Am I balding of Maturing?

JaneyElizabeth

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Why do you think it makes it worse? I don’t see a big difference from 5 years ago
Okay. Did you tell me that, lol? That helps the situation but you are already missing chunks of hair that are going to link in the middle and then the crown will go in my estimation of what I have seen. Other guys should chime in. I use HRT so I am now removed from the male context but I never stop noticing hair lines.
 

Norwoody

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I'd start dermarolling and applying minoxidil. Maybe try saw palmetto too if you don't want to try finasteride yet.

The fact that you have miniaturized hairs is a good thing though - they are still alive, as opposed to having an area of slick baldness.
 

JaneyElizabeth

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Are you about 30? I had incredible maintenance my whole life and then it was about to go entirely so I jumped ship:

I have been so blessed so I post pretty much everything. This is more the part where I wasn't a sissy yet:

Take. a look at how it can wax and wane and get better and worse. Also here is where I am usually:
 
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Nicki93

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Okay. Did you tell me that, lol? That helps the situation but you are already missing chunks of hair that are going to link in the middle and then the crown will go in my estimation of what I have seen. Other guys should chime in. I use HRT so I am now removed from the male context but I never stop noticing hair lines.
Ah, np. Didn’t tell you. Just wrote 22 on the pic from 5 years ago, and 27 on the pic from today.
 

JaneyElizabeth

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27. Birthday in october
I was close but you look 30. I always looked young until I was 19 and then the same damn thing at 48 when my meds stopped working. I knew that I was going to be successful so I photographed everything. Right from the start but I was like, well I lost my looks at 19 nd then at 49 and both times like overnight. I am not one who is able psychologically to be bald so I joke about jumping ship.

But yeah. I am pretty much in it for the hair.
 

JaneyElizabeth

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But you don't need HRT. You are in time. I promise as much as I can, lol but you need to get started with minoxidil five percent today imo.
 

NickyA

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You still seem to have the same hairline at 27 than at 22. That said, it seems very high up and receded to me (NW3A with a bigger but thinning forelock, I'd say). Your temple points are gone too. Dr William Rassman says that a mature hairline would normally be half an inch or 1 cm above the highest forehead wrinkle, and your hairline is way higher up. It also seems like you're thinning and miniaturizing at the front, if that front goes you'll be pretty screwed:

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It depends on whether you want to do something about it or risk losing more hair. Minoxidil is just a bandaid that's unlikely to give you more than 2 or 5 years unless the hair loss is very mild. You could always begin with a lower dose of finasteride and titrate upwards if you don't experience any problems. I've been on 1 mg thrice a week for over a month and no issues so far. Am currently planning to up the dosage in March of April if everything stays alright.
 

Nicki93

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You still seem to have the same hairline at 27 than at 22. That said, it seems very high up and receded to me (NW3A with a bigger but thinning forelock, I'd say). Your temple points are gone too. Dr William Rassman says that a mature hairline would normally be half an inch or 1 cm above the highest forehead wrinkle, and your hairline is way higher up. It also seems like you're thinning and miniaturizing at the front, if that front goes you'll be pretty screwed:

View attachment 156377

It depends on whether you want to do something about it or risk losing more hair. Minoxidil is just a bandaid that's unlikely to give you more than 2 or 5 years unless the hair loss is very mild. You could always begin with a lower dose of finasteride and titrate upwards if you don't experience any problems. I've been on 1 mg thrice a week for over a month and no issues so far. Am currently planning to up the dosage in March of April if everything stays alright.
If I end up like the guy in the picture. I’d go for a transplant and skip the meds. But thanks! Really appreciate the replys
 

JaneyElizabeth

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I am very pro-duta and finasteride if you want to go that way. Nicky's right. Duta is best but either really will do.
 

JaneyElizabeth

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If I end up like the guy in the picture. I’d go for a transplant and skip the meds. But thanks! Really appreciate the replys
You might not be a good candidate. I wasn't and got botched. If your fringe stays high, transplants can be sensational but I had diffuse thinning sigh. Right now your side patterns as I call them are still very good. You want that area thick too for donor plugs or whatever they use.
 

NickyA

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If I end up like the guy in the picture. I’d go for a transplant and skip the meds. But thanks! Really appreciate the replys

The good thing about this pattern is that you would be a good transplant candidate as long as you don't start diffuse thinning all over or losing your crown. But it's unlikely that a good doctor would accept you for surgery unless you try finasteride first, since if you keep losing hair after the transplant you'd look odd and it wouldn't be ethical, and would give the surgeon a bad reputation. There's also topical finasteride which is unlikely to cause side effects.
 

Norwoody

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The thing about a transplant is that you don't know how much you will continue to lose behind it unless you've already stabilized and gotten things under control on a maintenance program. Otherwise you end up with the Joe Biden combover.
 

TestTubeBaby

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The good thing about this pattern is that you would be a good transplant candidate as long as you don't start diffuse thinning all over or losing your crown. But it's unlikely that a good doctor would accept you for surgery unless you try finasteride first, since if you keep losing hair after the transplant you'd look odd and it wouldn't be ethical, and would give the surgeon a bad reputation. There's also topical finasteride which is unlikely to cause side effects.

Yeah I don't understand what's up with everyone thinking that doing a hair transplant on nw5-6 without finasteride is a good idea. People don't even know if they have\will have a good donor. It's literally a recipe for disaster.

OP,your best bet is to start finasteride+minoxidil+microneedeling+nizoral.You could get a good regrowth....
 

Nicki93

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Yeah I don't understand what's up with everyone thinking that doing a hair transplant on nw5-6 without finasteride is a good idea. People don't even know if they have\will have a good donor. It's literally a recipe for disaster.

OP,your best bet is to start finasteride+minoxidil+microneedeling+nizoral.You could get a good regrowth....
f***. I’d always thought I was ‘Home safe’ cause of my family history of male pattern baldness is so f*****g low.

if it’s a slow progress and I’d loose it in 10 years. Then I might say f*** it. Not sure what to do. So scared of finasteride sides
 

Norwoody

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f***. I’d always thought I was ‘Home safe’ cause of my family history of male pattern baldness is so f*****g low.

if it’s a slow progress and I’d loose it in 10 years. Then I might say f*** it. Not sure what to do. So scared of finasteride sides
I think the main point being made by most here is that solving the issue of hair loss is unfortunately a long term deal and isn't usually solved by doing one single thing such as a transplant. Some people lose a bit and then maintain the rest of their life without drugs. But I think it looks like you're eventually going to be at least a NW3 at this point. Will that stabilize or progress? We don't know, only time will tell. But you might as well try to start maintaining instead of waiting around and losing ground. Like someone mentioned, you can start something like finasteride at a low dose, topically, or you can even try something like saw palmetto first. There's also the minoxidil route as well as alternatives like RU.
 

NickyA

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f***. I’d always thought I was ‘Home safe’ cause of my family history of male pattern baldness is so f*****g low.

if it’s a slow progress and I’d loose it in 10 years. Then I might say f*** it. Not sure what to do. So scared of finasteride sides

Something that helped me make the decision was taking a while to think this: ''If I lost more hair in say, five years, would I start a serious treatment?'' The answer was yes, so why wait and risk losing more? Also by starting earlier you can play it safer and take more time to prepare and learn more, without having to throw the whole kitchen sink at the problem.

Regarding Finasteride side effects, they are usually mild while starting and go away on their own after continuing treatment, the people who experience strong side effects are 2%-5% at the most. And of these people 99% recover after stopping treatment. Also, someone who experiences side effects say, 6 months into treatment is probably getting them due to a higher dose than his body can handle and could do well on a lower dose. Sadly the guys who get strong side effects soon (3 months or less) are unlikely to tolerate oral finasteride well. But there's always topical finasteride or topical dutasteride, and things like RU or CB (These last two are experimental anti-androgens).

There's literally a higher chance to suffer a serious traffic injury than of getting finasteride side effects, and yet we drive, use bikes and public transport everyday without a thought.
 

Nicki93

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Really appreciate all the comments. I have some decisions to make.

Minoxidil and derma is not an issue. I’d probably give this a go.

finasteride is still something I have to think about.

another option is just let nature take its course... praaaaay that I won’t go beyond NW3a
 
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