Good responders to finasteride: What sort of hairs were you shedding during you finasteride shed?

kopiko4

Member
My Regimen
Reaction score
6
So at this stage I'm at crossroads w.r.t to whether or not I should continue finasteride.

Literally all my hairs have gotten thinner in the 4 months that I have been on finasteride, including sides and back of scalp. Especially the last 1.5 month had been dramatic. Diffusely thinning all over. I have had a big shed in the last weeks actually still seems to continue. Guessing I lost about half the density at this point. Pictures can be found in my previous thread: "Hair gotten much thinner after 4 month on Finasteride (What should I do?)".

I noticed that im shedding thin hair in areas that werent thin before starting finasteride. Moreover, I'm now shedding hairs that obviously show they were much thicker about 1.5 month ago (assuming that grows, indeed, half an ich per month). Also, the shedded hair rarely have this white bulb at the root that I used to have before treatment.

I've read stories from good responders saying it is best to ride out the shed and that is gets worse before it gets better. But I've also come across other stories of people who very much regret having continued taking finasteride after seeing such a shed and reduction in hair thickness, saying they should've followed their gut much sooner. A large amount of people in the latter group seemed to have other 'atypical' responses (such as increased libido, increased ejaculatory volume, more acne) and report cases of finasteride-induced Tellogen Effluvium or Reflex Hyperandrogenicity. Aside from really bad acne, I experience(d) the same.

Personally, I feel that I may have messed up with the dosage of topical finasteride, having used 8 months of supply in just 4 months. I had bumped up the dosage from 1mg ED to 2/3 mg ED in the last 1.5 month after noticing an increase in hair loss. Studies found that an oral dose of 5mg/day increases circulating levels of testosterone by approximately 10%, while local concentrations of testosterone in hair follicles increase by around 27 to 53%. At the same time, I assume other factors may have contributed to an increase in my testosterone level such as supplements (zinc, DIM, , ashwaghanda, whey protein, casein protein) and taking up weight lifting. I know DHT is the main enemy, but T is also blamed for affecting scalp hair follicles, right?

So, for those that turned out to be good responder to finasteride: what was was your shedding like in terms of hairs falling out? How many month into treatment did you start shedding? Was it a gradual shed or a sudden one? Did it continue? Were you only losing the weak ones? Were there hairs that seemed to be tapered quite a bit in a short amount of time? Did the hairs have a white bulb at the end? How much density did you lose? Were you experiencing 'atypical' sides right around the time of your your shed?

TLDR: title
 
Last edited:

Redgate

Established Member
My Regimen
Reaction score
194
I see that this forum can often be more detrimental than beneficial.
Finasteride doesn't cause hair loss. The people who say they should've "listened to their gut" and quit are retards. No matter how bad your hair gets on finasteride, it would always be worse if you weren't on it. Reducing DHT either reverses hair loss to an extent, stops it or slows it down, no matter how that affects circulating T levels. It doesn't accelerate it, period.

You're doing a good thing by focusing on your physical health. Stop pondering on dosages and anecdotal finasteride shed experiences, and stop looking at your own sheds & the mirror. Instead, either accept the results you're getting, which are much better than they would be if you weren't on finasteride (and will significantly worsen if you quit), or move on to stronger treatments like dutasteride, CB/RU and others.

I took finasteride for a year, didn't work too well. I switched to duta 2 months ago, too early to tell. I might add RU and topical estriol next.
 

kopiko4

Member
My Regimen
Reaction score
6
I see that this forum can often be more detrimental than beneficial.
Finasteride doesn't cause hair loss. The people who say they should've "listened to their gut" and quit are retards. No matter how bad your hair gets on finasteride, it would always be worse if you weren't on it. Reducing DHT either reverses hair loss to an extent, stops it or slows it down, no matter how that affects circulating T levels. It doesn't accelerate it, period.

You're doing a good thing by focusing on your physical health. Stop pondering on dosages and anecdotal finasteride shed experiences, and stop looking at your own sheds & the mirror. Instead, either accept the results you're getting, which are much better than they would be if you weren't on finasteride (and will significantly worsen if you quit), or move on to stronger treatments like dutasteride, CB/RU and others.

I took finasteride for a year, didn't work too well. I switched to duta 2 months ago, too early to tell. I might add RU and topical estriol next.
Fair enough, but what is you take on T affecting scalp hair follicles then? finasteride and dutasteride are not direct anti-androgens. They only surpress the 5a reductive enzyme, thereby stopping the conversion of T to DHT. It seems some men are more sensitive to male pattern baldness and thereby need to include topical anti-androgens such as CB and RU. Aren't CB and RU topical anti-androgen that fight against T in the scalp?
 

Redgate

Established Member
My Regimen
Reaction score
194
Fair enough, but what is you take on T affecting scalp hair follicles then? finasteride and dutasteride are not direct anti-androgens. They only surpress the 5a reductive enzyme, thereby stopping the conversion of T to DHT. It seems some men are more sensitive to male pattern baldness and thereby need to include topical anti-androgens such as CB and RU. Aren't CB and RU topical anti-androgen that fight against T in the scalp?
T may or may not have an effect, but if it does it's a very insignificant one. It's hypothesized that higher T = higher DHT conversion but it doesn't matter if you're blocking the 5AR in this case. The problem is DHT, not T.
People add CB/RU to combat DHT, because finasteride and dutasteride reduce scalp DHT by 40% and 60% respectively. Yes, being direct anti-androgens and binding to the androgen receptor, they block both DHT and T, but the results are from their DHT blocking.

T isn't part of the equation, especially when you're talking about its increase that stems from blocking the 5AR. You have such wild fluctuations throughout the day, a 10% increase in average is nothing.
 

kopiko4

Member
My Regimen
Reaction score
6
Thanks for sharing your view. If you were to guess, what could've cause my hair to miniaturze so quickly since starting finasteride, and even more so since upping the dose 1.5 months ago?
 

Fontaine

Established Member
My Regimen
Reaction score
150
I started minoxidil and finasteride at the same time early February. After 4 weeks for 3/4 days I had nuclear shedding easily 100-150 hairs in pillow . Now I don't see more than 1/2 hairs on my pillow

Forgot to say; I was shedding hairs not longer than half an inch despite the rest of my hair being longer. Many many of those small hairs. Some thick most thin
 
Last edited:

Redgate

Established Member
My Regimen
Reaction score
194
Thanks for sharing your view. If you were to guess, what could've cause my hair to miniaturze so quickly since starting finasteride, and even more so since upping the dose 1.5 months ago?
Either finasteride isn't enough or your hair is as thin as it was before. Conversely, what you may think are new small sprouting hairs may be dying, miniaturized hairs. Don't try to recall things from memory. Take better, closer pictures of your temples and crown and reassess in a few months, the ones on your other thread have different lighting and slightly different angles so they don't say much.
Regardless, like I said, don't ponder on it too much. It either works or it doesn't, but it can only be good for your hair.
 

kopiko4

Member
My Regimen
Reaction score
6
I'm 100% positive my hair was thicker before starting. The first picture in the thread quoted above was taken 5 weeks after starting minoxidil, so it might not look like it, in terms of density. Was nearing the end of normal minoxidil shed at that time. After adding the finasteride, the the shedding stopped more quickly.

If it doesn't work, then I can't afford to continue at this stage..
 
Last edited:

kopiko4

Member
My Regimen
Reaction score
6
hair22.jpg

Here's another image. First frame is the day I started treatment, which was only minoxidil. Second frame is 6 days after adding topical finasteride to my regimen. Last frame is how my hair looks now!

I know angle and lightning aren't consistent, but it's the best I have.
 
Last edited:

JaneyElizabeth

Banned
My Regimen
Reaction score
2,032
I never noticed either a finasteride shed nor a minoxidil shed over the course of using them for many years. I never noticed any side-effects nor regrowth ever either. What I noticed was that my incipient bald spot in essence remained frozen in time and nothing got worse for many, many years.
 

trialAcc

Senior Member
My Regimen
Reaction score
1,531
I see that this forum can often be more detrimental than beneficial.
Finasteride doesn't cause hair loss. The people who say they should've "listened to their gut" and quit are retards. No matter how bad your hair gets on finasteride, it would always be worse if you weren't on it. Reducing DHT either reverses hair loss to an extent, stops it or slows it down, no matter how that affects circulating T levels. It doesn't accelerate it, period.

You're doing a good thing by focusing on your physical health. Stop pondering on dosages and anecdotal finasteride shed experiences, and stop looking at your own sheds & the mirror. Instead, either accept the results you're getting, which are much better than they would be if you weren't on finasteride (and will significantly worsen if you quit), or move on to stronger treatments like dutasteride, CB/RU and others.

I took finasteride for a year, didn't work too well. I switched to duta 2 months ago, too early to tell. I might add RU and topical estriol next.
I'm not sure about this. I think it's quite fair to say that finasteride/dutasteride COULD cause your hair to be temporarily worse then it might have been otherwise. You flood your scalp with hormone changes, Telogen Effluvium and other reactions are possible. In addition, finasteride will and can 100% make you shed when you are on it and it's early. If you quit during that time, you may end up with worse hair then if you never took it.

For the vast majority of people though, it's like you said. They quit early and it gives the perception of worse due to quitting when it was worse.
 

Fontaine

Established Member
My Regimen
Reaction score
150
I note that there does not seem to be much of a theory behind minoxidil or RI's causing hair loss or permanent baldness as opposed to sheds so I would add nizoral 2 percent and Selsun Blue for inflammation and alternate them and attempt to ride things out.

We run the risk of drying the scalp with keto + another dandruff shampoo do we not? Seems like it could be counterproductive to go from inflammation to dryness
 

JaneyElizabeth

Banned
My Regimen
Reaction score
2,032
We run the risk of drying the scalp with keto + another dandruff shampoo do we not? Seems like it could be counterproductive to go from inflammation to dryness
I find that drying of the scalp with these medicated shampoos only happened when I was chemically female and yes, they tend to destroy my hair for a couple of days. I only shampoo a couple of times a month now and that's all that I need since female scalps are much less oily. As a male, these worked pretty well as shampoos and I recommend them for dermatitis and inflammation.

One of the reasons why many females brush their hair daily or nightly is because that can be necessary to coat the longer strands with sebum which is protective and adds sheen and body. You have to basically brush it through as a female because females synthesize less sebum and often far less sebum than males. A dryer scalp is what you want as a male, though....

And just to add, several things can cause inflammation as per the article I linked but one of the primary causes is overproduction of sebum. Malassezia furfur and P. Acnes are a yeast and a bacteria that we all have but they eat sebum and when they overpopulate, they leave toxic waste on our scalps and faces that we can handle in small amounts but not larger ones. This is why acne and hair loss as a teen can be concurrent. They are all DHT artifacts as is dandruff and dermatitis. These can be incredibly difficult to eradicate as a male chemically once beard follicles develop. I had to have my beard removed partially even though I would have anyway, because of rampant dermatitis on face and scalp.
 
Last edited:

kopiko4

Member
My Regimen
Reaction score
6
hair3.jpg

Maybe the above image is clearer. While I did see my temple growing back, it is the hairs further up the scalp that have become so very thin! Those areas were never affected to this extent.

Forgot to mention that I'm already on Ketoconazol shampoo (Nizoral) ever since I started treatment.
 

wang yisong

Established Member
My Regimen
Reaction score
20
我发现用这些药用洗发水干燥头皮只发生在我是化学女性时,是的,它们往往会破坏我的头发几天。我现在每个月只洗几次洗发水,这就是我所需要的,因为女性头皮的油性要低得多。作为男性,这些作为洗发水效果很好,我推荐它们用于皮炎和炎症。

许多女性每天或每晚梳理头发的原因之一是因为用皮脂覆盖较长的头发可能是必要的,皮脂具有保护作用并增加光泽和身体。作为女性,你必须基本上刷过它,因为女性合成的皮脂较少,而且通常比男性少得多。干燥的头皮是您作为男性想要的,但是......

补充一点,根据我链接的文章,有几件事会导致炎症,但主要原因之一是皮脂分泌过多。Malassezia furfur 和 P. Acnes 是一种酵母菌和细菌,我们都有,但它们吃皮脂,当它们过多时,它们会在我们的头皮和脸上留下有毒废物,我们可以少量处理但不能处理较大的废物。这就是为什么青春期痤疮和脱发可以同时发生的原因。它们都是 DHT 的产物,头皮屑和皮炎也是如此。一旦胡须毛囊发育,这些作为男性化学物质就很难根除。由于面部和头皮上的皮炎猖獗,我不得不部分去除胡须,尽管我无论如何都会这样做。
你好

我来自中国。我被脱发困扰,自尊心很低。我现在正在服用非那雄胺、度他雄胺和酮康唑。治疗过程中存在很多问题。我可以添加您的联系方式吗?我想和你讨论我的问题。

谢谢你
 
Top