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.

Join Over 52,000 Subscribers at The People's Pharmacy

  1. John S.
    Reply

    I am a 54 yr old male and I have a very high sex drive, my wife of 32 yrs has none. I take avodart and it has not reduced my libido. This is always a big argument between us, I would like to know what to do to reduce my sex drive. I am also on high blood pressure medicine (altace). Will the herb Vitex help?
    PEOPLE’S PHARMACY RESPONSE: IT IS POSSIBLE THAT VITEX WOULD HELP. YOU AND YOUR WIFE MAY ALSO WANT TO EXPLORE WAYS TO INCREASE HER LIBIDO, OR WAYS TO ACCOMMODATE THIS DIFFERENCE SO YOU DON’T HAVE TO FIGHT ABOUT IT.

  2. D.L.F.
    Reply

    I wanted to know in issues dealing with men’s sex concerns, why are even urologists sometimes not very willing to discuss things?

  3. L S
    Reply

    I’ve had the microwave treatment on my prostate. The results are remarkable. No intervance with my sex or sex drive.I can sleep 8 hrs. per night without getting up for a trip to the bathroom. I wished I had this done long before I had it done.

  4. Larry G.
    Reply

    I too started taking avodart a few months ago and only after a few days I thought this is great, I can sleep all night without getting up to use the bath room and I thought NO SIDE EFFECTS. After about 4 to 6 weeks I had no sex drive at all not even sex feelings for my wife. I stoped taking avodart and a few weeks later my sex life was back. I went back to
    saw palmetto, I would rather get up 2 times a night and still have a sex life. I am 67 years old.

What Do You Think?

Share your thoughts with others, but be mindful of protecting your own and others' privacy. Not all comments will be posted. Advice from web visitors is not a substitute for medical attention. Do not stop any medicine without checking with the prescriber. In posting a comment, you agree to our commenting policy and website terms and conditions.