Knichol,
LOL, well not really. I use the word guys when I'm talking about females as in "hey, you guys" so... ;-) Ok, truthfully I didn't catch all of your post. Anyway, the problem is that males usually do experience the side effects. You only need the DHT during puberty and I guess a few years after unless you are planning on body building. That's one of the conflicts you see on this board. Some men think giving up the dream of big and buff is worth it for clear skin and others don't.
Roxcyn,
Yes this is by prescription only, but of course people have found ways around this. If you want to pay Double the money, you can go the illegal route or find an endocrinologist that would prescribe this for you. The side effects are not well noted yet. I haven't even heard anything about liver problems, but did find an article that mentioned men with liver disease should consult their physcian.
Spiro is 30% effective and that's at an average dose of 50mg. Myself and others have been on doses as high as 100mg - 200mg. I believe everyone on this board has gotten clear off such doses of Spiro, but I wasn't one of them. On the other hand, Avodart is 98% effective at 5 mg and 94% effective at 0.5 mg. So of course the standard dose is 0.5 mg (that's expensive enough). I wouldn't take Avodart if Spiro would work for you. It's definately much more potent and the side effects (for males) are greater.
It can be used to treat Benign Prostate Hyperplasia, Androgenic Alopecia, and since it inhibits both forms of DHT, it should also work to inhibit Acne and Hirsutism. It can also be used in conjunction with Spiro and/or BC for even better results. BC (estrogen) or proper dietary changes will reduce your overall Free Testosterone levels, which means less testosterone that will be converted into DHT. Thus, there's less DHT conversion that needs to be prevented by Avodart, Spiro, etc. This is probably why I noticed the best results for reducing my mild hirstusm when I was taking Spiro and altered my diet. When I stopped the spiro, I had to readjust my diet again to maintain 99% clarity that I had while I was taking it with my diet (spiro NEVER got my skin that clear w/other medications-antiandrogens). So personally, it just makes sense to work at reducing your overall production and then using the lowest dose Supplement or Medication to treat the rest.
HTH =)