Treatment with finasteride for baldness - side effects

General description of the medicinal product

Finasteride is a synthetic hormonal drug from the group of testosterone-5-alpha reductase inhibitors.
It is used in urological practice for the treatment of benign prostatic hyperplasia (prostate adenoma) and associated urinary disorders. It is prescribed exclusively to men to relieve the main symptoms of the disease and prevent complications. The drug contains a special intracellular enzyme that stops the conversion of the male sex hormone testosterone into biologically active dihydrotestosterone. Its concentration in the blood and tissues of the prostate decreases, and the stimulating effect on tumor growth decreases.

As a result:

• the prostate gland decreases in volume;
• urine flow increases;
• obstruction of the urinary tract is eliminated;
• The functionality of the organ is gradually restored.

Auxiliary ingredients are:

• lactose;
• corn starch;
• microcrystalline cellulose;
• magnesium stearate;
• macrogol;
• titanium dioxide;
• indigo carmine;
• hypromellose.

Finasteride belongs to the group of antiandrogenic medications that actively suppress the production of an enzyme that provokes the conversion of testosterone to dihydrotestosterone. It is because of this hormone that unnatural growth of the prostate occurs. As a result of this phenomenon, a man develops prostatic hyperplasia. The drug helps solve this problem.

The drug provides a therapeutic effect due to the content of such an important component as finasteride. The substance controls hormonal levels in the male body. It also reduces the manifestations of inflammatory processes and suppresses excessive testosterone production. Another medication gives the following results:

1. Reduces prostate pathology. This reduction usually occurs 3 months after the start of treatment.
2. Normalizes the outflow of urine, thereby solving the problem of urine retention in the genitourinary system. Improvement is observed in patients after 16 weeks of treatment.
3. Restores the prostate affected by pathology.
4. The problem of urinary tract obstruction disappears. This occurs 7 months after the man began taking the drug regularly.
5. Prevents the occurrence of complications that are often caused by prostate diseases.

The active components that are present in Finasteride and other similar medications, for example, Omnica, are gradually absorbed into the bloodstream. 8 hours after taking one dose, their maximum concentration in plasma is reached. The metabolic process takes place in the liver. All inactive metabolites are excreted through the kidneys along with urine. Some of them end up in the intestines and also leave the body naturally.

Finasteride comes in the form of tablets that should be taken orally. They are distinguished by their biconvex shape. The tablets are coated in blue. On one of their sides there is the marking “F5”.

Analogs

There are quite a lot of generics on the market today. These are drugs created on the basis of clinical studies that were carried out during the development of the original drug. That is why they differ greatly in price, that is, they are more profitable, but no less effective. One of the most popular is the generic Propecia. This is a drug for the treatment of hereditary forms of male pattern baldness. Externally, it represents pathological hair loss in the frontal and parietal lobes. The reason for this is quite specific - an increased content of the active form of testosterone in the blood. This leads to malnutrition, thinning and subsequent hair loss. Other analogues of the drug are “Alfinal”, “Penester”, “Proscar”, “Prosterid”.

Reviews from men about the drug Finasteride

Finasteride is a drug intended for the treatment of benign prostate hyperplasia and male pattern baldness.

The drug belongs to the group of hormonal agents that have antiandrogenic effects. It is prohibited for use by women during pregnancy and nursing mothers.

There are many reasons for this phenomenon - stress in the workplace, abnormalities in the body, etc. It is a joy to know that the pharmacological industry does not stand in one place and creates different techniques that help effectively combat hair loss.

The medicine can increase the level of testosterone in the prostate by almost eighty-five percent, which does not affect the growth of the gland. Its size decreases from the effects of the drug due to atrophy and apoptosis.

Histological changes caused by the actions of the medicinal composition were observed six months after the start of the treatment course. The glandular components of prostate tissue cells are most sensitive to the drug. It may decrease detrusor tone in people experiencing urinary retention caused by BPH.

Finasteride is well absorbed from the gastrointestinal tract; food may slow down this process somewhat, but will not affect its volume.

The drug is used in cases of benign prostatic hyperplasia to reduce its size, increase the rate of urine drainage, eliminate symptoms associated with hyperplasia, reduce the risks of acute urinary retention and the high likelihood of surgical intervention associated with this phenomenon.

Men who took this drug for adenoma have mixed opinions about the results. Some claim that the treatment course did not help them at all, sometimes there was even a deterioration in their general condition, and side effects appeared. Still, the overwhelming number of reviews from doctors and patients taking the drug Finasteride are positive.

The drug did not help, its effect on prostatitis is zero. I took it for four months, then quit. As a positive review, there is a complete absence of negative manifestations.

Ivan, 45

I experienced severe torment, but from the moment I started taking Finasteride I began to understand that not everything was so bad. Now I go to the toilet without any fears.

Grigory Petrovich, 56

The doctor recommended these pills. The accompanying instructions were a little scary with their requirements and supposed negative consequences. But in fact, the treatment course went without problems. Potency remained normal.

Max, 34

Egor, 49

I use this medicine and at the same time take Omnic, because I have a benign tumor in the prostate, which makes it difficult to pass urine. The effect came about ten days later, but diarrhea also occurred. I had to give up Omnik.

Yura, 53

The drug helped in shrinking the prostate, but the treatment course lasted more than six months. There were no particular side effects; at first, the attraction to women decreased a little, but then everything returned to normal. I will answer everyone who is interested - the level of hairiness has not increased.

Alexander, 31

Many diseases have become fashionable again today, and adenoma is no exception. And I happened to encounter such a problem. I suffered a huge amount of torment from the symptoms.

It is difficult to judge what exactly brought relief, but the combination of drugs turned out to be really effective.

Taras, 61

If you are experiencing problems with baldness, know that there is a way out of this situation. But you should not start taking the drug on your own. It is necessary to consult a specialist who will conduct an examination and prescribe the correct therapy. By following all the recommendations, you can avoid negative consequences.

Egor Ilyich, doctor

The medicine should not be taken by pregnant and lactating women and even girls planning to conceive a child. The ban is explained by the fact that the active component of the drug is most often capable of causing congenital defects in the fetus. This is especially true for boys.

Regarding feeding, it was not possible to find out whether the drug can pass into breast milk. Therefore, the decision was made to avoid taking it in such situations.

Finasteride can get into sperm, which raises another question: should a man use protection during sexual intercourse if his lady wants to get pregnant? This is where you don't have to worry. Scientists have proven that semen contains a minimal amount of a medicinal composition that cannot cause harm.

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In men, libido can decrease significantly and problems with potency begin. Evidence has been noted of a decrease in the volume of seminal fluid that is released during orgasm. Slight pain may be felt in the penis.

The tissues of the prostate and sebaceous glands of the scalp are negatively affected by dihydrotestosterone. For this reason, the structural structure of the skin deteriorates, the follicular parts and sebaceous glands suffer, which leads to complete baldness.

Dihydrotestosterone is the active form of testosterone, into which the hormone is converted in the cell under the influence of 5-alpha reductase enzymes. This often happens in men, although cases have also been reported in women.

The active component of Finasteride interferes with the activity of enzymes, which completely eliminates the possible conversion of testosterone into active forms. Simply put, the effect of the drug reduces the level of DHT, protects hair and prostate tissue, and restores the normal functioning of the “man’s heart” and sebaceous glands.

The accompanying instructions for using the drug say that this drug is capable of blocking the causes of androgenic alopecia, but not eliminating them entirely. In other words, as soon as a person stops taking the medicine, hair will begin to fall out again.

This medicine is not used for children.

We can conclude that men who do not want to go bald need to take this medicine constantly. The first signs of improvement will not be noticeable very soon - it will take about four months after you start taking the medicine. It will be possible to judge definitively the results of its impact no sooner than in a year.

Benign prostatic hyperplasia (BPH) is an increase in the size of the prostate that is benign in nature. The prevalence of this pathology in different age groups is not the same: usually the disease is diagnosed after reaching 40-50 years of age, about 80-90% of men who have reached 60 years of age have an enlarged prostate gland.

Over 50% of men consult a doctor about benign prostatic hyperplasia due to additional problems with urination. Currently, the pharmaceutical market has a large selection of drugs to combat the clinical manifestations of prostate hyperplasia. One of the popular medications is Proscar tablets.

Proscar is a drug that has an antiandrogenic effect. The active substance finasteride belongs to the pharmacological group of competitive 5-alpha reductase inhibitors. This enzyme converts the male sex hormone testosterone into the more active steroid dihydrotestosterone.

Finasteride, by reducing the amount of active androgen, helps slow the progression of the disease and even leads to a decrease in prostate volume.

The drug finasteride has undergone many clinical trials. Some facts.

1. In accordance with the materials of clinical trials of the drug (PLESS), finasteride had a significant effect on the likelihood of developing acute urinary retention (from 7 to 3%), the need for surgical treatment of prostate hyperplasia was reduced by 2 times (from 10 to 5% of subjects). All study participants over a 4-year observation period showed a decrease in prostate size (on average by 20% of the initial volume), an increase in urine flow rate;
2. The MTOPS clinical trial, which lasted for 6 years, assessed the comparative effect of treatment with finasteride (5 mg per day), doxazosin (4/8 mg per day), and a combination of both drugs. The following factors were analyzed: the risk of acute urinary retention, the risk of disease progression. The best results in terms of the above indicators were observed during treatment with finasteride and a combination of drugs (risk reduction by an average of 40 and 60%, respectively).

In accordance with the instructions for use, the drug has a single indication for use - the treatment of prostate hyperplasia.

Proscar therapy has the following goals:

• Reducing the risk of consequences of the disease (acute urinary retention);
• Reducing the risk of disease progression, and therefore the likelihood that surgery will be needed to treat BPH;
• Reducing the volume of a hyperplastic prostate, facilitating the outflow of urine, increasing the flow rate, reducing the severity of clinical symptoms.

Proscar is taken once a day, regardless of meal time, 1 tablet containing 5 mg of the active substance.

Patients' opinions

Reviews of Finasteride for prostate adenoma in men are very different. Some write that taking the drug did not help them at all, and sometimes even worsened their condition because it caused side effects. But still, most of the reviews are positive.

People say that the medicine helped them get rid of the problem, removed unpleasant symptoms and did not cause any negative changes in the body and well-being. Patients also note that Finasteride’s pricing policy is very loyal, so even long-term use of the drug does not significantly impact the budget. Below are some reviews.

Modern methods of treating prostatitis - the drug Finasteride

Prostatitis is an acute or chronic inflammatory disease of the prostate gland. This is a fairly common disease that has not yet been fully studied, however, scientists have managed to find effective treatment methods that prevent surgical intervention even in advanced cases.

Chronic prostatitis refers to many different conditions of the prostate gland. This could be an infection, prostatody, metabolic disorders, etc. According to statistics, about ten percent of cases of the disease are infectious in nature, the remaining ninety are not infectious prostatitis.

The distinction between acute and clinical forms of prostatitis is carried out according to the clinical picture.

Thus, in the chronic course of the disease, the following are noted:

• pain in the lower abdomen lasting more than three months;
• presence or absence of bacteria during bacterial culture;
• the presence of obstructive symptoms or their absence;
• every man suffering from prostatitis notes a decrease in quality of life.

To prescribe the correct treatment, the doctor must determine what kind of prostatitis a man has. For this purpose, a whole classification system has been developed to help determine the type, stage, and form of the disease.

Disease clinic

Inflammation of the prostate gland has its own characteristic clinical picture:

1. The disease most often affects men over the age of thirty. However, there are cases of the disease in men younger than this age.
2. Pain in the lower abdomen. Typically, with chronic prostatitis, pain is periodic. They can be aching and causing discomfort.
3. The pain continues for more than three months.
4. Male impotence, which occurs periodically.
5. After ejaculation, men report pain. This is a specific syndrome for prostatitis, which distinguishes the disease from hyperplasia and other pathologies.

Since ancient times, doctors have used a variety of methods for treating prostatitis, but effective methods have appeared not so long ago. Previously, surgical treatment of inflammation of the prostate gland was performed. The developed method for treating prostatitis allows you to quickly relieve symptoms.

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IMPORTANT! Any drugs for the treatment of the prostate must be prescribed by a doctor.

• non-steroidal anti-inflammatory drugs;
• antispasmodics;
• bioregulators peptides;
• immunomodulatory drugs, vitamins;
• if necessary, the doctor can prescribe antidepressants, tranquilizers, and analgesics.

To identify the most gentle methods of treating the prostate, studies were conducted on the synthetic inhibitor Finasteride. When used, there is a beneficial effect on urination. It also reduces pain in chronic prostatitis. After just a few doses of the drug, patients experience a decrease in prostate size by half.

The peculiarity of the drug is the ability to use it for a long time - as long as it takes for complete recovery. Why is Finasteride prescribed? Its use is advisable in cases where there is dysfunction of urination, during which increased pressure occurs inside the urinary tract.

During the use of Finasteride, regression of the glandular tissue of the prostate gland is noted.

The main advantage of the drug is its ability to inhibit androgens, which determine the growth and size of the gland. There are other 5 alpha inhibitors that have similar effects to Finasteride.

Finasteride has a fairly narrow application. Usually the drug is prescribed for the treatment of prostate hyperplasia, when it is inflamed. While taking the medicine, the hormone testosterone produced in the body of men turns into androgen, thereby causing a decrease in the size of the prostate.

Finasteride is a synthetic drug. Taking it helps reduce the amount of testosterone in the body. This is noticeable within a day after the first dose of the medicine. During therapy, not only the size of the prostate decreases, but also the outflow of urine improves, and the symptoms of urinary tract obstruction disappear.

Release form

The synthetic drug Finasteride is part of oncology drugs. It contains finasteride. The drug is available in the form of tablets of ten or more pieces in a paper box or bottle. Each tablet contains five mg of active ingredient.

Excipients included in the composition:

• lactose monohydrate;
• magnesium stearate;
• microcrystalline cellulose;
• starch;
• hypromellose;
• macrogol;
• povidone;
• E132;
• E171, etc.

The produced tablets are coated with a bluish color. Each tablet has an engraving printed on one side. On the other hand, the tablet is smooth. A cross-section reveals the core of the tablet, which is almost white in color.

Pharmacokinetics

Six hours after taking the drug, it is absorbed from the CT into the blood. The effectiveness of the medicine does not depend on food intake and reaches 80%. After entering the bloodstream, the active substance is bound to plasma protein and distributed throughout the body. Peak concentrations in the blood are reached ten hours after taking the drug.

Laboratory studies have shown that the drug is also present in semen, although in a small dose. Therefore, when taking the drug, any sexual contact should be protected. Finasteride is excreted from the body by the liver and is excreted from the body in feces and urine.

Contraindications

The drug Finasteride is not prescribed to men who suffer from hypersensitivity to the substances contained in the drug. Also, the drug should not be prescribed to children. Side effects may occur during use.

The most common of them are:

• rash;
• swelling of the face, lips;
• libido decreases.

While taking the drug, men may experience impotence or impaired ejaculation. All these symptoms disappear after discontinuation of the drug.

To whom is it assigned?

The main disease for which the drug is prescribed is prostate hyperplasia. While taking Finasteride, the risk of developing urological complications leading to surgery is reduced. Often the drug is prescribed as part of complex therapy for prostatitis. Its purpose makes it possible to reduce the size of the prostate, thereby normalizing the outflow of urine.

How to use

Finasteride is taken orally, one tablet once a day. In different cases, the effect of taking the drug is achieved at different periods. Some note improvements already on the second day after taking the drug, while others feel improvement only a few months after starting the course of treatment. These include patients with prostate hyperplasia.

The duration of treatment with the drug can last more than one month. The exact course is determined by the complexity of prostatitis, the characteristics of the body, and the course of the disease. So, for some, the drug may be prescribed for six months, and for others until a clinical effect is obtained.

When treating the prostate with Finasteride, it should be taken into account that this drug can enhance the effect of antidiabetic drugs.

Important! You should not self-medicate, especially use Finasteride without prescription. It should only be prescribed by a doctor after an examination and clarification of the diagnosis.

The drug is intended for the treatment of inflammation and benign formation of the prostate. It cannot be used for cancer or infectious prostatitis. Pregnant and lactating women should avoid contact with the tablets, as the drug can penetrate the blood and milk through the skin, causing disturbances in the development of the child’s reproductive system.

Proscar is used with extreme caution in persons suffering from renal and liver failure. The drug can cause drowsiness, so it is not recommended to drive while taking it.

Synonyms of the drug

Finasteride has several names:

• rebuilt;
• prosteride;
• alfinal;
• vero finasteride;
• finalist;
• proscar.

In case of chronic prostatitis, you should consult a doctor as soon as possible to prescribe treatment. The specialist will determine the type of disease, the cause that led to it and prescribe the most effective treatment, taking into account all the characteristics of the body.

Benign prostatic hyperplasia (BPH) continues to be one of the main problems of modern urology. First of all, this is due to the high prevalence of this disease. According to Novara et al.

[10], who analyzed the recommendations for the diagnosis and treatment of BPH offered by the American Urological Association, the Austrian National Council of Health and Medical Research, the British Urological Association, the Canadian Urological Association, the European Association of Urology, as well as the MEDLINE database, where 134 literature sources were selected , the prevalence of BPH is 60% among men aged 60 years and 80% among patients 80 years and older.

The clinical manifestations of the disease are determined by the degree of disturbance of the outflow of urine.

The symptom complex of the disease includes obstructive (difficult, sluggish stream, straining urination, feeling of incomplete emptying of the bladder) and irritative (frequent urge to urinate during the day and night, imperative urge to urinate, which may be accompanied by urinary incontinence) symptoms, which are combined into symptoms lower urinary tract (LUTS).

How long does the effect last?

Indeed, reviews received from men who took Finasteride-Teva generally indicate good results. Regardless of the area of ​​baldness, new hair gradually begins to grow. Accordingly, the question arises of how long this effect will last. Unfortunately, the drug can provide a complete cure only if baldness is directly related to dysfunction of the prostate gland. Then both problems are solved simultaneously.

If hair loss is a consequence of androgenetic alopecia, that is, it has a genetic predisposition to increased testosterone levels in the blood, then treatment will only give a temporary effect. After stopping the drug, hair will begin to fall out again. Your doctor may prescribe a maintenance dosage that will need to be taken continuously.

Interaction with other medications

Only rare cases of side effects after taking Finasteride have been recorded. They can arise from different systems and organs:

1. Nervous system. Men may begin to experience constant sleepiness.
2. Reproductive system. There may be a decrease in sexual desire. It is also possible that there is a disruption in the process of sperm release during ejaculation. In rare cases, patients complain of pain in the testicular area.
3. Allergic reactions. Due to the medicine, itching, rash and unnatural changes on the skin may appear, which in their appearance resemble a burn after interaction with nettles. Swelling of soft tissues cannot be ruled out. This phenomenon is especially localized on the external genitalia and on the face.
4. Laboratory data. During testing, an increase in the permissible level of prostate-specific antibodies present in the blood may be detected.

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The effects listed above are transient in nature. This means that they disappear on their own only after the medicine stops entering the body. If a man is bothered by any of these ailments, he will have to repeat his visit to a specialist in order to solve the problem situation.

The medication interacts poorly with other drugs. It is capable of several times enhancing the effect of drugs that belong to the antidiabetic group.

Finasteride can be used with other drugs that, like it, are necessary for the treatment of prostate hyperplasia.

Possible side effects

Hormonal drugs often cause side effects, especially with long-term use. During long-term therapy, men often experience a decrease in libido and potency. Sexual function is usually restored after completion of the treatment course.

There are also complaints about:

• allergic skin reaction – itching, redness, rashes, swelling of the face;
• cardiopalmus;
• impotence;
• ejaculation disorders (ejaculation);
• soreness and enlargement of the mammary glands;
• testicular pain;
• depressive state.

Most unpleasant symptoms occur at the beginning of treatment and disappear on their own as the body gets used to the drug. In some cases, an individual reaction of intolerance is noted, expressed in an acute allergic reaction (up to Quincke's edema). In this condition, urgent cessation of therapy and selection of a suitable analogue is required.

No cases of overdose have been identified, and there is no specific antidote.

Any side symptom should be reported to your doctor; you may need to make changes to the dosage, treatment regimen and course duration. Under no circumstances should you stop taking Finasteride on your own.

Composition of the drug and its dosage

Each Finasteride tablet contains 5 mg of its active substance. The medicine also contains the following additional components:

1. Lactose monohydrate.
2. Corn starch.
3. Monocrystalline cellulose.
4. Lauryl macrogolglycerides.

The medicine is packaged in vacuum blisters, which contain from 7 to 14 tablets. Each individual box usually contains from 1 to 4 full blisters. You can also find instructions for using Finasteride in it.

The male drug Finasteride is taken to reduce dihydrotestosterone levels, as well as reduce the unnatural size of the prostate. Thanks to this action, the patient’s problems with urination disappear. Experts prescribe medication in the following cases:

1. A man's prostate is enlarged in size and volume. This is due to the development of a benign neoplasm in the prostate gland.
2. The patient has acute urinary retention.
3. The slow speed of the urinary stream is developed.
4. A man has to get up several times at night due to frequent urges to go to the toilet.

According to doctors, Finasteride is exactly the medicine that should be included in the drug therapy of patients with severe signs of benign prostate hyperplasia.

Finasteride can be stored for 3 years from the date of its release. It is recommended to keep the drug in its original packaging. A dark, dry place where the temperature does not rise above 25 degrees Celsius is ideal for it. Children and pets should not have access to the medication.

pharmachologic effect

Today we are looking at the drug Finasteride. Reviews from men may confuse the reader a little, since they mainly concern the issues of curing prostate hyperplasia. This isn't too surprising when you look at the hair loss treatment market as a whole. All of them were originally produced for completely different purposes, but during the course of research, scientists discovered such a side effect as improved hair growth. The first drug that, even at the time of research, was recognized as a cure for baldness was Finasteride. Reviews from men rightly indicate a stable, although not too fast-onset effect. On average, researchers give the figure 12 months. This is the period in which healthy hair will definitely appear.

How to use Finasteride

The tablets are taken exclusively orally, that is, orally, in their entirety. It is prohibited to chew or crush them. You need to drink enough plain water. The time of administration is not particularly important; food does not affect the absorption of the active substance. You can take the tablet with or after meals. It is advisable to determine the time so that each day the reception occurs at approximately the same time.

The effect of the tablets develops gradually, a lasting effect is achieved after about 3 months of regular use. A significant reduction in symptoms and improvement in the process of urination is observed after 6-7 months of treatment.

In case of renal failure, no dose adjustment is required. In old age, a slight decrease in the rate of finasteride excretion is recorded, which does not in any way affect the general condition - no special regimen is selected.

The drug, which comes in the form of tablets, must be taken orally. It is advisable to avoid chewing the medicine. It is washed down with plenty of water. A single dose consists of only 1 tablet, which contains in the required proportions the substances necessary to alleviate the condition of the patient. You cannot take a large dose in one day. It is recommended to take the medicine in the evening.

Conservative treatment with Finasteride, as well as with other similar drugs, for example, Penester, takes a long time. It may last for several months. The patient will begin to feel significant relief approximately 12 weeks after taking the first tablet. By this moment, the prostate gland, enlarged due to the disease, should decrease several times. After another month, the process of urine outflow will normalize.

Before you start taking the medicine, you must carefully study the instructions, which can be found in the box with blisters. It indicates the specifics of using the drug. Here are the most important ones:

1. Before starting a course of medication, you should exclude the presence of pathological processes in the body, which in their symptoms are very similar to benign prostatic hyperplasia. This may be bladder hypotension or infectious prostatitis. The success of patient treatment directly depends on the correct diagnosis.
2. The medication is not suitable for treating children and women. This is an exclusively male medicine.
3. Women should avoid contact with Finasteride tablets whose film shell has been damaged. The powdery substance is easily absorbed into the blood from the surface of the skin. This drug has a negative effect on the female body. The reproductive system suffers especially badly from it.
4. During the course, it is advisable for the patient to be examined from time to time to determine the presence or absence of a malignant tumor in the prostate gland. This recommendation is explained by the fact that it reduces PSA in the blood several times.
5. The medication does not interact with drugs from other pharmacological groups.
6. The nervous system can react negatively to taking the drug. Therefore, a man may be bothered by insomnia and lack of concentration. The drug also affects the speed of psychomotor reactions. So this therapy should be carried out with caution.

Medicine for the treatment of baldness and prostate gland

Today, the most famous drug against baldness is Finasteride. For hair, this is truly an amazingly effective remedy, provided that the cause of hair loss lies in the area of ​​hormonal imbalance. The first country to recognize the drug as the No. 1 remedy in the fight against androgenetic alopecia is the United States. Additional research and clinical trials were conducted here. During their implementation, the scope of use of the drug expanded from the treatment of enlarged prostate glands in men to purely cosmetic problems. Clinical studies have shown how effective Finasteride is for hair. Its use provokes their growth on the head and changes in the condition of the hairline. The hairs themselves become stronger and stiffer. After the course of treatment, maintenance therapy is necessary to maintain the achieved result.

Indications and contraindications for the drug

Finasteride is a highly specialized drug that is used exclusively in urology. It directly affects the functionality of the genitourinary system and the functioning of sex hormones. Does not have any other hormonal effects.

Direct indications for prescribing the drug are only two pathological conditions:

• benign prostatic hyperplasia (adenoma);
• androgenetic alopecia (baldness).

The action of the drug is targeted and systematic. Treatment involves several important effects that are achieved as a result of therapy:

• reduction in the size of the prostate gland;
• relieving swelling and hyperemia of the organ;
• improving the outflow of urine from the bladder;
• relief of the main uncomfortable symptoms of the disease;
• reducing the risk of developing acute urinary retention;
• prevention of complications and surgical intervention;
• stopping baldness in men.

The hormonal drug has no strict contraindications. It is necessary to take into account the objective conditions in which it is not prescribed. These include:

• hypersensitivity to the composition;
• female gender (especially during pregnancy);
• children under 18 years of age.

Reception features

Patients taking Finasteride are at increased risk of developing obstructive uropathy. This is a condition during which the patency of the urinary tract in any part of the entire system is disrupted. It is dangerous because it can lead to kidney pathologies and disruption of their functions.

Before you start taking Finasteride, you should make sure that your body is free of the following diseases, which can easily be confused with prostate hyperplasia:

• oncological process in the prostate gland;
• weakness of the bladder muscles;
• prostatitis;
• urethral stricture;
• disturbance of innervation of the bladder.

Prostate adenoma: causes, symptoms, stages of the disease. correct diagnosis, treatment, prevention

Surely you have heard these words “prostate adenoma”, “prostate adenoma” more than once. Prostate adenoma is the earliest term used by doctors and is familiar to the ears of most ordinary people. In scientific terms, the name of this disease sounds like “benign prostatic hyperplasia” (abbreviated as BPH).

BPH is an abnormal growth of the prostate gland (which lies between the bladder and the external urinary organs, with the urethra passing through the prostate) forming a benign tumor around the urethra. Often, men aged 50-55 years suffer from this disease.

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The prostate plays an important role in the process of fertilization, as it produces a substance with which, when mixed, sperm becomes more liquid, which increases sperm motility. As men age, the necessary hormone for normal functioning ceases to be produced in the testicles (or is produced to a much lesser extent), which affects the further growth of prostate tissue.

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If a young man has a prostate mass of about 20 grams, then by the age of 60-90 it grows to 60-400 grams.

5-alpha reductase inhibitors

The second goal of drug treatment of prostate adenoma and prostatitis is to stop the growth of the tumor. Prostate tissue enlarges with the participation of testosterone. 5-alpha reductase is an enzyme that, through a chemical reaction, converts testosterone into another hormone, digistosterone. Dihysterosterone has a stronger effect on androgen receptors in prostate tissue.

• the size of the adenoma stabilizes and then begins to change downwards;
• urine outflow is normalized;
• the inflammatory process in the prostate gland is eliminated.

• decreased quality of erection;
• erectile disfunction;
• ejaculation disorder;
• decrease in the volume of seminal fluid during ejaculation.

Clinical experience shows that all side effects either disappear or become less intense after the first year of using the drugs. 5-alpha reductase inhibitors are available under two trade names:

The urologist will help you choose the most suitable option for each patient. If side effects occur, you should discuss how you feel with your doctor so that the dosage or course of treatment can be adjusted. Patients with prostate adenoma and prostatitis have an increased risk of developing prostate cancer, so they should undergo timely treatment and visit a urologist every six months for a preventive examination.

The effect of the bath on the prostate

Most men love to steam.

Is it possible to go to the bathhouse with prostatitis? Any patient who knows about his problem begins to worry about his health, so he is tormented by the question: are water and thermal procedures useful if prostate adenoma is diagnosed? It is difficult to answer such a question immediately and unambiguously. You can talk at length about whether a bath is useful for prostate adenoma or whether it has a negative effect.

Attention! Before going to the steam room, be sure to see a doctor and find out from him whether thermal procedures are permissible for you.