Quote: (01-20-2014 12:22 PM)Collide Wrote:
I took propecia for a year and 4 months, stopped taking it around thanksgiving because; A) There was no hair improvement, B) I started growing mantitties (Gyno), C) Sex drive diminished greatly. Could get erections no problem but there wasn't as much pleasure
Since coming off propecia i've been having prostate problems too. I hope it resolves itself over the next month or so when my hormones balance out.
TL;DR: DON'T TAKE THIS FUCKING SHIT. I went on them because it said "If you experience side effects stop taking the medication and your problems will disappear". No risk, right? Well the FDA made a little correction halfway into my trials stating you may suffer these side effects permanently.
Hmm, if you stopped a month and a half ago and are still experiencing symptoms, it's probably time to start doing something about it...IIRC it should take 2 to 4 weeks for your system to normalize after dropping finasteride. If you haven't already, you should check out what you can find about "post finasteride syndrome". If you are affected, there are some protocols to try, though as far as I'm aware they haven't found a definitive treatment.
You can find a number of logs of guys who've corrected themselves over time at propecia help, including from gyno. I remember reading one story of a man treating it like a bodybuilder would after a long steroid cycle shutdown T production: running a standard post cycle recovery stack with anti-estrogens and others. Others seems to basically do heavy lifting + clean living + supplements of questionable validity. Might be worth researching, if I were in your shoes I'd be getting blood work from a doctor and then laying out my options.
Quote: (01-20-2014 01:12 PM)basilransom Wrote:
Quote: (01-20-2014 11:46 AM)RioNomad Wrote:
The difference is you can go from shit to fit with some training and diet. What can you do about losing your hair? You cant grow a full head of hair once you start balding.
I agree. It only makes sense if you still have your hair, and catch the hair loss very early. I did, more or less. Or if you're willing to shell out for hair restoration surgery.
Quote: (01-20-2014 12:42 PM)CPG Wrote:
Quote:Quote:
I take propecia, and have been for two or three years. When I'm sleeping and eating well, my libido is very high, as it's long been. It fluctuates for reasons beyond me, but generally it's higher than just about anyone I know. I'm in my 20s. You have to remember that many more of the guys who aren't experiencing negative effects from finasteride aren't hanging out around hair loss forums because they're just living life.
I believe it, that's part of why hair loss is so frustrating to research...many people who get great results from a treatment stop thinking about hair, don't talk about it and just go on with their lives as you say. You end up with forums filled with the hapless guys who didn't respond to treatment, and it's hard to sift out the exceptions from the norm.
It's good propecia works for you and many others, just unfortunate the side effects are as bad as they are for those affected.
IMO, practicing doctors are better authorities because they see hundreds of cases, while men complaining on the internet only know their own situation. These doctors probably don't have much financial conflict of interest, i.e. getting paid to say something is good when it isn't, because a finasteride prescription is dirt cheap. Branded propecia is not, but most doctors would prescribe you the generic 5 mg if you asked, I'm sure.
I have to say, it is rather odd that there is so much criticism of finasteride on the one hand, while the doctor I linked, based on both presumably his personal experience with his patients and published studies, that it's almost a non-issue. That's a pretty huge chasm. Maybe the doc is only looking for erectile dysfunction and the real symptoms are different. Or patients who experience negative side effects never inform their doctors? Possible, but sounds unlikely, especially considering how vocal they are on internet forums.
Even for those for whom finasteride works, it's only a delay. I'm aware of that. Still, an extra five or ten years with a full head of hair is nice, and also gives you more time to get jacked like RioNomad suggested to compensate. I'm sure when I do shave it all off, I'll make the extra effort to have everything else on point - style, body, skin, etc.
Also, the average guy has a shitty diet and lifestyle that leads to low testosterone, high body fat, and sub-maximal libido. Could a man get adverse side effects from finasteride because he has a shitty diet, but not if he has a great diet? It's plausible. Could a man prevent or reduce the bad side effects of finasteride if his health was otherwise optimized? Also plausible.
We agree on most of this, we're just reaching different conclusions. For sure, the terrible American lifestyle suppresses T and has pro-estrogen qualities to begin with, and it'll worsen any drug-induced imbalance that might go unnoticed in a healthy fit man. It's no coincidence that a number of men beat PFS by basically getting in shape. Also good point on these treatments just being a delay of the inevitable anyway...that's my whole attitude on hair loss, I want to keep my hair at least through my 30's and fingers crossed there will be a better solution by the time I need it.
Agreed on the lack of financial incentive for doctors as well...when I was on propecia it was still under patent so I was shelling out for the Merck official cut, but with it gone generic that's no longer a concern.
The doctor with 100s of patients vs random guys on the Internet situation is definitely a credibility problem. If I hadn't experienced side effects first hand I'd be far more skeptical than I am. I checked out the balding blog post you linked to on the "15% side effects" study being unreliable, and I see the author's point. At the same time, I found a neuroendocrinologist's blog getting in to the mechanisms of it when PFS was just being identified at
http://blog.alanjacobsmd.com/alan-jacobs...n-men.html with some other posts of his approach to treating it in patients. Who to trust?
Part of the issue is just how new this is as an official medical condition. I did some searching, and the earliest mention I found of even the name "post finasteride syndome" used informally is in 2010, and it wasn't until checking out 2013 news stories that I found PFS being used formally. There simply isn't enough research and studies out there to point to finasteride and say that it's definitely dangerous or that is only affects a very small group adversely, so we're still in the land of hearsay.
With the various studies and legal actions underway I expect to have a better answer in a few years. In the meantime, I think there's enough evidence of risks that a man trying finasteride should first research and make as informed of a decision as he can. I lean towards saying stay away as the sides are quite bad for at least a handful of men out there, but I absolutely understand the temptation to take it by the majority of men who it'd help.
With all that said, it sounds like you're fine to keep right on using it. A good friend of mine went on it a year and a half ago and I've occasionally asked if he's noticed any symptoms, and he seems completely normal on it too. Hell, if I hadn't noticed side effects I'd still be on it. It's the chance of persistent and serious sides after stopping that concerns me.
Quote: (01-20-2014 09:51 PM)RioNomad Wrote:
I'm also not so worried as a lot of guys about hair loss because I look great with a shaved head. Been doing it since 17. My head shape and look is similar to GSP, so it's a natural fit for me. My cousin is balding and looks like shit with his giant square head.
A top hair transplant doctor actually is located a few miles away from me here in Bkk. US trained, tons of awards, and guys on the hairloss forums fly all the way here to get transplants done at a third of the price as back home.
However, I wouldnt really be able to buzz my head anymore if I did that, so I doubt I will.
With rocking the GSP look, you're good to go...I wouldn't look back! It's the guys like your cousin that really suffer, though even then I bet there's something that can be done with the right leanness of face and facial hair to balance it out.