I thought I'll give you an update on my situation. Things are weird, that's for sure
A recap.
Now it's around 3 months from when I started my break in finasteride.
Actually I took another 4-5 days of finasteride 2,5 months ago.
And now I actually started to ween back on finasteride about a month ago.
But anyhow there was a 2,5 break from any taking of finasteride.
Previously been on it for almost 10 years. Completely halted my hairloss it seemed and probably regrow some.
I only had receding hairline.
During those years mostly took 1mg a day. Had days off it, didn't take the regime very strictly.
Previously been having a few breaks during those years, 1-2months of it even with no noticeable effect on hair.
For most years been on original Propecia. Last year switched to generic.
A few months before quitting went from 1 mg a day to 0,5 mg a day.
Not sure if I had actual libido or erection issues or not. A lot of it might be psychological.
I don't think any more I had peyronie's. What I probably have is lymphocele or clogged lymp vessels on my penis. This comes and goes. And should clear itself out. The Propeciahelp freaked me out that one might develop peyronie's.
My hair has been pretty much on freefall for a month. I shed so much. Almost feels I can pull out any hair. At first it was just hairline. Now it feels I shed more from hairline, but equally as much from top and vertex, but I can easily pull out also hair from the back and sides. So all over.
When I comb or are in the shower, the drain is clogged after it.
I haven't counted but it must be like 500-1000 hairs a day. It's crazy how much. I will be bald soon if this continues. Even though somehow at the moment one doesn't yet really notice. It still feels I have full-sh head of hair today. Even though I have lost more of my hairline.
But if this continues I will be bald in a few months.
I actually consider shaving or buzzing it for now. Longer hair still hides my receded hairline, so it's nicer. But then I at least wouldn't see so many long hair falling out constantly and it would make me feel less depressed and I could apply topicals more easily.
I have no idea how I will look as I have never shaved my hair 0 or even short. My hairline is pretty high up now, and noone even knows that because my otherwise (still) thick hair, so it's kind of scary.
I got my DHT measures from a month ago. What is weird is that it's still low it seems?
It's 0,74 nmol/l Range: 1,03–2,92
So it's below range.
That was more than two months after taking finasteride.
So it seems my 5alpha-reductase were not working properly 2+ months after taking finasteride.
So that states prolonged effect even after taking finasteride = possibility of prolonged side effects?
What is weird then is why my hairs are then all falling out? If I still have low DHT when without finasteride?
And even if DHT would have risen after that, I don't think it's not normal to have this rapid fall? But I was already shedding when I took that low measurement.
Could it really be Telogen Effluvium?
I did have a hormonal profile shift after quitting finasteride. Total T dropped. Estrogen dropped a little. But Estrogen/Androgen ratio is still scewed, as T dropped way more than E. My Free T should be Ok though?
It's 48,6 pmol/l Range: 24,3–78,8
And I did have a super stressful period in Dec-Jan when I quit finasteride. (I know, a bad decision to quit then. But as I said my local pharmacies stopped carrying it due to shortage of supply. And combined to this and my prostatitis and also I wanted to see if I could perform better sexually, I did that break
Then after a month or more I got inflammation on my hairline and lost ground. I freaked out and got on 50 ml/mg Minoxidil. I had never really tried that out. Well, maybe in the real beginning 10 years ago but I didn't stick with it even 6 months. Could I be shedding because of Minoxidil?
I also added Revivogen to my regime a month ago and still use Nizoral.
I also tried topical Saw Palmento but that's a mess to apply and only been doing that a few times.
I read from somewhere that when you ween back on with finasteride, you should have less chance of side effects. And that's what I've been trying to do the last 4 weeks
1mg 1 X a week for 2 weeks
1 mg 2 X a week for 2 weeks
1mg 3 X a week for 2 weeks
but then settle somewhere with 0,5mg every day or every other day.
I'm not sure if it's the wisest of decision to go back on finasteride. But my hair on total freefall has made me really depressed.
Right now my morning and nocturnal erections have been back for some time.
I still cannot go second rounds after ejaculating for a long time.
I heard that's because of low DHT. As DHT can keep prolacting levels in check and compansate, as prolactin levels rise to the roof after a man ejaculates.
I will have another measurements done this week to see where all my stats are.
I still have prostatitis. I mean I can feel it. It hasn't cleared up even after taking another round of antibiotics. It's been now more than half a year than I had it. Will have another meeting with andrologist/urologist this Tuesday. Will see what's my fertility stats are and other stuff. This is the same doctor though, so I will hardly get anything other out from him than new antibiotics regime.
I thought my prostatitis could have been due to finasteride and due to increased Estrogen levels and scewed estrogen/androgen ratio. But then again it could also be bacterial. As it did occur after starting a new relatrionship and having unprotected sex.
I will have a call with famous dr. Goldstein tomorrow. To schedule a meeting with him in the States next month.
I dunno if I have gyno or not but will find out this Thursday.
I read that if one takes finasteride, he should keep very low body fat, in order to keep the estrogen levels in check. I'm not fat but I have definitely gained a little bit this past last year. So, I'm trying to get back to be very lean.