4 Months On Generic Finasteride And Minoxidil

DoubleDooty

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Hello! I'm new here but I've been lurking these forums for many months and I've reached a point where I need advice. This is long but I've been pondering posting for a while so here it goes...

Firstly, I'll start off with how I got here. I noticed around 2 years ago (I'm 20 now) that my hair texture was beginning to change. I found out recently my mother's father's hair did the same thing. It went from pretty straight to curly and then his hair thinned and fell out by 40 and he was bald until he passed away a few years ago at 82. My hair has a definite curl to it but I have/had a lot of it (depends if my shed grows back). I don't want the bald part to happen and since hair loss comes from your mother (my dad is 48 with a full head of hair still, I'm jealous) I began to try to combat it.

I was always the kid that when I went to the barber they'd comment on how much hair I had, how thick it was, etc. I hated it then but I realize now it's why I love my hair so much so when I noticed smaller hairs appearing along my hairline I freaked out.

About a year and a half ago I started using Kirkland 5% minoxidil topical foam on my hairline and things were fine. I realized around 6 months ago my hairline was slowly receding so I went to a dermatologist and she prescribed me Generic Finasteride (1MG tablets) a day. I was sad because it validated my balding fears but I had hope because of these forums.

So, that brings me to where I am today. I believe I'm at worst a Norwood 2. I've always had a high forehead ever since I was a baby so It's hard to gauge if it's as bad as I believe/comparing to other people's photos. I have been on Finasteride for (3 days shy of) 4 months while continuing to use Minoxidil. After about a month and a half on finasteride I noticed I started to shed a considerable a amount from what I normally do (8-10 while shampooing, 5 or so with conditioner, and maybe 10 when I blew-dry my hair, and definitely some as I was just about my day existing). I read that it was normal to shed so I stuck with it. Currently, my hairline looks worse than it did (I might post photos of the before/after but I want to wait for advice from this post first. I've been taking pictures bi-weekly) but I notice shorter hairs all along my hairline that weren't there before. I can't tell if it's new growth or continued miniaturization but the smaller hairs from last month are longer and there are new small hairs beneath them.

I think the shed has improved as I lose maybe 1-2 hair when I shampoo now and same with conditioning, not sure about blow-drying though. I know the growth cycle is around 3 months for hairs so ones I lost right at the beginning might be coming back now and ones I lost more recently still have a while until they have a chance of reappearing.

I'm going to stick with Finasteride for a while because I understand you need at least 12 months to evaluate whether or not it's effective, I understand that it's still too early (technically) for me to see results. My question is if I should go and see my dermatologist and ask about duasteride? Should I schedule an appointment soon and just get a check-in? I know it's hard to tell without photos and because it's only been 4 months but I can't tell if it's getting worse or if the hairs that are along my hairline are positive growth. I would just love to know if this is the beginning of the end for my hair.

Any advice would be awesome, I love my hair and I would just like to know if I should consider asking my parents about hairline replacement surgery... I don't want to but if this won't work for me I don't think I have any other options. Thanks in advance :)

P.S. No noticeable side effects from either at least for now lol
Screen Shot 2017-08-19 at 12.54.33.png

Edit: The image on the left is the day I started finasteride and the right was taken today.
 
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davesmith420

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Your hair looks thicker, keep with your current regime. No need for dutasteride just yet.
 

applezz

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Maybe hold off on the surgery. I have saw some hairline regrowth with that combo, but it was pretty slow. Slow as in years if you are willing to see it through that long. But again, every person is different.
 

DoubleDooty

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*UPDATE*
I've been shedding a consistent 20-30 hairs everyday as I get ready in the morning, I don't notice if/how many I lose during the day as I don't really touch my hair but I never see any fall off. There aren't usually any on my pillow when I wake up. I am a little worried because I am losing both long and short hairs. I have a worry that the medication isn't working but I just want some affirmation I guess?
I see longer hairs growing (about 2 inches now) in little clumps along my hairline and they are pretty thick...
However, recently I've begun to notice smaller hairs throughout my hairline. They're very light but some of them are longer than they were a few weeks ago. They're hard to photograph but I know they're there. I have an appointment with my dermatologist next week (about 5.5 months after I started finasteride) and I know I can ask then but I'm one of those people who's obsessing over their hairloss... had a break down this morning actually. I'm worried it's not working but at the same time I have moments when I look at photos and things look better! I just can't tell and it stinks.

tldr: Thicker hairs growing as well as light hairs along my hairline--not sure if further shrinkage or the hairs that went into rest at the beginning starting to come back. Increased shedding these past two weeks.
 

DoubleDooty

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Update: 6 months on both in about 3 days from now. I went to my derm last week and they gave me another years worth of a perscription and to stick with it. They also didn’t really say if I was responding but they kind of just said if I think I saw regrowrth then they believe me? I think it’s working but I’m not entirely sure to be honest—any help would be appreciated.
 

AnxiousAndy

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Regrowth from finasteride especially at the hairline is rare. I dont see why you are looking for regrowth? Your hair looks great you are a Norwood 1.5. I think you will maintain with your regime, thats more than some people will ever get. Good luck and keep us updated.
 

DoubleDooty

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Regrowth from finasteride especially at the hairline is rare. I dont see why you are looking for regrowth? Your hair looks great you are a Norwood 1.5. I think you will maintain with your regime, thats more than some people will ever get. Good luck and keep us updated.
I guess I'm not looking for regrowth so much as signs that the hairloss is slowing. I'm worried the hairs appearing are actually hairs that are slowly miniaturizing. Regrowth doesn't really seem possible so I'm not expecting it but 6 months in I can't tell a difference. I feel like I can see hairs coming in that are terminal but I can't tell if there's been further recession. My dermatologist just said to stick with it but now I'm concerned I could have hypoandrogenism but I haven't had any side effects (I think) from the medication. I look at photos of myself from 6 months ago (and have had friends tell me) my hair looks less full and... well I'm just worried it's going to continue to thin at the rate it has. I don't shed nearly as much as I did a few months but but I certainly am shedding more now than I was last month. I think the hairs are coming back (the ones in the density of my hair, not regrowth per say) but I'm just concerned the medication is accelerating my hairloss and not slowing it down. I've heard if healthy hairs are shed they will come back but what if finasteride has just made it worse? I knows I won't truly know until a year and a half from now but... my concern is very real and kind of dictates how I'm feeling all the time. The anxiety is a little overwhelming. Thanks though :)
 

DoubleDooty

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SO, the more red photo was taken in June and the other was taken yesterday... if I’m not mistaken it looks like my hairline has recedes more... I’m not entirely sure though... Should I go back to my dermatologist? Email them? I feel like the recession shouldn’t have changed that much. (I use my freckle near my widow’s peak as a reference point)
 

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AnxiousAndy

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@DoubleDooty I cant tell from those pics, but im one of 'those guys' that finasteride hurt hairwise.. what i would do is stick it out for a year (im almost a year on the stuff) and see how things are looking. If things undoubtedly look worse i would drop it. Did you respond to minoxidil? If so it is your friend and keep using it, even give oral a shot. We do need anti androgens in our regimen for long term success but hopefully better treatments will be out by then
 
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