Erectile Dysfunction Causes of ED Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain an erection for satisfactory sexual activity. It can be frustrating and...Read More
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Have you been prescribed, tamsulosin, or also known as flomax or finasteride, also known as propecia or proscar, for your prostate or even for hair loss? Well, I’m dr rina malik, urologist and pelvic surgeon, and today I’m going to share with you some really shocking side effects that you need to know about when you’re taking these medications. Also, will these side effects go away when you stop the medications and make sure you stick around till the end to find out if you’re new here I make urologic content every monday and friday so make sure if you like what you see subscribe and share this channel with your friends, the next one is finasteride or also known as proscar, and while this is given by urologists for an enlarged prostate and if you want to learn more about enlarged, prostate, make sure you check out my video on that, but it’s also used for people for hair loss in a lower dosage and interestingly, there are some significant sexual side effects that people can experience with this medication. How does it work it works by blocking the enzyme called 5-alpha reductase. This is found in many parts of the body, particularly the prostate, but it’s also found in the brain, and this medication can cross what we call the blood brain barrier and when it crosses the blood-brain barrier, it can inhibit three what we call neuro-active steroids. These are called dht 5 alpha dihydroprogesterone 5, alpha dihydrodeoxycorticosterone. While this is not completely understood, it’s thought that reducing the amount of these particular molecules in our brain can affect the parts of our brain that aren’t needed for sexual desire and therefore cause low libido. Most of the studies done on these medications and their effect on the brain has been only done in animals. So that’s why we don’t really have a clear cut answer as to how this works and why it affects our brains. In this way, when you look at the labeling of this medication, people will say: there’s lower than 10 risk of impotence, decreased, libido, ejaculatory disorder and just general sexual dysfunction. The good news is that if you take it for over a year, so if you’re already on it and you’ve been on it for over a year and you’re not having sexual side effects, you’re, probably not going to get them moving forward. However, people who have taken finasteride and suffered sexual side effects have been studied. In fact, they did a survey of 71 men who suffered from this post-finasteride sexual dysfunction after taking it for hair loss, and they found that over 90 percent of people complained of decreased libido, decreased, arousal and erectile dysfunction. Almost 70 also had difficulty with orgasm. The scariest part was that when we looked at how long these sexual side effects persisted after stopping finasteride the average time was about 40 months, that’s almost four years and 20 of these men had symptoms for over six years. The other side of the coin is something called the nocebo effect. So many of you have heard of the placebo effect, but the nocebo effect is kind of the negative side of that. So when you’re counseling someone on negative potential side effects, people are psychologically inclined more likely to think they’ve developed those symptoms. That’s one concern in patients who do develop sexual side effects after being counseled on the possibility of getting them. The last class of medications is something that we urologists prescribe all the time, and this is called alpha blockers and the one with the most side effects is called tamsilocin and the side effect that people will see is having decreased ejaculation volume, and this side effect, particularly with tamsulosin, can occur in 8 to 18 percent of men who take the medication, depending on the dose they’re using actually the way it affects ejaculation having a decreased volume of ejaculate or an ejaculation and there’s two reasons for this. One is that these medications work by blocking alpha receptors. These alpha receptors are located in the bladder neck and the seminal vesicle about 80 percent of ejaculate comes from the seminal vesicle, and this is because the seminal vesicles contain about 80 percent of semen volume, and they also have a lot of alpha receptors, as does the bladder neck. Both of these together squeeze to help get the semen out of the body out through the urethra that perhaps the tabsilosin binds to receptors either serotonin or dopamine receptors in the brain, preventing the brain and the spinal ejaculatory center from allowing ejaculation to happen. And, interestingly, when men are counseled that they may have ejaculatory issues about 70 of men said they probably would never take a medication where that may be an option. So it’s important to know that if you’re suffering these issues and you’re on these medications, please talk to your urologist or your primary care doctor. There are other alternatives to tamsilos, including terazosin, alfozosin and doxazosin, all of which have much lower rates of ejaculatory dysfunction and looking at the data, alpha zosin seems to have the lowest rate at point. Six percent tamsulosin, as well as cilidosen, seem to have the highest rate of ejaculatory dysfunction. I really hope you guys enjoyed today’s video. As always, I’m gonna take care of yourself because you’re worth it, you.
What users commented:
Sheesh! I am on both and my libido is non existent and now i know why. Told my urologist and was given a Cialis prescription…
Yes, Tamsulosin, my ejaculations are unchanged from before i was on it. I have had zero side effects from it. Been on it, since 2012. I do not have anything wrong with my prostate, just restricted urine out put.
I m on finasteride since 7 years using 1 mg 3-4 times a week . Initially I had no problems but with age I realized that if I don’t do workout or any physical activity I feel low libido but if I m doing regular physical activities like gym or something than I m normal..it’s my observation on myself..it may differ person to person
I have taken a couple of medications for BPH. The first time what I was taking wound up making me passing out as I was standing in a hallway in the middle of the night. The second one, and it might have Flomax, caused retrograde ejaculation. That was definitely something I didn’t enjoy.
The combination of Lupron combined with prostate radiation resulted in substantial reduction of penis size and now have dry orgasms…be aware (I wasn’t)
Im on all three meds and i dont have a sex life
What can i do
Been on finasteride to arrest hairloss for decades. Quickly found the 1mg/day dose caused bedroom problems. Initially cut back to 1mg Mondays, Wednesdays and Fridays. Have been doing fine for decades taking 1mg Mondays and Fridays. Maybe even once a week is enough to keep hair? Never tried pill cutting to reduce dose. My advice for hairloss: start with 1mg/day dose and cut back if needed in event of side effects. Don’t try dutasteride; half-life is so long that if you suffer side effects, you’ll likely be suffering for months after stopping. Oh, also know you have to be off finasteride for 30 days and off dutasteride 6 months to give blood. This is why so many men have dropped out of blood drives. Yeah, wanna help people but also want to keep my hair.
send ur wifes to me , papa will handle them
Do you mean non-human animals?
I do have E.D. and I remember having the Tamusulosin before bit I can’t remember if I took it and for what. This was some years ago. But I find that I’m having erection issues now more than ever and generic viagra won’t help me. I do see a urologist but he’s not helping my situation much
Can you add a video about fully extended bladder please
Is there any medication that can reverse the side effects of Avodart and Flomax?
Hi Rena malik i hope u fine , i want to know that how long should i see for raise testosterone naturally, and when should we start trt plz plz make a video my life is on edge i m confused and my doc not giving me answer. Plz thanks
How safe is uroflo
Just started Tamsulosin. I’ve had a mostly dry orgasm! 2 small amounts of semen. I’m concerned. Didn’t take my dosage last night.
I also switched to 5mg Tadalafil with good results
I finally stopped the Flomax after realizing my fatigue was worsening after starting it several months before.
DOes this affect women who identify as having a prostate too?
Thanks again Dr Rena. Do you realize how much America loves you?
Finasteride was terrible – it dried me up and eventually I was unable to have an orgasm. My male urologist switched me to Tamsulosin. That caused
” ejaculation, and vague, pathetically weak orgasms. These urologists should put themselves on these meds and see how they like it. I opted for a prostate artery embolization procedure to shrink my greatly enlarged prostate. My urologist knew about the PAE procedure, but never told me about that option. I came across it while web surfing.