finasteride therapy for BPH-are the sexual side effects exaggerated?

i talked to several man i know they stop taking it as i have i dont believe those studies

I was told that the side effects of Flowmax were few and rare. I took one tablet on a Saturday night around 11 pm after having it prescribed. (I had read the medication precautions and noticed that for some, lowered blood pressure was a side effect, so I told my wife about it.) The next morning we went to church where I sang in the choir as usual. Then as I went forward to take communion and got to the rail, I passed out cold. I was taken out a side hallway, and laid in a hallway with my feet elevated (a couple RNs were there) and they still couldn't get me roused. Finally, a call was made to 911, and the rescue squad arrive. My blood pressure was 65/35, so I was taken to hospital where I received IV fluids and spent about 2-3 hours before my BP was back to normal.

After that event, I developed hypertension for the first time in my life. That was about 15 years ago, and I still take a blood pressure medication to manage the BP. Needless to say, I never took a second Flomax.

I accept that most people probably have no difficulty with Flomax, but I was apparently an outlier in my reaction.

Glenn

The study is a lie. It might disappear in some after 6-12 month, but killed my libido and erection in the first month of use. It took 3-4 months to recover. According to some studies in some men sexual side effects last for the rest of their life even after the stop use finasteride and it's stronger version avodart (dutasteride). Everybody is different, everybody has different level of testosterone and more true about dihydrosterone that is responsible for libido, erection and balding. The younger the person teh less are side effects, provided the high level of dihydrotestosterone to start with. Nobody know exactly how te brain governs those important hormones. What's well established that finasteride/dutosteride can lead to permanent changes in brain functions that govern testosterone production.

Some patients on this site claimed no sexual side effects, bu most compaint about permanent ED and libido decreased.

The medicine is no more effective than PAE. Those who don't care about their sexual life could try it with some benefits. Prostate start to grow again once you stop these drugs. Balding starts again as well.

Probbly a good option for those older than 80. Good news are that with no libido ED doesn't bother you anymore. All problems solved!

didn't do anything for my median lobe.. it did give me retrograde ejaculation but it went away when i stopped. once retro appeared i quit it

It's a dilemma because the drugs that treat BPH can have undesirable side effects. The main operation they use to treat BPH isTurp which was invented in 1926 and advanced in the 80s. And if you don't do anything my doctor said you could have full retention permanently damage your bladder and have kidney problems.

So how could one navigate this. I'm hoping that new technology drugs or operation will come along soon. Is that realistic?

No. You have an inflamed enlarged organ, which is almost as complex as human heart. Sometimes called man's "second heart". Nobody knows exactly why it growth in almost all mammals: dogs, cats, rats, bears, humans... A form of testosterone is a culprit, exercise, food, lifestyle, STDs are secondary factors.

Treating BPH is as easy as arteriosclerosis. Some never get it, some at age 49, 90% at age 80. Surgery is easy and effective, almost as bypass.

Questions, comments?

No, I'm a 72 year athletic man without bad habits, never had STD. Still have and desire a fulfilling sexual life. Tongue in cheek is only about strong sexual effects of finesteride, which is supposed to work that way. These drugs called alpha 5-reductase inhibitors and supposed to inhibit the enzyme that converts testosterone to dihydrotestosterone, the only hormone that is responsible for libido in men and women, as well as erection and lubrication in women. It deceases naturally with age in most men and women. Inhibiting it make prostate to shrink, hair grow on the bald head and consequently loss of libido and erections. Anybody who will tell you otherwise is either or lier, pharmaceutical executive, or both.We are taking huge buck here, gents. Women don't need erection, but they don't have a prostate either. Forget all this supplements. No scientific study showed them more effective than placebo. Some are less.

Probably one day a gene that is responsible for abnormal prostate grows will be found (in some men it never grows) and gene therapy will be applied to all (except for those who already got their TURP or prostate removed). Let's wait...

Johnny,

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I have been on finasteride for over a year and a half. I have had no side effects other than my bald spot filling in. It was totally ineffective in clearing my blockage for a median lobe obstruction. I had a Rezum which cleared the obstruction and I can pee again. I have stayed on the finasteride to prevent regrowth after the Rezum. Again, I have no bad side effects from finasteride.

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Can you please post the name and authors of the study.

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Steve

Took finasteride for about 4 months and had very bad side effects. ED, mental-fog, and incredibly bad insomnia. After I quit the ED and mental fog went away, but it took me months to get over the insomnia. I would not recommend this drug to anyone, but everyone reacts different.