A Pharmacogenetic Survey of Androgen Receptor (CAG)N and (GGN)N Polymorphisms in Patients Experiencing Long Term Side Effects after Finasteride Discontinuation

Cecchin et al., 2014

Our explorative study tried to shed a light on such phenomenon as well as to highlight a possible genetic predisposition to the development of such disabling chronic side effects that can deeply impact the quality of life of young men assuming finasteride to treat alopecia.
— Cecchin et al.

A significantly higher occurrence of “extreme length” androgen receptor polymorphisms (CAG-rs4045402 and GGN-rs3138869) was observed in 69 PFS patients as compared to controls (without male pattern hair loss). This finding was suggestive of a potential genetic role in the development of both male pattern baldness and Post-Finasteride Syndrome.

The authors suggest the role of epigenetic proteins and their regulation could play a role in the regulation of AR expression after finasteride discontinuation and the development of chronic side effects.

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Androgen Levels and Semen Parameters Among Former Users of Finasteride With Persistent Sexual Adverse Effects

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Immunohistochemical Evaluation of Androgen Receptor and Nerve Structure Density in Human Prepuce from Patients with Persistent Sexual Side Effects after Finasteride Use for Androgenetic Alopecia