There actually has been one case reported now for dutasteride. Literally less than one in a million. That's some real believable stuff right there.
"PFS has emerged from reports of non-dermatologists, neuroendocrinological research and reflections, and
uncontrolled studies of low quality and with a strong bias selection, while a
significant nocebo effect among patients informed about possible side effects"
"We report the
first case of PFS in a long-standing (over 20 years) dermatotrichological practice with frequent finasteride prescription observed in a 25-year-old male following dutasteride treatment for male androgenetic alopecia. There was circumstantial evidence that PFS may represent a
delusional disorder of the somatic type, possibly on a background of a histrionic personality disorder, which would explain the refractoriness of the condition and a
high degree of suggestibility."
https://www.ncbi.nlm.nih.gov/pubmed/31559258
In other words, people who have PFS were just crazy to begin with.
"2,048 monotherapy cases using 5ARIs were identified with 1581 being finasteride 1mg, 240 5mg, and 226 of unreported doses. Overall there was an increase event reporting as time progressed with the majority of these involving the 1mg dose. Finasteride was associated with many sexual side effects: decreased libido, ejaculatory disorder, erectile dysfunction, testicular atrophy, orgasmic disorders, hypogonadism, and overall increased sexual complaints. Other common complaints were dermatologic in nature (dry skin or thinning of skin) as well as changes in metabolism (weight gain, elevated glucose, and elevated lipids). Psychological/neurologic conditions of self-harm (suicide), slow cognition, psychological pathologies, emotional anhedonia, insomnia and overall psychological symptoms were prevalent with finasteride use. One mg of finasteride demonstrated more adverse events than the 5mg in the following areas: sexual dysfunction, libido decrease, ejaculation disorders, erectile dysfunction, testicular atrophy, hypogonadism, skin abnormalities, metabolic abnormalities, self-harm, slow cognition, depression, anxiety, emotional anhedonia, and insomnia.
Dutasteride was never reported to cause a PFS-like symptom.
Conclusions
FAERS data suggests that finasteride is associated with a diverse collection of symptoms, particularly in the 1 mg dosage.
Dutasteride was not implicated for PFS, resulting in only one AE report. Whether or not PFS is real or imagined is not discernable within this context and database.
https://university.auanet.org/abstract_detail.cfm?id=MP89-08&meetingID=16SAN"
Merck admits to persistent side effects, not pfs, and you know the difference. Two more doctors who believe in pfs isn't much of an argument. The medical community as a whole does not believe in it.
"As yet, the condition is not recognized by the medical community"
https://www.ncbi.nlm.nih.gov/pubmed/31559258