How do you counsel patients on the potential temporary and permanent side effects of finasteride?

Finasteride has been shown in some series to have effects on erections and libido. In some cases, these effects were permanent even after stopping the drug. There is also some data concerning the effects of finasteride on sperm quality and fertility.

I have a standard discussion where I highlight the very effective profile of these drugs to decrease prostate size and improve male baldness. But, I do let people know the potentially devastating side effects of libido loss and erectile dysfunction. I let them know most men recover if they stop the ...