Everyone's body, hormonal profile and genetic makeup is different. Correspondingly, everyone's reactions to Finasteride will vary -- as will any symptoms and ability/timeline to "recover" from the Post-Finasteride Syndrome, should they be unlucky enough to experience it after quiting the drug..
Unfortunately, this condition has not been researched and thus the root cause remains unknown. The common problem of near/actual hypogonadal Testosterone, LH & FSH levels, along with other hormonal imbalances and symptoms after stopping use, varies amongst each individual.
It is highly advisable that individuals obtain extensive hormone testing to ascertain where problems may lie, and tailor any possible treatments accordingly under the care of a competent medical professional. Below are 4 major treatment options typically attempted by Post-Finasteride Syndrome sufferers.
- Watchful waiting -- do nothing and see if your body recovers 100% naturally to Pre-Finasteride state on its own. Healthy diet, cardiovascular exercise, weight training and plenty of sleep are cornerstones of this method. Since each person's genetics & hormonal profile is different, each individual's "recovery" progress and timeline (ie, weeks, months, years, or up to a certain point) is likely determined by their own body. Nonetheless many men find various symptoms improve over time, which is an extremely positive sign.
- Natural supplements -- Undertake a supplement regimen, typically comprised of multivitamins, omega 3s (fish oil for brain health), Testosterone boosters (Tribulus Terrestis, Tonkgat Ali, bodybuilding supplements), adaptogens/aphrodisiacs (Maca), natural PDE5 inhibitors (Horny Goat Weed - herbal Viagra), Estrogen management (DIM/I3C/Chrysin), Prolactin control (high-dose Vitex/Chasteberry) and other supplements to hopefully increase Testosterone, manage hormonal imbalances, and kickstart libido, erectile function and androgen metabolism.
- Drug Therapy -- treatments undertaken to increase Testosterone production and restore functioning of the hypothalamus-pituitary axis. Use of Clomphine Citrate/Tamoxifen/human Chorionic Gonadotropin to increase endogenous Testosterone levels. Use of Arimidex to reduce elevated Estradiol levels. Use of Bromocriptine or Cabergoline to bring down elevated Prolactin levels. Use of Thyroid medications to control elevated TSH/hypothyroidism... and other treatments depending on the individual's respective hormonal imbalances/situation.
- Hormone Replacement -- typically a last resort for many men after exhausting all other options. For those with hypogonadal/low Testosterone levels that do not respond to aforementioned treatments (Clomiphene, Tamoxifen, hCG), Testosterone Replacement Therapy (creams, injections) is usually the next and final step, either alone or in conjunction with hCG to maintain fertility. Some men also opt to try DHT replacement (creams, tablets, injections) at this stage, as DHT supplementation alone may surpress the axis if the individual is not on TRT. As with any treatment, response to TRT + DHT and symptomatic improvement is highly variable.
NOTE: the decision to undertake drug therapy & hormone replacement is not to be taken lightly. It should only be attempted under the guidance of a competent medical professional, and may introduce additional health complications (ie, infertility with TRT unless hCG used in conjunction), side effects, or possible lifelong commitments due to surpression of endogenous hormone production.
If considering such treatments, it is advisable you work with a knowledgeable and competent medical professional who can actively design, provide and monitor treatment, especially considering androgen replacement may also require estrogen management protocols.