Propecia,
I don't agree that Merck showed any undue bias in their FDA approval, but then again, i've never really investigated this matter or seen any evidence that suggests this. However, I admit it could be possible, and I think the current ongoing lawsuits against Merck would shed light on this. BTW, has anybody seen what's come from these lawsuits? I know there was a Canadian one filed early this year, but I haven't heard anything about it since.
I don't think awareness is a bad thing at all. My problem is that in the past (not quite as much now) the awareness was spread through a blatant scare tactic campaign. Much of it was very biased and used fear and misinformation to convince people that propecia was bad. I think that worked very well, and now that so many people have changed their opinions, there is much more attention from the medical community and the media. Like I said before, a very successful campaign run by some very smart and determined individuals.
I still maintain my beliefs that much of PFS is primarily perpetuated by the placebo effect and psychosomatic symptoms. However, I no longer believe it accounts for ALL cases. There are just too many people out there that are having these types of problems, and even though it is almost completely based on anecdotal evidence, its pretty clear that there is a relationship between Finasteride and these problems. To what extent? Is it a direct cause? A secondary or tertiary result of some currently unknown mechanism or predisposition? Nobody knows. Clearly, it's extremely complicated.
There is no hard evidence yet that links PFS to Finasteride. There seem to be new theories every day, but none of them have gained any ground. I think the PFS conference is an excellent thing. I don't know much about it, but the only way it will be cracked if there is a multi-disciplined approach to the problem. If you have a bunch of endocrinologists in a room looking at only hormonal solutions, I think they will be spinning their wheels for a long time. I hope that the committee consists of endocrinologists, urologists, psychologists and neurologists, will be assembled at the very least.
I am also aware of another study taking place (actually, I believe you posted this a while back) through the ISHRS:
http://www.ishrs.org/articles/finasteri ... cement.htm
There is also an annual ISHRS meeting taking place in September in Alaska. From what I understand, the topic of PFS will be discussed there. However, I’m not sure if these discussions will be published, but I am interested to see if the 'trichology task force' from the link above will reveal any of their results.