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About 2% of finasteride users experience these side effects, and they are reversible after discontinuation.

Apparently some users report persistent side effects even years after stopping the medication (post-finasteride syndrome).

yep that would be me

Are you familiar with Dr. Powers, there's hope

not familiar tbh, i will check it out sometime. thanks

How many of them can be accounted for by the natural rate of sexual dysfunction?

I've been taking it without significant side effects for ~15 years, so I'm not worried, although at this point it's losing its main effect as well.