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Finasteride and sexual side effects.
1Consultant Dermatologist- Hair Transplant Surgeon, Venkat Charmalaya- Centre for Advanced Dermatology, Bangalore, India.
Indian Dermatology Online Journal
|November 7, 2012
Summary
Finasteride, a 5-alpha reductase inhibitor, can cause sexual side effects in men experiencing hair loss. This review examines the evidence and advises physicians on patient counseling for this common medication.
Area of Science:
- Pharmacology
- Dermatology
- Endocrinology
Background:
- Finasteride is a 5-alpha reductase inhibitor.
- It is widely prescribed for male pattern hair loss.
- Sexual side effects have been anecdotally reported.
Purpose of the Study:
- To critically examine the evidence linking finasteride to sexual side effects.
- To provide guidance for physician-patient counseling regarding these risks.
Main Methods:
- Literature review of existing studies on finasteride and sexual dysfunction.
- Analysis of reported adverse event data.
- Synthesis of clinical recommendations.
Main Results:
- Evidence suggests a potential, though not fully established, link between finasteride and sexual side effects.
- The incidence and causality require further investigation.
- Physician awareness and thorough counseling are crucial.
Conclusions:
- Healthcare providers must counsel patients on potential sexual side effects before prescribing finasteride.
- Informed consent is paramount for managing patient expectations and adherence.
- Further research is needed to clarify the risk-benefit profile.
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