If you have been taking propecia for a number of years and you are seeing the benefits slowly decline, but you opt to get a hair transplant done anyways, wouldn’t that still kill the native hair beside the transplanted hair because of shock loss? because the benefits of propecia are declining.
Maybe, but that is were your doctor’s expertise comes in. Your scenario is the worst case outcome, but our experience has shown that finasteride can reduce the risks of shock loss after a hair transplant. Shock loss would be a “worst case” if you do have surgery.
You will have to weigh the “risks versus the benefit” and the inevitability of where your pattern will end up. You will arrive at a point where the surgery will make a difference despite the worst case shock hair loss.