You need to have frequent sex to evaluate the effects imo ,and since dhtcel is 17 or sth i dont see that happening. It took me daily sex to realise that finasteride was affecting me. Anyway not saying that bica cause sexual sides, but theres no definite proof for the oppositeLong enough for side effects to occur, especially since spironolactone/cyproterone acetate have a rapid effect on sexual function.