Recently an international conference heard an in-depth panel discussion about Finasteride and sexual side-effects. It was again emphasized that Finasteride is a safe medication, side-effects were largely dose-related and disappeared upon stopping the medication. It was felt that recently media reports about the incidence and severity of side-effects was significantly overstated and that it remained the medication of choice for treating male pattern hair loss. In my hands, side effects are quite uncommon and only a small intermittent dose of Finasteride is required to achieve long-term stability of the hair loss in most balding men.