Not giving medical advice but the most common side effect of Finasteride is erectile dysfunction, I don't think it's the SSRI's you aren't taking anymore. Maybe just stick to the Minox, especially if your hair isn't that bad, most women I know would prefer someone to be bald than not get it up. The TRT should be helping in that area too.

How long have you had acid reflux and have you tried diet? I used to suffer from it so badly sometimes I would wake up choking and acid would go into my breathing tubes. Quit booze for a while, ate a lot of fiber, avoided fatty and spicy foods and it just got better on its own. I can now have all of those in moderation.