Same here … and I tried everything …
Finasteride, Dutasteride, Spironolactone, Bicalutamide, Cyproterone, Enantone … and I’m still losing my hair and have itchy scalp. Since I started anti-androgens itchy scalp is insane, I have eyes pain, pain in my joints, legs, arms, penis, pelvis, …
I stopped AA and pain was unbearable, but after 5 months pain decreased (still here 6/10 instead of 8/10). So I go back to AA (because of hair loss, and because I’m MTF …).
10 years on Dutasteride my libido was dead. I stopped for 2 years, still nothing. My testosterone was high.
When I started Spironolactone (100 then 200) my libido came back in a vengeance, same with others AA … and very agressive hair loss started too.
My theory is androgen receptors upregulate when no so much testosterone (and DHT ?) … but when you increase testosterone by a lot (supraphysiological testosterone - with supplements or tamoxifen or hcg or something else) I’m sure androgen receptors get damaged or degrade or are underexpressed (that’s why some guys have FPS). I can’t prove my theory.
Maybe some guys should try to lower their testosterone levels by taking low dose of anti-androgens (2-5-10 mg cyproterone - 50 mg Spironolactone).
Or if you want to stop hair loss or ichy scalp maybe increase testosterone level. BTW I would like to be able to do that … but because of transgender issues I cannot. I’m trying to convince myself to stop AA and take tamoxifen to increase my testosterone … it’s really hard.