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I know this is against the general opinion but hear me out
(This is about sexual side effects)
You were exposed to your natural DHT levels for all your post puberty life. Depending on when you started finasteride you may have had more or less time reaping the benefits of DHT to your sexual organs. For those that are not aware DHT strengthens the smooth muscle in the penis and the muscles surrounding the penis (the Kegel muscles) AND also is very responsible for libido being that it is a much stronger androgen than finasteride.
Initially inhibiting DHT will not have much noticeable effect for most people as the penis tissues are already quite strong and are able to deliver sufficient bloodlfow. However, over time, it could be one or two or even 10 years depending on the person, the tissue that you built with DHT will begin to atrophy and get weaker and T alone will not be enough to sustain it. This is typically a very slow process and hence hard to notice. This is when the sexual sides will be less noticeable
Usually by this time you will have aged 5 or so years, if you started in your late 20s or early 30s, and you might think that this drop in erectile quality is normal. This can carry on for a few more years while you use Cialis or other remedies to "hold you over" but eventually they won't be enough.
Your Penis NEEDS DHT to function at 100%! There is no way around this. Anyone denying this is denying that androgens increase sex drive and sexual function. This is the equivalent of saying that some 60 year old man will not get a boost in erectile quality if they go on TRT w/ Proviron ed.
Here's an analogy to help you understand. You're on the highway and going 160, the speed limit is 100. You have more speed than you need. THEN you lift your foot of the gas by 60% and the car starts slowing down BUT as long as you're over a 100 it's not a problem and you won't really notice the negative effects. Once you go under a 100 that's when you will realize that it's problematic to inhibit over 60% of your bodies strongest androgen.
As for the studies which show that only 5% of people get side effects this is why that's not accurate. This is self reported sides and no man actually wants to believe that they have erectile dysfunction and after a couple of years on the drug with normal erectile function most men will not notice or attribute to finasteride the increased time it takes to achieve and erection or the decreased maximal maintainable erection strength.
If the studies were done by scientifically observing 1) The time it takes to achieve maximal erection with a normal stimuli, 2) The strength of the maximal level of maintainable erection during intercourse, and 3) How long the male is able to hold an erection without physical stimuli THEN they'd have to report that 80-90% of men have side effects especially after 5 years on the drug
Also, the bigger your penis the more likely you will be of experiencing serious ED issues down the line with finasterde as it has a much heavier demand of blodflow and thus an overall healthier penis. Someone who is 5 inches long needs much less blood flow to achieve a maximal erection than someone who is 7 inches long ( the blood flow needed per length of the penis is not a linear line but an exponential curve).
Anyone thinking you can have the same erectile function on finasteride as they did before it is a fool! The gap of 5 or so years makes worse erectile function harder to notice and/or attribute to finasteride but there is just no way around this fact: DHT is our most powerful androgen and it is 100% necessary for optimal penile function
(This is about sexual side effects)
You were exposed to your natural DHT levels for all your post puberty life. Depending on when you started finasteride you may have had more or less time reaping the benefits of DHT to your sexual organs. For those that are not aware DHT strengthens the smooth muscle in the penis and the muscles surrounding the penis (the Kegel muscles) AND also is very responsible for libido being that it is a much stronger androgen than finasteride.
Initially inhibiting DHT will not have much noticeable effect for most people as the penis tissues are already quite strong and are able to deliver sufficient bloodlfow. However, over time, it could be one or two or even 10 years depending on the person, the tissue that you built with DHT will begin to atrophy and get weaker and T alone will not be enough to sustain it. This is typically a very slow process and hence hard to notice. This is when the sexual sides will be less noticeable
Usually by this time you will have aged 5 or so years, if you started in your late 20s or early 30s, and you might think that this drop in erectile quality is normal. This can carry on for a few more years while you use Cialis or other remedies to "hold you over" but eventually they won't be enough.
Your Penis NEEDS DHT to function at 100%! There is no way around this. Anyone denying this is denying that androgens increase sex drive and sexual function. This is the equivalent of saying that some 60 year old man will not get a boost in erectile quality if they go on TRT w/ Proviron ed.
Here's an analogy to help you understand. You're on the highway and going 160, the speed limit is 100. You have more speed than you need. THEN you lift your foot of the gas by 60% and the car starts slowing down BUT as long as you're over a 100 it's not a problem and you won't really notice the negative effects. Once you go under a 100 that's when you will realize that it's problematic to inhibit over 60% of your bodies strongest androgen.
As for the studies which show that only 5% of people get side effects this is why that's not accurate. This is self reported sides and no man actually wants to believe that they have erectile dysfunction and after a couple of years on the drug with normal erectile function most men will not notice or attribute to finasteride the increased time it takes to achieve and erection or the decreased maximal maintainable erection strength.
If the studies were done by scientifically observing 1) The time it takes to achieve maximal erection with a normal stimuli, 2) The strength of the maximal level of maintainable erection during intercourse, and 3) How long the male is able to hold an erection without physical stimuli THEN they'd have to report that 80-90% of men have side effects especially after 5 years on the drug
Also, the bigger your penis the more likely you will be of experiencing serious ED issues down the line with finasterde as it has a much heavier demand of blodflow and thus an overall healthier penis. Someone who is 5 inches long needs much less blood flow to achieve a maximal erection than someone who is 7 inches long ( the blood flow needed per length of the penis is not a linear line but an exponential curve).
Anyone thinking you can have the same erectile function on finasteride as they did before it is a fool! The gap of 5 or so years makes worse erectile function harder to notice and/or attribute to finasteride but there is just no way around this fact: DHT is our most powerful androgen and it is 100% necessary for optimal penile function
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