Believe me, I'm probably the only on this board who REALLY knows your situation since mine is very similar to yours. I've been on meds for 1.5 years too and the thinning is creeping forward. I'm going to see my derm tomorrow and I'm going to ask him if the thinks I'm balder than the last time I've seen him and if he thinks my gyno is bad enough for quitting finasteride etc. It might be that my "hairloss battle" will be over for good tomorrow. It's not easy living with BDD especially now that I discovered that my nose really is pretty damn crooked and broken, I'm getting kinda anxious at times. I wish I had been smarter and gone to the doctor straight away, he probably could've straightened the nose before the bones healed again. Well, life sucks and then you die, keep hanging there buddy and play with the cards you've been dealt.