22y & 1y on finasteride - what next?

sprince5

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Background Info
First noticed losing hair when I turned 20. At the time I was a solid NW0 getting compliments on my hair but I started noticing that my left temple was miniaturising and thinning. It felt like my hair quality deteriorated overnight but looking back I must have been shedding hair for some time. I continued losing hair on the left side of the hairline for the next 1.5 years and hair was feeling thinner and thinner. I could see miniaturised hair growing pretty far back into the hairline. At 21.5 years old I started finasteride – at this point the left side of my hairline was relatively receded (no sign of hair loss on the right side at all).

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Since finasteride
I believe my hairline kept on receding for the next 3 or 4 months when I was using hair products every day (see pictures below).

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Since the start of lockdown (3 months since finasteride), I noticed that some (very few) of the baby hairs started turning into terminal hairs. This process has been very slow and loss was continuing behind the hairline and I have been shedding hairs on the whole left side of my head. In July (7 months) I got a haircut and I was pretty certain my hairline moved down (see wet hair photos below) - the new hair by the left temple blended in nicely with the older longer hair.

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As lockdown eased, I started drinking a bit more and styling my hair more often. Although hair still felt pretty good in August, I felt that using hair products made me lose hair a bit faster and the barber thinned the hair on my left side behind the temple (hasn’t thickened up since). I have started to notice the thinness on the whole of the left side of my head during the last two months (September and October). Shedding was particularly bad on some days and I think was worsened by an unusually stressful period in my life. I feel the right temple has started to thin out as well.

Next steps
At this point, it has been 11 months since I started finasteride (pics below). I have recently introduced Nizoral into my routine and switched from generic finasteride to Propecia (for consistency as my online pharmacy seems to switch between 2 suppliers of finasteride and some users report better results from Propecia). Because I feel like I am still losing density and regrowth is slow I have decided to introduce minoxidil into my routine (and will probably start dermarolling as well). I wonder whether I should wait until the 1.5-2 year mark to see whether the pace of regrowth has increased and the hair gets thicker or I should look at incorporating a topical anti-androgen ASAP. Ideally, I would like to maintain until Breezula comes out, but if hair continues thinning I am happy to introduce a topical AA.

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(wet hair usually looks a lot worse/thinner than in the above pictures)

Any thoughts?
 

JohnSmith21

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Where do you get your finasteride and how much do u take per day? Dude I see zero hair loss lol
 

Señor AIDidaS

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I see maybe a tiny bit of loss reflective of a maturing hairline, but other than that I see none of the loss you have described. Don't freak out if the hairline matures though. Those cells are very prone to apoptosis and you may not see a reversal even with DHT inhibition. Either way, you have a very nice, dense, and full head of hair. I'm surprised you took steps to get on Propecia with basically no loss, but as someone who has been on it for multiple years as a preventative measure, I'm hardly in the position to judge.

No additional steps needed.
 
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