I have been using the Internet since 1981. By which I mean, I have seen tons of posts on totally ridiculous theories. One guy posted 10 times a day for 2 years about a penny junk stock he lost his ass on. In the early years people used to use their real names, once in a while I would call someone just to see what the basis was for their posts and if they were otherwise rational.
I think it's well established that lowering DHT lowers PSA for prostate volumes > 30 cm, even better for >50 cm. it doesn't work as well on smaller prostates.
The most common side effects included decreased libido, ejaculatory disorder, and erectile dysfunction, with rates of 3.4%, 2.7%, and 1.7% in the 5 mg finasteride group
And from what I have read, high serum levels of DHT don't have an adverse effect on the prostate either.
But typically you have to keep DHT lower forever, you can reduce the dose to 2.5 mg but once you stop something like finasteride in a few months you are back to where you started. And I am not sure if the effect lasts forever, rarely it may slightly increase the risk of developing a very serious form of prostate cancer, and if it's cancer you are trying to fight then often no therapy last forever.
But, but I have no intention of using finasteride, out of curiosity I was going to ask the urologist if he would even prescribe it if I don't have any symptoms, only an elevated PSA. Not to mention, my PSA now it's even considered elevated for my age.
I can see from Cataceous posts that lowering DHT will lower Free T, and too low a level of Free T would likely cause problems with libedo / sexual funcition.
This is all sort of connected to DHEA, because DHEA said to increase DHT which binds to shbg and then creates more Free T.