Q. I read that Proscar and Avodart both cause impotence. My boyfriend is on Proscar and recently said he would rather have a backrub than sex! He used to worship me and now we are just pen pals. He still seems to like me but there is no sexual component.
According to his doctor, my friend has the smallest prostate he’s ever seen. Why do the doctors want to shrink it to nothing? Is it sex or death? If I had a choice like that to make, I’d go for sex. I’m only 74 and he is younger.
I have heard that it is possible for healthy people to have sex for life. Maybe some men are too embarrassed to discuss this subject with their doctor. I still think there should be a way to get around this side effect. Would it help if he didn’t take the pill for the weekend?
A. Drugs like Avodart and Proscar shrink the prostate by altering testosterone metabolism. This can lead to reduced libido and erectile dysfunction. Although impotence may be treated with medications like Viagra or Cialis, there is no approved remedy for low libido.
It is not clear that a “drug holiday” on weekends would restore his sex drive. He might ask his doctor whether a lower dose might solve the libido problem and still protect his prostate.