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. 2016 Jan 25;48:645–656. doi: 10.1007/s11255-015-1206-7

Table 4.

Incidence of all-cause adverse effects after 6 months of follow-up

Treatment N Total AE, n (%) Retrograde ejaculation Reduced ejaculate volume Erectile dysfunction Reduced libido Hypotension
Monotherapy, n (%)
 AB 424 69 (16.3) 31 (7.3) 19 (4.5) 3 (0.7) 4 (0.9) 10 (2.4)
 5ARI 106 15 (14.2) 0 2 (1.9) 10 (9.4) 9 (8.5) 0
 HESr 733 6 (0.8) 0 0 0 0 0
 P. africanum 34 1 (2.9) 0 0 0 0 0
Combination therapy, n (%)
 AB + 5ARI 105 32 (30.5) 10 (9.5) 8 (7.6) 16 (15.2) 16 (15.2) 4 (3.8)
 AB + HESr 234 33 (14.1) 12 (5.1) 12 (5.1) 7 (3.0) 2 (0.9) 6 (2.5)
 5ARI + HESr 29 5 (17.2) 0 1 (3.4) 3 (10.3) 3 (10.3) 0
 Other combinations 20 3 (15) 0 1 (5.0) 3 (15) 1 (5.0) 0

AE adverse effects, BP blood pressure, AB α- blockers, 5ARI 5α-reductase inhibitors, P. africanum Pygeum africanum, HESr hexanic extract of Serenoa repens