No, I don’t recommend DHT testing. Finasteride is a competitive inhibitor to DHT at the 5 alpha reductase level. Simply put: competitive inhibition means that finasteride competes with DHT for the receptor that triggers hair loss. If the finasteride occupies the receptor, than DHT can’t cause the hair loss. Finasteride is about 75% effective at competitive inhibition.
If the person has never had diffuse hair loss (like me). I suspect if it was in my genes, the so-called “diffuse thinning”, I would already have it and as you can see my head is full of hair, I’m merely a “receeder” not a “diffuse thinner”, Could the forehead reduction surgery ON ITS OWN cause diffuse hair loss?
As a general rule, I believe that forehead advancement surgery in men puts them at risk of balding and showing the scarring and making it look unnatural if that should happen. IF a man had a Bill Clinton hairline or a Ronald Reagan hairline, and they were over 45 with a normal HAIRCHECK test, I would not have a problem with a hairline advancement surgery on them.
I perform HAIRCHECK tests on most patients who want to start finasteride because I want to be able to follow their progress and if the drug is halting or reversing the hair loss., The HAIRCHECK test gives me a metric which allows me and the patient to know with reasonable certainty what is happening to them and with my experience I can often predict long-term hair loss patterns allowing my patients to build a Master Plan for future planning both for financial reasons and for hair growth reasons. If the HAIRCHECK shows no balding, I don’t prescribe finasteride. Also if a patient is depressed and I feel that there will be a link between finasteride and his depression, I might not prescribe it. My assessment of the patient is always one-on-one and then I have the priveledge to prescribe it or not.
In addition, I take a careful history, get to know the patient and try to understand their sexual history and if they may be good a candidate or not go good candidate for this drug. I have turned people down based upon these discussions.
No it is not too early as you are now 25 and your pattern should be generally known by now. The corners are easy to transplant and the area behind the middle frontal hairline is thinning from the photo view. The entire area can be transplanted easily with FUE, about 1300 grafts might do it. You should take finasteride to prevent shock loss and the advancement of the loss process especially if you get it transplanted.
It has been a rollercoaster with finasteride: I first used 5 months of topical Morr-F, which at first I saw real results after just a month or 2, but after that my hair seemed to get worse again. It got really bad when in April I started oral fin and used minoxidil instead of the Morr-F, but at around June my hair had become significantly worse. I am a Nw2.5-3 with diffuss forelock, but initially saw vellus hairs fill in the temples. It could have been that not all the morr f was legitimate, I don’t know. The strange thing was that around last month I thought I finally began to see results: the vellus hairs came back and the forelock was slightly thicker it seemed, but since a few weeks it has all gone again and it is significantly thinner again.
I am very confused guys. My hair is in a terrible state in the front (at or below baseline) so am I just unlucky or should I wait even longer? It gets me quite depressed. No side effects though on fin (except abdominal fat gain since starting oral, no change in diet).
Finasteride isn’t for everyone. In some men it just doesn’t work. See a hair expert MD for how to manage your hair.
Some men believe that hard exercise increases testosterone and thereby increases hair loss. That is not the case.
Is the long term use of corticoisteroids possible? It has helped with my itching and light burning on my scalp and I would like to continue using it as it reduces shedding.
I am also exploring the idea of corticoisteroid injections as my dermatologist had offered it.
I have been on fin for 1 month already.
Steroids will induce hair loss if it is prolonged and you have the genes for hair loss.