Mind the gaps: remarks on the evidence base

This post makes a few not-so-obvious points about the sprawling literature on finasteride and 5-alpha syndrome. If you are new to this literature, consider starting with a brief history of the research and a guide for researchers. Those pages describe what is in the literature, but it is also important to discern what is not … Read more

Why is this happening? Undercurrents of the war over finasteride harms

Over the past 25 years, finasteride harms have spread invisibly, altering lives and giving rise to confusion and disagreement. This post identifies common themes across all these spheres. Many of these have to do with biases, omissions and collusion among industry, physicians and regulators.

Finding the occasion to talk about persistent adverse effects of finasteride

In eight years of thinking and talking about health problems which I believe resulted from taking finasteride, reactions from others have ranged from compassion to curiosity, skepticism and stonewalling. Symptoms include numb genitals and total loss of sexual desire. When bringing these up, I feel I am testing the boundaries of propriety. When people feel … Read more