Letter to a stressed-out young man, re PFS

A synopsis of the “post-finasteride syndrome” conundrum

Hi Bro,

I’m sorry to hear that you are still having trouble.

Thanks for sending the video by your metabolic medicine MD: I had a look at it: he’s really a sharp guy! He is correct about Dihydrotestosterone being the cause of baldness and the other ill effects of too much Testosterone – obviously, you don’t want to try taking testosterone for your current problems.

The low incidence of side effects from Finasteride

Your doctor is correct in reporting a low incidence of side effects with Finasteride (it’s only 0.8% percent of men!): the incidence is so low that generally, doctors ignore the possibility; but from my “hyper- careful” point of view when I was doing Urology, the reported side effects, including deep depression and suicide, were so concerning that I didn’t ever prescribe finasteride for hair loss, because of the risk of psychosexual problems.

I didn’t prescribe it for prostate enlargement either, because in my view all it did was to postpone the necessity for prostate surgery: I had no difficulty with and no complications from prostate surgery, so I just waited until the patient really needed an operation and I didn’t “fool around” with prostate-shrinking drugs.

Subscribe to continue reading

Subscribe to get access to the rest of this post and other subscriber-only content.

Published by Gervais

I am a Toronto-trained Urologist. I practiced in downtown Toronto, from 1977 to 1997, when I went to Saudi Arabia as chief of Urology at the Armed Forces (teaching) hospital in Tabuk. Returning to Toronto in Y2000, I switched to family practice. In 2007, began to prescribe Hormone Restoration Therapy and in 2012, I became a member of the American Academy of Antiaging Medicine [A4M]. I successfully wrote the A4M's written examination in December, 2013 and In May, 2016 I passed the oral examination, for accreditation as a BHRT consultant. In 2014 I began BHRT practice in Collingwood, Ontario and in January, 2017, joined the Stone Tree Naturopathic Clinic. Now I am 85 and retired, but it seems wasteful to jettison my learning and experience: the medical establishment knows nothing of BHRT / Functonal medicine and I feel obliged to offer my knowledge in the interest of those who are willing to think outside the box. QUALIFICATIONS: MB, BS, (UWI), 1964. LMCC 1969. FRCSC (Urology), 1974. ECFMG 1984. Florida license [inactive], ABAARM 2016. Affiliations: CSAMM, OMA, CMA, SUSO, CUA, RCP&S/C. PRACTICE TO DATE: Consultation in Functional Medicine: Chronic Fatigue Syndrome, Fibromyalgia, Andropause, Menopause, Teenage and Postpartum Depression/Panic Attacks, Thyroid Hormone malfunction, Infertility, Sexual Dysfunction and “the Undiagnosable”. ALL ARE WELCOME to read, comment or question!