair that I had when I started taking it. I also only had a minor side effect (orgasms seem to be a bit weaker, not too much but enough to notice) but the plus of keeping my hair outweighed this negative.

I read a scientific paper yesterday about the long term effects of neurosteroids and 5a alpha reductase inhibitors and it got me a little worried. Then I went down the rabbit hole of posts on places like Medium and Vice about how the drug ruined their lives and it was difficult for me to get some sleep last night and I was seriously considering just going cold turkey but even there you get people saying that stopping finasteride could give you PFS symptoms as well.

Not really sure what to do now, as much as I like having my hair I don’t want to screw up my brain and body over the long term.

Currently, I’m thinking of dropping down from 1mg to 0.25mg a day as I saw a graph showing that DHT inhibition only goes from 68% to 62% but what do you think?

Almost all of my patients who were on finasteride for years and who have stopped the drug for man y reasons, have often seen significant hair loss and regretted stopping the drug.


2019-06-22 09:30:44Stopping finasteride after 5 years

Finasteride then dutasteride and my hairline is still receding

I’ve seen a lot of your messages on reddit being very helpful for people combating baldness. If you have a moment I hope you could help me with a small question. In my mid 20’s I noticed my hairline begin to recede and went on Finastride. It seemed to work great. My hair recession slowed down significantly. However, when I turned 34. I began to notice my hair line was receding again. I’m aware that drugs like Finasride, more or less, just slow the process down. But I was alarmed at how quickly my hair seemed to be receding all of a sudden. It was like the drug simply stopped working. I panicked and with some research I found that Dutasteride was an alternative that’s been shown to be slightly more affective. So I switched, from 5MG of Fin(quartered) to 0.5 of Dutasteride. That was approximately 10 months ago and my hair continues to recede and thin, at what feels like an alarming pace.

So here is my question. Have I made a huge mistake in switching? Will I lose all the hair that I kept on Finastride even though I’ve switched to Dutasteride? I thought that if Dutasteride worked it would keep the hair that Fin was holding back. Or perhaps there was no slowing these effects any longer, whether it was Dut or Fin? I don’t know what to do.

Dutasteride and finasteride can be interchanged without negative effects. What you are describing is the inevitable changes in progressive hair loss and I doubt with the history you gave, that any medication will help you at this stage. If your hairline bothers you, a hair transplants is the only option.


2021-01-04 14:50:35Finasteride then dutasteride and my hairline is still receding

Finer Hairs at Hairline

Hello Dr.Rassman,
I am a 29yr old caucasian male who has over the last few years been dealing with questions of hairloss. Thus far there is nothing dramatic to speak of – no noticably thinning or balding areas. There is however one thing that has led to a good deal of concern – it can best be described as light or whispy hair around the frontal hairline (from temple to temple). My hair has always been quite fine in nature and until a few years ago a light brown color rather than the dark brown it has become. In recent years I have grown my hair out quite long – opting for the ‘rocker’ look as friends call it. If I pull my hair back I dont notice any loss at all – it looks like a regular hairline – but the hairs that make up the first cm (rough estimate) are lighter in pigment and fine in composition compared with hairs deeper in the scalp. Aside from the minor difficulties this phenomenon creates when attempting to style my hair I’ve been wondering if this is an example of the ‘miniaturization’ process that you have described. I have no signs anywhere else of this phenomenon – just the fringe of the frontal hairline. No crown thinning, no overall diffuse thinning, no temple thinning – and that is what is driving me crazy! If it were more extreme I would be prone to take some action be it drugs, topicals or other treatments. With this said however the lack of action kills me just as much because I wonder if I’m not acting when I should be – nipping my possible hairloss in the bud so to speak. Please let me know if you feel this is an example of ‘miniaturization’ or not and any course of action I should consider taking. Thank-you.

To really answer your question directly, you should be examined and have your scalp mapping of your hair for miniaturization, which is best done under magnification with a visualizing high power microscopic tool, like our densitometer. Fine hairs often exist in the very front of the hairline, but in regards to what you refer to, I am not sure if you mean the mature hairline that has probably evolved from your child hairline (age 10 or so), which is often lower and thicker. I would want to see pictures and possibly meet with you in person to make such assessments. If you’d like to send photos, you can email them to the address on the Contact page.


2005-12-07 17:03:55Finer Hairs at Hairline

Study – Hair Care in African American Girls

Snippet from the study abstract:

BACKGROUND: Few studies have extensively examined the prevalence of hair care practices and their association with scalp and hair conditions in African American girls.

OBJECTIVES: We sought to determine the prevalence of hair care practices and their association with traction alopecia, seborrheic dermatitis (SD), and tinea capitis (TC).

METHODS: A questionnaire was administered to caregivers of African American girls aged 1 to 15 years. Multivariate analyses were performed to determine the association of hair care practices with reported disorders.

Read the rest — Hair care practices and their association with scalp and hair disorders in African American girls.

201 surveys were sent out to caregivers of African American girls aged 1 to 15 years to look for links between traction alopecia, ringworm, and seborrheic dermatitis. Almost all of the respondents used oil/grease in the hair, and a substantial number used ponytails, braids, or cornrows. The results were published in the Journal of the American Academy of Dermatology.

The study concluded: “Certain hair care practices were strongly associated with development of traction alopecia and SD.” The situation of traction alopecia in women of African decent is epidemic in Western society. Many, many women have ruined their hair and developed significant balding from the various ways they went about managing their kinky hair.

Florida Hair Doctor Recommendation?

I am menopausable, early sixites, and experiencing extreme hair loss. My once thick, course hair is now fine, thin and receding. Many dermatologist in the area do not consult on hair loss. Can you recommend someone in Jacksonville Florida who specialized in women’s hair loss? Thank you

The ISHRS (International Society of Hair Restoration Surgery) membership shows two doctors who are members of the society. I would look to this society as those who are members have focused heavily on the learning process made available through them. Marina Pizarro, 904-246-2024, may be worth interviewing as she has a website at hairloss.md which will give you some information on her background.

Successful treatment found for Frontal Fibrosing Alopecia (photo)

This disease, more common in women than men, is responsible for considerable hair loss in women. Too often, hair transplant surgeons who don’t understand the diagnosis will transplant such patients and when the do, the transplant always fails. An experienced hair transplant surgeon is critical because he/she detects this disease which can be devastating. It is easy to see why surgeons get excited about transplanting this type of patient (see photo of female below) but careful examination would show that this patient is missing vellus hairs and has skin abnormalities that are not reflective of genetic balding. This article shows a treatment which has proven successful in 78% of patients:

https://www.ncbi.nlm.nih.gov/pubmed/29036252

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Following ones father’s hair loss pattern, how often does that happen?

I am a 24 years old guy with a clear cut norwood 3. My hairline receded obviously, I am not so sure about all around density but I guess the hair are thinner (cannot tell visually but it feels off). So it is pretty clear that I will follow my father’s pattern of balding which means I am headed to norwood 7. The thing is, my father only lost hair on top at 35-37. Also , he had an afro which means his density loss was hard to notice until it really advanced. My hair were always thinner than his, they are straight so I feel I might be noticebly bald faster.

Just out of curiosity, does on follow your father’s pattern and timeline regarding baldness? Would be nice to know if it is wise to look at when my pops lost his hair.

Some people do and some don’t, I just saw a man yesterday who has a very bald father and brother who were bald before they were 28, but he was like you with a Class 3 pattern at 30 years old. He was worried he might go like his dad, but I told him that very bald men are always bald by the time they are 30, so not to worry.

What was that surgery called that Trump was victim of?

Scalp reduction is the answer to your question. This is when there is a bald area in the back of the top of the head, and the surgeon removes the bald area and leaves a large scar running down the excision area. This is a permanent scar, and the bald area’s removal usually returns or worsens too quickly and makes the person more bald. Most of the time, in those days, the surgeon chased the recurrent balding with more and more Scalp Reductions. I know from personal experience because I had three of them done on my head, which left me scarred and with a paper-thin scalp that used to bleed regularly. I then figured out that if I transplanted it, the transplants would restore the infrastructure to the scarred area. I was lucky because I only had crown balding and a lot of donor hair. Still, I suspect that Donald Trump was not so lucky and ended up chasing his hair loss with the old type of plugs, leaving his donor area heavily depleted, as seen in this video.