Should I just try Finasteride if I'm already have no libido?

[Ericgruff]

Hi everyone, 

As the title says, I have little to no libido and have been this way for the past year. Have had tests done and my testosterone seems to be fine, but my free test is somewhat low. Along with this, my SGBH is sky high but my GP says there is not issue with this. Either way, I have been losing my hair consistently but its become quite bad over the past year (33) and I've been considering taking fin but have been worried about side effects. I also recently had gyno surgery so that has also been weighing on my mind. 

My hair isn't super bad but its definitely noticeable now. I have the money for future hair transplants but was thinking I should stabilise it beforehand. 

I'm just looking for some advice. Is anyone here in or has been in my situation? 

 

Thanks

[BurnieBurns]

Sounds like your GP is very uncaring about this (As many GPs are about non threatening conditions). Other doctors would see low libido as an issue to be treated.

Either way, you should look into Xyon or Farmacia Parati topical Dutasteride. At least they have some evidence for negligible systemic hormone impact.

[Ericgruff]

5 hours ago, BurnieBurns said:

Sounds like your GP is very uncaring about this (As many GPs are about non threatening conditions). Other doctors would see low libido as an issue to be treated.

Either way, you should look into Xyon or Farmacia Parati topical Dutasteride. At least they have some evidence for negligible systemic hormone impact.

I'm in the UK and the NHS GP's don't really care about looking into issues like this. They just tell you that its most likely stress related to try and push you out the door. 

Hmm, isn't Dutasteride a stronger version of Finasteride? Isn't it more likely to give me issues? 

[BurnieBurns]

6 minutes ago, Ericgruff said:

I'm in the UK and the NHS GP's don't really care about looking into issues like this. They just tell you that its most likely stress related to try and push you out the door. 

Hmm, isn't Dutasteride a stronger version of Finasteride? Isn't it more likely to give me issues? 

Wouldn’t think they would, you’d probably have to find a private clinic specialising in men’s health.

dutasteride is a stronger chemical however it goes significantly less systemic than finasteride when applied topically

[Sunset Dune]

You should never play around with your hormones stick with topical instead it’s better than nothing and less likely to give sides

[GoliGoliGoli]

I have no real answer to your question, but TBH it sounds like you're having pretty serious hormonal issues based on the gyno and the no libido, so personally I would be hesitant about throwing another endocrine disruptor into that mix.

I would strongly recommend getting your diet in check as that's likely the root cause of your hormonal issues. There is a famous endocrinologist by the name of Ray Peat that a lot of people claim fixed their hormonal issues by following his advice, so looking into his work may be a good place to start. Some people view him as a quack and a lot of his advice runs counter to the advice that you would get from your regular nutritionist, but at least his work gives you a place to start. 

 

Out of curiosity, what were your T levels? What Dr's say is "fine" T levels are often absurdly low. Speaking frankly, most Dr's suck and often their advice is beyond useless. If you're motivated to fix your issues you're going to have to do it on your own. 

[Ericgruff]

18 hours ago, Sunset Dune said:

You should never play around with your hormones stick with topical instead it’s better than nothing and less likely to give sides

Topical fin or topical dut?

[Ericgruff]

5 hours ago, GoliGoliGoli said:

I have no real answer to your question, but TBH it sounds like you're having pretty serious hormonal issues based on the gyno and the no libido, so personally I would be hesitant about throwing another endocrine disruptor into that mix.

I would strongly recommend getting your diet in check as that's likely the root cause of your hormonal issues. There is a famous endocrinologist by the name of Ray Peat that a lot of people claim fixed their hormonal issues by following his advice, so looking into his work may be a good place to start. Some people view him as a quack and a lot of his advice runs counter to the advice that you would get from your regular nutritionist, but at least his work gives you a place to start. 

 

Out of curiosity, what were your T levels? What Dr's say is "fine" T levels are often absurdly low. Speaking frankly, most Dr's suck and often their advice is beyond useless. If you're motivated to fix your issues you're going to have to do it on your own. 

The gyno was something I had from puberty but only recently sorted it out. 

Its funny you mention diet, my testosterone was 36.5 nmol/L and my free was 0.521 nmol/L 6 months ago when I was on keto but my shbg ws at 70 nmol/L. Now that I' no longer doing keto, my test is 17.5nmol/L, free 0.227 nmol/Land shbg at 65 nmol/L. I know that the amount of fat you intake has an effect on your testosterone but the shbg still remains high after all these months. Had bloods done for everything else (thyroid, vitamins, etc) and it came back fine. 

Thank you for trying to help though, I'll check out Ray Peat! My hair loss has been relatively slow but in the past 6 months has increased rapidly. Its actually really messing with my mental health so I dunno. I'm thinking just go for fin (gonna start with 0.25mg once every week) and see what happens. I've also done a DHT blood test and am waiting for the results, so lets see what it shows. 

[Sunset Dune]

7 hours ago, Ericgruff said:

Topical fin or topical dut?

Topical Dut; it’s much more effective than fin

[Ericgruff]

Dunno a whole amount about dut but i'm guessing the sides (if you get them) are similar to fin, right?