Puberty is the key. Pseudohermaphrodites never had DHT in their bodies. During puberty, certain androgen dependent structures in the body are activated by DHT. It's the case with hair loss and also with other androgen dependent structures of the body such as parts of the spinal chord. A body of a pseudohermaphrodite works totally different since it never had its androgen dependent structures activated by dht. (And no: Testosterone can't do this task.)
First, look at a normal male. Before puberty everything looks different. The body isn't fully developed, the hormonal profile is different, the CNS is different too. During puberty, all of these things change and a lot of these changes are activated by androgens, especially by DHT. As the body produces androgens, genitals develop, sexual function is starting to work, the CNS develops which is also necessary for sexual function and for thinking and behaving like a male.
The CNS looks different before and after puberty.
Now lets look at a pseudohermaphrodite. He goes through puberty too. But he is 5AR2 deficient so can't produce DHT. He has less body hair, a different hormonal profile, and a different CNS since the androgen dependent part of the CNS which is activated by DHT hasn't fully developed.
In the end, both went through puberty. But the normal male has another CNS,
especially another spinal chord since it contains a lot of 5AR2 which the pseudohermaphrodite never had. So a pseudohermaphrodite doesn't only look different, his CNS works different since it is not fully developed like the one of a real male. Point is:
He is not only sexually different but also neurologically different.
Now: A normal male goes on finasteride and artificially changes his hormonal profile to match that of a pseudohermaphrodite.
THEN, demyelination of specific parts of the spinal chord who have been developed with the help of DHT produced by 5AR2 will occur because the body is now, after puberty dependent on that specific part. It can't function properly without it. A pseudohermaphrodite doesn't experience such a kind of demyelination
because his spinal chord is a different, not a fully developed one. The part that experiences demyelination in a normal male after puberty taking finasteride
isn't even present. His body
can function without it because the spinal chord never underwent that change because he is 5AR2 deficient. It does function differently though.
You see: you can only compare the two (a pseudohermaphrodite and a normal male) if the normal male starts using finasteride BEFORE PUBERTY. But then both of them are actually pseudohermaphrodites.
http://www.propeciahelp.com/forum/viewtopic.php?t=2577