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Minoxidil and Finasteride (Topical ), ED
Hi Doctors,
I need advice. I have tried to discuss doctor and read online but not getting proper responses.
I have been using Minoxidil and Finasteride (Topical) from last 3 months along with 3 sessions of GFC (hair prp treatment).
I am noticing Erection issues not sure if its because of Finasteride, I have never had such issues before.
So pls let me know if i should stop Finasteride immediately or need to slow down with less doses
Or
I can continue Finasteride and Once I see hair grown back, I can stop later?
I am worried if this ED issue will be permanent or wil go away when I stop applying Finasteride.
Pls suggest, I am very tensed since I am not married.
Answers (14)
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Need more details for proper evaluation. Kindly connect for further management
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Finestride is known to cause erectile dysfunction.
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Finasteride, a medication commonly used to treat hair loss (male pattern baldness) and benign prostatic hyperplasia (BPH), has been associated with sexual side effects, including erectile dysfunction (ED). While not everyone who takes Finasteride will experience these side effects, clinical studies and patient reports indicate that a subset of users may develop ED, reduced libido, and other sexual dysfunctions.
Next Steps
Stopping the medication may lead to an improvement in sexual function. However, it might take some time for symptoms to resolve after discontinuation.
Switching Medications: Alternative medications might be prescribed.
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Kindly consult for proper evaluation and treatment.
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Contact for consult
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Connect please
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Avoid fried food and spicy food
Water intake more
Protein intake more
Do connect and consult
Will help you
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Topical finasteride is used primarily for the treatment of androgenetic alopecia (male pattern baldness). While it is generally considered to have fewer systemic side effects compared to its oral counterpart, there are still potential side effects to be aware of. Here are the common and less common side effects associated with topical finasteride:
### Common Side Effects:
1. **Local Irritation**:
- Redness
- Itching
- Dryness
- Flaking
- Burning sensation at the application site
2. **Contact Dermatitis**:
- Allergic reactions to the ingredients in the formulation, leading to rashes or swelling.
### Less Common Side Effects:
1. **Systemic Absorption**:
- Although minimal, some finasteride can be absorbed systemically, potentially leading to side effects similar to oral finasteride, albeit at a much lower incidence.
- These may include decreased libido, erectile dysfunction, and decreased ejaculate volume.
2. **Hormonal Changes**:
- Finasteride works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT). In rare cases, hormonal changes can occur, potentially leading to symptoms like gynecomastia (breast enlargement in men).
3. **Scalp Sensitivity**:
- Increased sensitivity or tenderness of the scalp.
### Rare Side Effects:
1. **Severe Allergic Reactions**:
- Hives
- Severe itching
- Swelling of the face, lips, or throat
- Difficulty breathing (anaphylaxis)
2. **Sexual Dysfunction**:
- Persistent sexual dysfunction has been reported in some cases, even after discontinuation of the medication, though this is more commonly associated with oral finasteride.
3. **Depression and Mood Changes**:
- Some users have reported changes in mood or depression, though these side effects are rare and more commonly linked to oral finasteride.
### Precautions:
- **Pregnancy**: Women who are pregnant or planning to become pregnant should avoid handling finasteride, even topically, due to the risk of birth defects, particularly in male fetuses.
- **Medical History**: Inform your healthcare provider of any history of liver disease, prostate cancer, or urinary problems before using finasteride.
### Monitoring and Consultation:
- Regular follow-up with a healthcare provider is recommended to monitor for any adverse effects and to evaluate the effectiveness of the treatment.
- Discontinue use and seek medical advice if any severe or persistent side effects occur.
Overall, while topical finasteride is generally well-tolerated and provides a lower risk profile compared to oral finasteride, it is still important to be aware of potential side effects and to use the medication under the guidance of a healthcare professional.
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Topical Finasteride has not been reported to cause erectile dysfunction. Oral Finasteride does have an increased risk, but it is in less than 1% of patients. Doesn't look like Finasteride is the culprit here.
Next Steps
Consult a General Physician
Health Tips
Stopping Finasteride is not advisable as you will lose all the progress over next 3-6 months. Finasteride and Minoxidil for Androgeneic Alopecia is a lifelong treatment.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Topical application should not cause ED. You can talk to your treating Dr to give you any alternative. However stopping it will not help .
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Kindly connect.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.