Steroid Use Led to Libido Issues — I’m Worried That Propecia Might Make It Happen Again

Hello Dr.,

I expermented with steroids about 2 1/2 years ago. I was told that dosage would cause no side effects but before I even ended my cycle there was significant hair loss and a decrease in sex drive. Even after the two years I am still recovering and have not had a regular libido and show significant thinning of my hair.

Since I had the low sex drive when experimenting with steroids is it possible that taking propecia I have a higher chance of it occuring again? Is there another drug that can be taken along with propecia? I am 28 years of age and in good health aside from the hair loss and irregular sex drive.

You need to have a doctor manage this process for you. Your low sex drive can be a result of your anabolic steroid use or just a naturally low sex drive (independent of steroids). Many men have low sex drives that go undiagnosed or they are not readily willing to face the problem and often try to find other causes like steroid use or Propecia (finasteride) use. My recommendation is to have a good physical exam by your primary care physician. I really cannot tell you if Propecia will give you a high chance of sex drive issues. Propecia in general has a side effect of decreased sex drive (1 to 2 percent) and an increased sex drive (10 percent), possibly because testosterone levels go up between 9-18% on Propecia.