Will My Urologist Tell Me to Stop Finasteride?
Going to see a Urologist next week, will he tell me to stop finasteride?
Hi Doctor. I have been on 1/4 proscar for over a year now with great success, no side effects, and great reqrowth and maintenance. I’m a 26 year old male and went to my hair loss doctor for my yearly check up a few weeks back and he and I were very happy with the way things are going. In the last 3 months however i have had 3 cases of hematospermia, passing blood in the semen accompanied with some minor pelvic pain. I however, have no other problems urinating so it’s clearly something to do with the prostate. My family GP gave me some antibiotics, which seemed to clear one episode and he referred me a urologist to get it checked out further. He mentioned that the fact i was on finasteride would have to be seriously looked at when I visit the urologist. I mentioned all of this to my hair loss doctor during my yearly consultation, now this guy is very ethical and has over 20 years in micro surgery and over 2000 patients my age on the drug. He told me that the finasteride had nothing to do with it.
In fairness to finasteride, I was on it for 10 months without a hitch before I started getting episodes of hematospermia. I’m just worried that the urologist may ask me to stop it as he clearly will not be concerned about male pattern baldness…and effectively lose the wonderful gains the drug has provided me.
In your experience have you ever encountered cases of hematospermia any more in patients on finasteride in my age group? Do you think it may have anything to do with it, what about prostate shrinkage?
Thank you so much and i hope you can help me on this, i really hold your opinion i this area in high regard.
Regards
People who are not on finasteride do develop hematospermia, so I would expect that people on the drug will be at the same risks. I doubt that the drug is contributing to the problem and would agree that finasteride should be continued. I would doubt that a urologist would ask you to stop this, considering the benefit you have achieved.
Finasteride is not associated with an increased risk of hematospermia, based on the clinical studies conducted with Finasteride. Indeed, some physicians suggest giving finasteride beginning 2 weeks before biopsy of the prostate to reduce the risk of postprocedure hematuria.