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Urology  (Expert Forum)
 | 
Erectile Dysfunction since starting Finasteride
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Erectile Dysfunction since starting Finasteride

by Milos__0, Aug 24, 1998 12:00AM

  I am a 27 year old male who has been experiencing
  a great deal of difficulty obtaining and maintaining
   a full, firm erection for the last two months.
  I have found that I am only getting soft, flimsy
  erections, even when I wake up in the morning.
  I think I can easily attribute this ED to the
  hairloss drug, Propecia, that I began taking in June.
  Prior to initating this drug, I never had any
  problems achieving a hard erection. I was told that
  a very negligible number of people on this drug
  could experience erectile dysfunction/ impotence
  from this prostate medication turned hairloss
  pill. I was convinced that I could never undergo
  this loss of sexual function so there is
  no pyschological component to this.
  I would appreciate any informed advice. I have been
  told and read in the studies that only 2% of
  users had this problem - almost as many people who
   took the placebo suffered ED. Moreover, it states
  that many of the people who initially had
  libido loss recovered their normal erectile
  functioning after staying on the drug. Does this
  sound plausible ? If the ED kicked in almost immediately after starting the Propecia, is it
  possible that my body will adjust to it and
  my erections go back to normal if I remain on this
  medication ? Or should I just quit now before any
  further harm is done ?
  I do not want to lose my hair( though I have
  no guarantee that Propecia will even slightly
  help fight hairloss in my case). However, I
  do not have any interest in staying on a drug
  that will never allow me to have normal erectile
  functioning.
  I would really appreciate any help as I am
  very confused right now.
  Thanks very much
-------------------------------------------------------
Dear Milos,
I have read the package insert on Propecia and will provide you with the numbers.  These are results after the medication was taken for one year.
1)Decreased libido-1.8%
2)Erectile Dysfunction-1.3%
3)Ejaculation disorder-1.2%
4)Decreased volume of ejaculate-0.8%
A total of 3.8% of men reported one or more of the side effects listed above.
Resolution occurred in all men who discontinued therapy and in 58% of men who continued therapy.
It takes daily use of propecia for three months to see an effect and continued use is recommended to sustain benefit.  Once you stop taking the medication, reversal of the effect(benefit) will occur within 12 months.
I have provided you with all the information available, now it is up to you to make your own decision.
This information is provided for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Erectile Dysfunction.





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