I’ve been on Dutasteride and 200mg of spironolactone daily for over 2 years with minimal side effects and no gyno no erection loss maybe just maybe a little loss in labido but i can get horny even when I’m not interested in sex at first. We’re all different. Maybe my body just overrides the medication but I’ve had no problem. I work out no loss in muscle mass. I’ve actually gained muscle. I work out diligently. Just throwing this in the conversation.