The Impact of 5α-Reductase Inhibitor Use for Male Pattern Hair Loss on Men’s Health

Author:

Said Mohammed A.,Mehta Akanksha

Publisher

Springer Science and Business Media LLC

Subject

Urology,General Medicine

Reference48 articles.

1. • Adil A, Godwin M. The effectiveness of treatments for androgenetic alopecia: a systematic review and meta-analysis. J Am Acad Dermatol. 2017;77(1):136–41 e5. This meta-analysis compared finasteride to other treatment options. The mean difference in hair count for men using 1 mg finasteride daily was 18.37 hairs/cm 2 compared to placebo. This difference was superior to low-level laser light therapy (17.66 hairs/cm 2 ) and 2% minoxidil twice daily (8.11 hairs/cm 2 ).

2. Sultan C, Lumbroso S, Poujol N, Boudon C, Georget V, Terouanne B, et al. Genetics and endocrinology of male sex differentiation: application to molecular study of male pseudohermaphroditism. C R Seances Soc Biol Fil. 1995;189(5):713–40.

3. • Gupta AK, Carviel J, MacLeod MA, Shear N. Assessing finasteride-associated sexual dysfunction using the FAERS database. J Eur Acad Dermatol Venereol. 2017;31(6):1069–75. The US Food and Drug Administration Adverse Event Reporting System (FAERS) database was assessed for finasteride-associated sexual dysfunction. There was a significant disproportionality in reporting of sexual dysfunction with the use of finasteride was observed whether finasteride was indicated for hair loss (ROR = 138.17, 95% CI 133.13, 143.4) or BPH (ROR = 93.88, 95% CI 84.62, 104.16). When these results were stratified by age, disproportionality was strongest at 31–45 years.

4. •• Kiguradze T, Temps WH, Yarnold PR, Cashy J, Brannigan RE, Nardone B, et al. Persistent erectile dysfunction in men exposed to the 5alpha-reductase inhibitors, finasteride, or dutasteride. PeerJ. 2017;5:e3020. A retrospective study by Kiguradze et al. found that in a cohort of men exposed to 5α-RIs, the duration of 5a-RI exposure was a more accurate predictor of persistent ED than many known risk factors. Specifically, among men < 43 years old exposed to finasteride 1 mg/day, 34 of 4,284 (0.8%) developed persistent ED, with ED persisting for an average of 4 years. For each 108 young men exposed for > 205 days to 1 mg finasteride, one additional young man experienced PED when compared to those men with shorter exposure.

5. Irwig MS, Kolukula S. Persistent sexual side effects of finasteride for male pattern hair loss. J Sex Med. 2011;8(6):1747–53.

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