>>106219174
>>106220353
Keep in mind there is a higher risk than placebo for sexual dysfunction, but the placebo still "caused" a 7% increase in one RCT. Notice though that discontinuation got rid of these side effects though, and it's still not that much considering that such a high number of people on the placebo got it.
Notice it didn't get worse with long term usage either. Then it goes on to explain even then the link is not clear for the short duration symptoms because of the whole BPH thing.
The second paper is about the nocebo effect for finasteride specifically.
From my own personal experience dutasteride made my sexual function better because it helped with my BPH and I can coom 2-3x a day sometimes without issue now. It also *increased* my libido because by blocking DHT your body oftentimes compensates by creating more testosterone, it just doesn't get converted into DHT which wrecks your fucking body.