RT Journal Article
SR Electronic
T1 Finasteride for Androgenetic Alopecia Is Not Associated with Sexual Dysfunction: A Survey-Based, Single-Centre, Controlled Study
JF International Society of Hair Restoration Surgery
FD Publication of the International Society of Hair Restoration Surgery
SP 209
OP 212
DO 10.33589/32.6.209
VO 32
IS 6
A1 Haber, Robert S.
A1 Gupta, Aditya K.
A1 Epstein, Edwin S.
A1 Carviel, J.L.
A1 Foley, K.A.
YR 2022
UL http://www.ISHRS-HTForum.org/content/32/6/209.abstract
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.