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In a framework where one believes PFS to exist (I strongly believe it doesn't), tad would, at best, treat a few of the symptoms of PFS.

I believe people with self diagnosed PFS have a mix of mental illness and (sometimes) non diagnosed physical illness.

I'd like to see a self diagnosed PFS sufferer not get an erection, pumped up on 150 mg sildenafil + 10g L-Citrullin.

> Is Tad addressing this hazard in your view?

Let me address your question from a different angle: Being on an sufficient amount of daily tadalafil would certainly reduce the chance of you believing you got PFS, because it would guarantee you a working erection in any situation.

>>Traube+(OP)
Thanks for sharing your view. I think the possibility of something like PFS existing is real, simply because 5ARIs have widespread physical effects - I mean they regrow hair and reduce sperm motility. Why would the brain or nervous system be excluded from being affected? Eg one male hormonal contraceptive pill study was aborted in 2016 because one participant got suicidal.

>>Traube+(OP)
Hi - there is no official diagnosis for "PFS". I have it in the sense that I have penile tissue scarring confirmed by medical imaging, with a urologist's opinion that finasteride was the likely cause. Yes, tadalafil does often help in my case, but the reduction in function is permanent and I doubt I will ever be my pre-finasteride self again.