Propecia (Finasteride), a commonly-prescribed drug treatment for androgenetic alopecia, is hazardous to one’s neuro-endocrine functioning and can lead to Sexual Exhaustion.

How is Propecia leading to Sexual Exhaustion?

Propecia affects an enzyme called 5 Alpha Reductase which is responsible for Testosterone to DHT conversion. This immediately results in somewhat higher Testosterone and lowered Dihydrotestosterone (DHT) levels. The usual percentage of alteration is about 15 to 20%, which may seem low but in the context of proper organism functioning is actually extremely significant. The manufacturer’s notion that DHT is an insignificant hormone and can be inhibited without serious consequences is completely false. DHT is an androgen times more potent than Testosterone and is directly responsible for:

  • Male Libido
  • Fertility
  • Prostatic size and function
  • The health integrity of penile tissues
  • Nitric Oxide levels
  • Estrogen levels

It also directly affects numerous hormones responsible for proper hypothalamic-pituitary-adrenal-testicular axis functioning like Luteinizing hormone (LH) and Follicle-stimulating hormone (FSH). Administration of Propecia will immediately alter LH – FHS – Testosterone – DHT ratio.

The Result?

The mentioned phenomenon will result in a rather violent tissue alterations on a biochemical level. Prostatic, penile, and sexually related tissue fragility and loss is expected. It, in turn, will result in decreased semen volume, decreased penile size and fibrosis (firm flaccid penis and possible peyronie’s disease), and erectile dysfunction. The loss of elasticity could also result in a further abrasive damage through forceful low quality prostaglandin E2 filled semen ejaculatory contractions. Nerve damage has frequently been documented as well.

5 Alpha Reductase has been known to be closely involved in the biosynthesis of inhibitory neurosteroids. In fact, it’s only 5α-reductase type I and 3α-hydroxysteroid dehydrogenase that are involved in the synthesis of all the inhibitory neurosteroids.

Inhibitory neurosteroids act as inverse agonists of GABA(a) receptors and other neurotransmitters involved in inhibitory actions on neurotransmission. This means that 5 Alpha Reductase is actually directly needed for the proper serotonin – GABA nervous modulation on excitatory and inflammatory response.

Inhibitory neurosteroids possess anxiolytic, stress-reducing, prosocial, anaesthetic, prosexual, and antidepressant effects. Not surprisingly, neurosteroids have been proven to be involved with neuroplasticity, memory, behavior, and responses to stress, depression, and emotions.

The connection between 5 Alpha Reductase and neurosteroid biosynthesis is unquestionable, as it is the effects these neurosteroids on one’s physical and mental health.

Post-Finasteride Syndrome caused by Propecia explained

In many instances, Propecia won’t actually lead to any notable side effects. This is true predominantly for individuals who didn’t suffer from any of the stages of Sexual Exhaustion prior to administration of Propecia.

Men that were affected by stages of Sexual Exhaustion before taking Propecia are the ones that usually experience the worse side effects. It is so through the inability of one’s organism (in it’s already exhausted state) to cope with the percentage of alteration caused by Propecia. Post-Finasteride Syndrome is, in fact, a variation of Sexual Exhaustion.

Post-Finasteride Syndrome symptoms include:

  • Erectile Dysfunction
  • Loss of Libido
  • Low Testosterone, LH, FSH, and other vital androgens
  • Penile Shrinkage
  • Penile Fibrous Plague
  • Hormonal Imbalances
  • Depression
  • Fatigue
  • Cognitive Impairment
  • Memory Impairment
  • Sleep Disturbances
  • Muscle Atrophy
  • Increased Inflammatory Responses
  • Emotional Blunting and Depersonalization

Sexual Exhaustion, combined with a sharp lowering of neurosteroids and androgens (as a result of Propecia) will lead to a “breaking point” and a cycle of inflammation. At this point, it’s extremely difficult for an organism to recover by itself.

It’s important to understand that Post-Finasteride Syndrome is a self supporting cycle through:

1.) Lowered and, more frequently than not, imbalanced levels of dopamine, serotonin, acetylcholine, and GABA, which results in a deranged organism functioning and a wide range of symptoms. The most notable consequence of this is, however, the inadequate serotonin – GABA nervous modulation on excitatory and inflammatory response. Naturally, this results in excessive excitatory – inflammatory responses which are actually acting as a catalyst for the creation of a negative neuronal plasticity. This effect comes as a consequence of the once handy quick and effective organism behavioral modulatory adaptation during times of extreme external stressors (wild animals and threats that needed fast and prolonged behavioral adaptation on neuronal level).

To sum it up – inflammation caused by sympathetic functioning overdrive will create a negative neuroplasticity extremely fast. This will lead to extreme difficulties as far as proper positive neuroplasticity restoration goes.

2.) Adrenal gland adjustments to chronically create more stress and inflammatory hormones, at the expense of DHEA.

3.) Mild to moderate artery constriction (due to constant sympathetic functioning) for less blood and even increased inflammation.

4.) Lowered neurosteroids, combined with increased inflammatory norepinephrine, epinephrine, prostaglandin E2, cortisol, and prolactin to negatively affect the levels of GnRH, LH, and FHS and together with arterial inflammation and constriction kill hypothalamic – pituitary – adrenal – testicular functioning.

5.) Low androgen levels to insufficiently modulate energy levels, tissue and testicular health, numerous hormonal conversions and proper neurotransmitter homeostasis will result in a vicious cycle of inflammation to suppress them even further.