It certainly will sometimes: I suspect that sometimes both options are acceptable to me, and neither will feel like a great loss if not followed; in this case I will likely end up following the coin. Or I 'hiddenly' dread both options, or would feel either as loss, in which case I will recoil against the choice of the coin (and possibly recoil again against the other option as well, leaving back where I started.)

But I generally use this when I am otherwise indecisive, where further analysis is more trouble than it's worth. So even when the randomness leads me astray, it doesn't cost me much.