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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Side Effects Of Finasteride

I am 67 years old and recently took a complete physical and passed with flying colors except the doctor indicated I had a somewhat enlarged prostrate and prescribed Finasteride which I took for 1 month. The last year or so I have noticed a decrease in my ejaculate but have had no other bothersome symptoms. Shortly after taking the Finsteride I no longer ejaculate anything which was and is very disturbing to me. I have since seen a urologist who canceled the Finasteride and put me on 5 mg Cialis daily for 1 month to no effect regarding the ejaculation problem. I am scheduled to have a more thorough exam but it seems to me the doctors are more concerned about my urinary frequency than what is really bothering me. I would like to get more information about this condition prior to my procedure. My question is, based on your experience, is this something fairly common which can be fixed and what are the common fixes because I am beginning to worry about this and it is starting to have a negative psychological effect on me. Also, the doctors say this condition is not damaging but it is very uncomfortable to experience. To put it plainly, it feels like a back pressure build up without the satisfaction of a release. It indeed may not be damaging as the doctors say, but it feels uncomfortable and I am concerned about it. In addition it is difficult to even talk about it and so I welcome this mode of communication. Your help is appreciated.
Mon, 29 Aug 2016
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General & Family Physician,  's  Response
Finasteride is used for treatment of benign enlargement of prostate in old age. Its common side effects include sexual dysfunction such as decreased libido, erectile dysfunction, ejaculation disorders including reduced volume of ejaculate, gynaecomastia, testicular pain, hypersensitivity reactions, depression, male breast cancer, and orgasm disorders. Sexual dysfunction is seen in early stage of treatment and it resolves on continued use. Finasteride is very effective in benign enlargement of prostate. Prostate problem is also very irritating. Cure is possible by surgery. It is better to talk about your problem to your doctor. And you gave to decide whether you want sex or symptom of prostate problem. Why should you not get operated?? I recommend you some life style changes. It will help you.
Advice
1.     Continue finasteride as suggested
2.     Talk with your doctor about prostate removal by surgery
3.     Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse
4.     Consume less water in the evening but drink at least 3 liters of water in the day time
5.     Empty your bladder while going out of home/office
6.     Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms
7.     Double void to completely empty your bladder – this This involves waiting a few moments after you have finishedpassing urine before trying to go again
Thanks
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Suggest Treatment For Side Effects Of Finasteride

Finasteride is used for treatment of benign enlargement of prostate in old age. Its common side effects include sexual dysfunction such as decreased libido, erectile dysfunction, ejaculation disorders including reduced volume of ejaculate, gynaecomastia, testicular pain, hypersensitivity reactions, depression, male breast cancer, and orgasm disorders. Sexual dysfunction is seen in early stage of treatment and it resolves on continued use. Finasteride is very effective in benign enlargement of prostate. Prostate problem is also very irritating. Cure is possible by surgery. It is better to talk about your problem to your doctor. And you gave to decide whether you want sex or symptom of prostate problem. Why should you not get operated?? I recommend you some life style changes. It will help you. Advice 1. Continue finasteride as suggested 2. Talk with your doctor about prostate removal by surgery 3. Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse 4. Consume less water in the evening but drink at least 3 liters of water in the day time 5. Empty your bladder while going out of home/office 6. Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms 7. Double void to completely empty your bladder – this This involves waiting a few moments after you have finishedpassing urine before trying to go again Thanks