That was a well put response, Primo, thanks for the apologies and I was mistaken for writing you off like I did in my previous response.
I still disagree with you on the subject of psychosomatic side effects. If you read my previous post about my own experience, I experienced symptoms I believed to be completely real. I was convinced finasteride was causing them. I won’t go into detail, but I eventually realized they were in my mind and they went away, and have not come back since. You mention minoxidil; obviously if someone were experiencing physical symptoms such that it can produce, it wouldn’t be psychosomatic. I’m more talking about manifestation of symptoms that exist in the mind: sexual side effects.
Some proof of my point, there was a study I saw with two groups on finasteride (I’ll post it later if you want to see it); one notified about potential sexual sides and one not notified about them. The notified group saw in some cases four times the incidence of sexual side effects versus the non-informed group. I think it was only with 200 people, but if we extrapolate this fact to the general population, we could say that 3 out of 4 people that are having sexual problems on finasteride are experiencing psychosomatic side effects, simply because they were informed about them while taking the medication. I personally believe in reality this number is even higher, especially for people who visit these forums and are exposed to all the horror stories.
The basis of my argument though is that it’s very difficult to differentiate between psychosomatic symptoms and real ones; they both may present similarly, and discontinuation of the drug would likely resolve in both cases (even though if they went away after discontinuing, almost everyone would think it was the drug causing it).
Now, let’s say my arguments are valid for a moment, what happens then? Most people saying they have sexual problems on finasteride would be psychosomatic, but what about the ones where it’s real? You can’t tell everyone to stay on the drug and ignore the symptoms, because it could be really screwing some people up. That’s where it gets tricky, and difficult to offer advice that will cater to everybody. That’s why it’s really best people go talk to their doctors to try to sort things out. Make them aware of the fact that these symptoms could have one of two causes: the drug itself or it may be psychosomatic. Let the individuals mull it over in their minds, and they might be able to work things out on their own or with the help of their doctor.
I know it seems easier to play it safe and tell everyone who has side effects to come off immediately, but keep in mind hair loss is extremely traumatic to some people, and treating it successfully may result in life changing effects. It’s hard to give advice to people that everybody here is happy with, because there are so many polar-opposite opinions, but I personally try to hit middle ground as best I can.