what are the possible side effects of the use of 5 alpha reductase inhibitors in young men?

Finasteride, one of the most prescribed medicines for BPH, is a steroid inhibitor of 5α–reductase type 2 that inhibits testosterone conversion to DHT. However, finasteride has been linked to several negative side effects, including erectile dysfunction, depression, libido loss , male infertility, poor seminal quality, and ejaculation disorders.

https://doi.org/10.1016/j.lfs.2023.121747 

SRD5A2 inhibitors like finasteride and Dutasteride can cause side effects. Side effect could include sexual dysfunction, decreased libido, erectile dysfunction, and reduced ejaculatory volume. Depression, anxiety, and mood. Clinical side effects include gynecomastia, testicular pain, and hormonal imbalances. Skin issue like rash or itching are also possible.