PT  - JOURNAL ARTICLE
AU  - Haber, Robert S.
AU  - Gupta, Aditya K.
AU  - Epstein, Edwin S.
AU  - Carviel, J.L.
AU  - Foley, K.A.
TI  - Finasteride for Androgenetic Alopecia Is Not Associated with Sexual Dysfunction: A Survey-Based, Single-Centre, Controlled Study
AID  - 10.33589/32.6.209
DP  - 2022 Nov 01
TA  - International Society of Hair Restoration Surgery
PG  - 209--212
VI  - 32
IP  - 6
4099  - http://www.ISHRS-HTForum.org/content/32/6/209.short
4100  - http://www.ISHRS-HTForum.org/content/32/6/209.full
AB  - Background: The occurrence of sexual dysfunction side-effects associated with finasteride use in men with androgenetic alopecia (AGA) is thought to be less prevalent than is publicized. There is a need to investigate sexual dysfunction among finasteride users with population-based controls.Objective: To evaluate the presence of sexual dysfunction in men using finasteride or not using finasteride.Method: Adult men visiting a dermatologist’s office for any reason were asked to complete a survey including a modified version of the Arizona Sexual Experience Scale (ASEX) to assess the presence of sexual dysfunction with and without finasteride use.Results: Data from 762 men aged 18-82 were collected: 663 finasteride users and 99 non-finasteride users. There were no significant differences between finasteride users and non-user controls in reporting sexual dysfunction using the ASEX. Regression analysis indicated that self-reporting libido loss and reduced sexual performance, not finasteride use, predict a higher ASEX score.Conclusion: The use of finasteride does not result in sexual dysfunction in men with AGA. These data are consistent with other large survey-based controlled studies.