Talking about studying medicine... we are actually taught here today in school that in MOST target cells, testosterone works through an active metabolite, dihydrotestosterone, to which it is converted locally by 5-alpha-reductase (this info has been in pharmacology books for years now), so that's the basis for androgen functioning. Fortunately we still have 5ar1 to rely on and some cells like muscles can do without it, but that's definitely not enough for a young normal healthily functioning body. I'm still sure that if you study the human body entirely from top to bottom, you will see too that 5ar is very-very prevalent. At the moment there are studies that have only looked at selected tissues, BUT have found 5ar in most of them. That's the way how testosterone works: through dihydrotestosterone. So I can't believe there are people saying dihydrotestosterone is testosterone's useless evil twin brother. It's shown on schemes that finasteride blocks this conversion, so any medical student would say it's a very strong antiandrogen, and it's used against prostate hypertrophy. Thank god, we're not taught to cure balding! But it's mentioned so briefly that no doctor actually knows it anymore, because they are not studying pharmacology actively and just forget. And also, what's very important for doctors and drug developers, is that you have to be extra cautious about side effects, when treating people that are actually healthy and that's what balding men are -- not sick, so especially responsive to the drug's side effects. People with prostate hypertrophy don't care about the sides, though they definitely have them, because they are cured from a serious illness that caused them a lot more problems.