I have post-finasteride sexual issues. I put them in 3 categories: ED, loss of libido, and loss of sensitivity/increased refractory period/anorgasmia. The ED resolved on its own with time but the other 2 issues persisted. I started Addyi and it's working very well for libido. I'd highly recommend it. I'm only 4 weeks in. I wonder as it builds up if it could also help with anorgasmia since it increases dopamine and reduces serotonin? I believe Addyi takes 5-8 weeks to really kick in.