I have discussed my experience with Propecia here before. Now the FDA has decided to expand their list of sexual side effects for Propecia (the hair and peeing drug) to include:

A revision to the Propecia label to include libido disorders, ejaculation disorders, and orgasm disorders that continued after discontinuation of the drug.

A revision to the Proscar label to include decreased libido that continued after discontinuation of the drug.

A revision to both the Propecia and Proscar labels to include a description of reports of male infertility and/or poor semen quality that normalized or improved after drug discontinuation.

Source: fda.gov/Drugs/DrugSafety/Informationby
DrugClass/ucm299754.htm

The FDA goes on to state that “clear causal links” are not established. On the basis of personal experience, I would disagree on that. I modify the dose to get the side effects into acceptable ranges. This might possibly qualify as an off label use of the drug. The effects in a given person will vary of course.

Best Regards,

John Di Saia MD