The Far Side
Established Member
- Reaction score
- 35
My male pattern baldness
I always had a haircut like a member of the Beatles until the age of 15/16 where I noticed that the fringe was becoming thin and I could start seeing forhead through the fringe around the temple areas. I shaved my hair short and then over the next year and a half I lost an inch across my whole hairline, perhaps more at the temples. We're talking something like a Norwood 3 by the age of 17, considering I had always had long hair etc. and no one else at school seemed to be dealing with this at such an early age it was incredibly ****ty. I also started puberty a couple of years earlier than my peers and reached my maximum height when I was something like 13. In addition to this I had body hair earlier than my peers (hairy arms, legs etc.) and ended up being very hairy. I don't know if any of that stuff is relevant but I think some of it might have played a part in male pattern baldness hitting me so early.
Things slowed down after that, but I was obviously far from happy. I haven't been happy with my appearance since that early recession when I was 16/17. When I was something like 22 I tried liquid minoxidil to see if I could get any frontal regrowth. I hadn't looked at hair loss websites etc. so I wasn't very knowledgeable about treatments. I got some peach fuzz regrowth within the first couple of months but I gave up because of sides (bad skin irritation, sore eyes). I "gave up" on treatments at that point for a few years, which brings us up to date.
My hairline hasn't got much worse, I would call it a Norwood 3A now at 26, but I have some diffuse thinning on top now, including the crown.
Another attempt
Having read a bit more about treatments etc. from sites such as HairLossTalk.com I decided I would have one last shot at trying to improve my hairline. I decided I would go for a fairly "kitchen sink" topical approach and then if I got any encouraging regrowth I would give serious consideration to finasteride at that point. I've always been of the opinion that (for me) once the front receeded to be "all forehead" (like it basically is) that I didn't really give a damn about the crown etc. and I would just be shaving the hair, which I have been doing since my early 20s. This plus the thought of sides and possible frontal hairline shedding/worsening made me hold off with finasteride initially.
Regimen
The topicals are being applied after a shower in the morning and then again in the evening after a quick rinse in the sink. I tried to space the usage out evenly (12 hours) rather than after getting up and before going to bed, which would be more like a 13-14 and 8 hour gap.
5% Rogaine minoxidil foam 2x daily (18th November 2013 - )
Applied to the front hairline and temple points
Regenepure DR (1% Keto) shampoo every 2-3 days (10th February 2014 - )
Left in ~5 mins before rinsing
Propecia Finasteride 1mg daily (23rd June 2014 - )
Taken in the morning
Discontinued Treatments
Spironolactone S5 cream 2x daily (18th November 2013 - 23rd July 2014)
Applied to the same areas as the minoxidil, 30 mins afterwards
Revivogen scalp therapy 1x daily (18th November 2013 - ~August 2014)
Applied to the same areas, 3 hours after the morning spironolactone application
*09/4/2014 update* - only applying to temples now, due to the oilyness possibly causing breakouts
Pictures
Baseline
I wanted to take all my pictures in natural light. Unfortunately in November in Scotland it was really dark even at lunchtime, so they had to be taken indoors. I'm not very happy with the way these pictures turned out, but it's better than nothing
3 months
These ones were taken in natural light, which is the plan for all subsequent photos. I'm not trying to decieve with the lighting change, if anything natural light should make the hair look worse, right? Any angle changes were also unintentional but I think the photos will improve from now on
6 months
Taken with the same natural lighting as before, with much longer hair. I tried to pin the hair back with a hairband to show the hairline, but I don't know how useful these pictures will be.
9 Months
Same length as baseline and 3 months. Same lighting as 3 and 6 months
12 Months
Natural lighting again, same time of day
15 Months
Same conditions
Sides
Minoxidil: some skin irritation (nothing compared to before, it's actually less itchy than the rest of my scalp - just a bit red), sore eyes (not sure), a couple of headaches (not sure)
spironolactone: Temporary skin colour changes/staining. Deep orange with tints of yellow which remained for 3-4 days after last S5 use http://www.hairlosstalk.com/interac...onolactone-since-February-What-the-hell/page2
Revivogen: some skin irritation, I think all the fatty/oily stuff has caused some breakouts (spots)
Regenepure: some skin irritation (top of ears, shoulders etc. where it must have been in contact - I'll try to avoid this)
Finasteride: Gynocomastia after 10 months side effect free
My Thoughts
3 Months: I feel that I have had some improvement by the 3 month mark. There has been marked terminal regrowth at both temple points, particularly my left one. There has been some decent terminal regrowth in the center of the front hairline. The temples have filled up with lots of pigmented vellus hairs down to what I presume was the juvenile hairline, this isn't too easy to pick up in pictures. There are a few (5-10 one side, 15-20 the other) terminal hairs among those vellus areas. The left temple has been improved due to a handful of terminal hairs forming next to the existing hairline, causing it to move forward a bit. The regrowth I've had from minoxidil has been an improvement in every area I applied it compared to my attempts with liquid Rogaine ~4 years ago. This includes areas that have been "bald" for longer. That suggests one of the additional treatments is helping, I couldn't say which one...
I'm currently giving the "serious consideration" I mentioned to finasteride. I consider the 3 month results encouraging enough to think seriously about trying finasteride. I was 99% sure last week I was going to make a GP appointment with the aim of starting finasteride. I then read a few more of those stories where people complained that finasteride damaged their front hairline, which as I said is the main thing I care about. The diffuse thinning will need to be tackled soon regardless, so I'm still leaning towards trying finasteride sooner rather than later. Unfortunately the topic I started on the Antiandrogen forum in an attempt to spark up some new discussion about finasteride and the hairline didn't get any responses :/ http://www.hairlosstalk.com/interac...asteride-and-the-front-hairline-AGAIN-(sorry)
It may be total broscience, but the fact I have such an abudance of thick body hair gives me some hope that I might respond well to finasteride. I could be unlucky and have average/low DHT levels and be very receptive on both my head and body, but perhaps I have quite high DHT levels which contributes to both the body hair and the male pattern baldness? I'd be half satisfied if finasteride just cut back some of the bothersome body hair to be honest.
6 Months: I have some decent terminal regrowth at the hairline towards the top of each temple, which I feel has effectively brought the hairline forward a bit in those areas. It's more of a straight line going up the side burn, through the temple point and up to where the side hair meets the top, rather than a dramatic cut inwards near the top. The vellus-terminal growth all over the temples has continued to improve too, with the hair becoming thicker, more pigmented and longer. The amount of hair in those areas has also increased overall. I was too focused on slick areas in the center of the temple and the prospect of regrowth happening there to notice immediately that such progress was being made right at the hairline. These pictures also show how much the crown is in need of some attention too. Another thing they show is hairloss/thinning above/behind the ears (particularly on one side). I've had an intense 'male pattern baldness itch' above the ears for years...
I didn't grow the hair longer in an attempt to deceive people with "results", I just have some events coming up in the summer that I'd feel more comfortable at with a half-assed attempt at having some hair, rather than the shaved head I usually sport lately. I don't plan to keep longer hair. I'll be able to deal better with an initial finasteride shed having my hair shaved short, and it makes topicals go a lot further too. It's been 6 months though, I promised pics and here they are - whether they are useful or not is debatable, but I feel I've made progress from month 3>6.
9 Months: Here are pictures taken today (17 August 2014), which mark 9 months since I started using minoxidil, keto shampoo etc. I will reach 2 months of finasteride usage on the 23rd of August. Since my 6 month update I have stopped using topical spironolactone due to sides about which I still await an answer from the admin of HairLossTalk.com ( http://www.hairlosstalk.com/interac...onolactone-since-February-What-the-hell/page2 ). I'm also coming to the end of my Revivogen and considering discontinuing its use. I have been applying it only to one temple for several months in an attempt to see if it is doing anything beneficial. As far as benefit is concerned I'm still undecided (I think it might be helping a bit) and it is the biggest hassle to maintain in my regimen at the moment.
I had 4-5 weeks of intense shedding when I started finasteride, and I feel that my progress has taken a massive hit as a result. I feel like I'm close to baseline, and in a much worse spot than my 6/7month update pictures. I feel that the shedding has now decreased again, down to minimal levels. All I can do for the moment is continue with my regimen. I've experienced no side effects from finasteride and plan to continue with it. I had a look at some of the success stories on here again and remind myself that even in the best success stories people got worse after starting finasteride before making progress. Obviously I'm far from happy with the situation at the moment. I've had no relief in terms of scalp itching etc. and no signs that finasteride is doing anything apart from shedding...
I probably won't be shaving my hair short again for some time (for professional reasons mainly) unless I lose even more ground, but I will continue to document my progress (or lack of progress). The next update will be for 1 year in November, and it will mark 5 months of finasteride. If there are any big changes prior to that I'll post here, other than that I'll try not to obsess about things for another 3 months.
12 Months: I've been using finasteride for 5 months now. Things got worse after about a month and remained that way for another couple of months. Recently I felt like I was similar to baseline and very little was happening, the results were underwhelming. I feel like I have made some progress recently, particularly the crown and frontal thickness behind the hairline.
- Discontinued Revivogen (can't see any results from it, expensive)
- I started using Toppik shampoo between keto days and I think it is very effective in terms of making the hair look better
- Struggling to get hold of Regenepure reliably and for a fair price, I'm looking for a more readily available SLS free keto shampoo, I would welcome some suggestions
15 Months: I haven’t noticed any particular change since my previous update. In terms of sides, the situation is also the same (none). I will be continuing with this regimen and the next update will be in 3 months. I have had increasing difficulty obtaining Regenepure DR in the UK so I’m going to have to try Revita.
~17 Months - The End: So after 9-10 months side effect free on finasteride I am coming to the end of the road due to the recent onset of sides. Twice in the last month I experienced a “nipple chaffing†feeling most commonly experienced by people who do lots of long distance running, which I hadn’t been doing. This drew my attention to the way things looked and I had the suspicion that gynecomastia was developing. Things were complicated by some recent weight gain, but I am far from overweight. A trip to the GP led to them confirming that in their opinion gyno is forming.
The sensible thing is obviously to stop taking finasteride…
I am incredibly disappointed, bitter and pissed off at the moment. I was well on my way to a “success story†and now I have to watch as that progress disappears before my eyes. For the first time I felt like I had an element of control over this, and now I suddenly have no options. I’m back to being resigned to a life of being treated differently (worse) personally and professionally. Needless to say if I looked at all decent with a shaved head I wouldn’t have made these efforts. I have a terrible head shape, weak jawline and weak facial features. Maybe with all the mega compensating balding people are just supposed to do I might manage to be on par with the ugliest, laziest and thickest people who have hair. I’ve had noticeable hairloss since I was 16 years old, absolutely disgusted.
As far as practical steps go I guess I will drop down to 1.25 mg EOD with a view to stopping finasteride and combine that with an attempt at rapid cutting down to single digit body fat. All I can hope for is that in the period before I drop off finasteride completely I get a miracle recovery from the beginnings of gyno and can put it down to fat or decide that finasteride EOD is viable.
Basically though – it’s over. I have no motivation to carry on with minoxidil or keto shampoos either. In fact this has killed my motivation for every aspect of my life in general.
I always had a haircut like a member of the Beatles until the age of 15/16 where I noticed that the fringe was becoming thin and I could start seeing forhead through the fringe around the temple areas. I shaved my hair short and then over the next year and a half I lost an inch across my whole hairline, perhaps more at the temples. We're talking something like a Norwood 3 by the age of 17, considering I had always had long hair etc. and no one else at school seemed to be dealing with this at such an early age it was incredibly ****ty. I also started puberty a couple of years earlier than my peers and reached my maximum height when I was something like 13. In addition to this I had body hair earlier than my peers (hairy arms, legs etc.) and ended up being very hairy. I don't know if any of that stuff is relevant but I think some of it might have played a part in male pattern baldness hitting me so early.
Things slowed down after that, but I was obviously far from happy. I haven't been happy with my appearance since that early recession when I was 16/17. When I was something like 22 I tried liquid minoxidil to see if I could get any frontal regrowth. I hadn't looked at hair loss websites etc. so I wasn't very knowledgeable about treatments. I got some peach fuzz regrowth within the first couple of months but I gave up because of sides (bad skin irritation, sore eyes). I "gave up" on treatments at that point for a few years, which brings us up to date.
My hairline hasn't got much worse, I would call it a Norwood 3A now at 26, but I have some diffuse thinning on top now, including the crown.
Another attempt
Having read a bit more about treatments etc. from sites such as HairLossTalk.com I decided I would have one last shot at trying to improve my hairline. I decided I would go for a fairly "kitchen sink" topical approach and then if I got any encouraging regrowth I would give serious consideration to finasteride at that point. I've always been of the opinion that (for me) once the front receeded to be "all forehead" (like it basically is) that I didn't really give a damn about the crown etc. and I would just be shaving the hair, which I have been doing since my early 20s. This plus the thought of sides and possible frontal hairline shedding/worsening made me hold off with finasteride initially.
Regimen
The topicals are being applied after a shower in the morning and then again in the evening after a quick rinse in the sink. I tried to space the usage out evenly (12 hours) rather than after getting up and before going to bed, which would be more like a 13-14 and 8 hour gap.
5% Rogaine minoxidil foam 2x daily (18th November 2013 - )
Applied to the front hairline and temple points
Regenepure DR (1% Keto) shampoo every 2-3 days (10th February 2014 - )
Left in ~5 mins before rinsing
Propecia Finasteride 1mg daily (23rd June 2014 - )
Taken in the morning
Discontinued Treatments
Spironolactone S5 cream 2x daily (18th November 2013 - 23rd July 2014)
Applied to the same areas as the minoxidil, 30 mins afterwards
Revivogen scalp therapy 1x daily (18th November 2013 - ~August 2014)
Applied to the same areas, 3 hours after the morning spironolactone application
*09/4/2014 update* - only applying to temples now, due to the oilyness possibly causing breakouts
Pictures
Baseline
I wanted to take all my pictures in natural light. Unfortunately in November in Scotland it was really dark even at lunchtime, so they had to be taken indoors. I'm not very happy with the way these pictures turned out, but it's better than nothing
3 months
These ones were taken in natural light, which is the plan for all subsequent photos. I'm not trying to decieve with the lighting change, if anything natural light should make the hair look worse, right? Any angle changes were also unintentional but I think the photos will improve from now on
6 months
Taken with the same natural lighting as before, with much longer hair. I tried to pin the hair back with a hairband to show the hairline, but I don't know how useful these pictures will be.
9 Months
Same length as baseline and 3 months. Same lighting as 3 and 6 months
12 Months
Natural lighting again, same time of day
15 Months
Same conditions
Sides
Minoxidil: some skin irritation (nothing compared to before, it's actually less itchy than the rest of my scalp - just a bit red), sore eyes (not sure), a couple of headaches (not sure)
spironolactone: Temporary skin colour changes/staining. Deep orange with tints of yellow which remained for 3-4 days after last S5 use http://www.hairlosstalk.com/interac...onolactone-since-February-What-the-hell/page2
Revivogen: some skin irritation, I think all the fatty/oily stuff has caused some breakouts (spots)
Regenepure: some skin irritation (top of ears, shoulders etc. where it must have been in contact - I'll try to avoid this)
Finasteride: Gynocomastia after 10 months side effect free
My Thoughts
3 Months: I feel that I have had some improvement by the 3 month mark. There has been marked terminal regrowth at both temple points, particularly my left one. There has been some decent terminal regrowth in the center of the front hairline. The temples have filled up with lots of pigmented vellus hairs down to what I presume was the juvenile hairline, this isn't too easy to pick up in pictures. There are a few (5-10 one side, 15-20 the other) terminal hairs among those vellus areas. The left temple has been improved due to a handful of terminal hairs forming next to the existing hairline, causing it to move forward a bit. The regrowth I've had from minoxidil has been an improvement in every area I applied it compared to my attempts with liquid Rogaine ~4 years ago. This includes areas that have been "bald" for longer. That suggests one of the additional treatments is helping, I couldn't say which one...
I'm currently giving the "serious consideration" I mentioned to finasteride. I consider the 3 month results encouraging enough to think seriously about trying finasteride. I was 99% sure last week I was going to make a GP appointment with the aim of starting finasteride. I then read a few more of those stories where people complained that finasteride damaged their front hairline, which as I said is the main thing I care about. The diffuse thinning will need to be tackled soon regardless, so I'm still leaning towards trying finasteride sooner rather than later. Unfortunately the topic I started on the Antiandrogen forum in an attempt to spark up some new discussion about finasteride and the hairline didn't get any responses :/ http://www.hairlosstalk.com/interac...asteride-and-the-front-hairline-AGAIN-(sorry)
It may be total broscience, but the fact I have such an abudance of thick body hair gives me some hope that I might respond well to finasteride. I could be unlucky and have average/low DHT levels and be very receptive on both my head and body, but perhaps I have quite high DHT levels which contributes to both the body hair and the male pattern baldness? I'd be half satisfied if finasteride just cut back some of the bothersome body hair to be honest.
6 Months: I have some decent terminal regrowth at the hairline towards the top of each temple, which I feel has effectively brought the hairline forward a bit in those areas. It's more of a straight line going up the side burn, through the temple point and up to where the side hair meets the top, rather than a dramatic cut inwards near the top. The vellus-terminal growth all over the temples has continued to improve too, with the hair becoming thicker, more pigmented and longer. The amount of hair in those areas has also increased overall. I was too focused on slick areas in the center of the temple and the prospect of regrowth happening there to notice immediately that such progress was being made right at the hairline. These pictures also show how much the crown is in need of some attention too. Another thing they show is hairloss/thinning above/behind the ears (particularly on one side). I've had an intense 'male pattern baldness itch' above the ears for years...
I didn't grow the hair longer in an attempt to deceive people with "results", I just have some events coming up in the summer that I'd feel more comfortable at with a half-assed attempt at having some hair, rather than the shaved head I usually sport lately. I don't plan to keep longer hair. I'll be able to deal better with an initial finasteride shed having my hair shaved short, and it makes topicals go a lot further too. It's been 6 months though, I promised pics and here they are - whether they are useful or not is debatable, but I feel I've made progress from month 3>6.
9 Months: Here are pictures taken today (17 August 2014), which mark 9 months since I started using minoxidil, keto shampoo etc. I will reach 2 months of finasteride usage on the 23rd of August. Since my 6 month update I have stopped using topical spironolactone due to sides about which I still await an answer from the admin of HairLossTalk.com ( http://www.hairlosstalk.com/interac...onolactone-since-February-What-the-hell/page2 ). I'm also coming to the end of my Revivogen and considering discontinuing its use. I have been applying it only to one temple for several months in an attempt to see if it is doing anything beneficial. As far as benefit is concerned I'm still undecided (I think it might be helping a bit) and it is the biggest hassle to maintain in my regimen at the moment.
I had 4-5 weeks of intense shedding when I started finasteride, and I feel that my progress has taken a massive hit as a result. I feel like I'm close to baseline, and in a much worse spot than my 6/7month update pictures. I feel that the shedding has now decreased again, down to minimal levels. All I can do for the moment is continue with my regimen. I've experienced no side effects from finasteride and plan to continue with it. I had a look at some of the success stories on here again and remind myself that even in the best success stories people got worse after starting finasteride before making progress. Obviously I'm far from happy with the situation at the moment. I've had no relief in terms of scalp itching etc. and no signs that finasteride is doing anything apart from shedding...
I probably won't be shaving my hair short again for some time (for professional reasons mainly) unless I lose even more ground, but I will continue to document my progress (or lack of progress). The next update will be for 1 year in November, and it will mark 5 months of finasteride. If there are any big changes prior to that I'll post here, other than that I'll try not to obsess about things for another 3 months.
12 Months: I've been using finasteride for 5 months now. Things got worse after about a month and remained that way for another couple of months. Recently I felt like I was similar to baseline and very little was happening, the results were underwhelming. I feel like I have made some progress recently, particularly the crown and frontal thickness behind the hairline.
- Discontinued Revivogen (can't see any results from it, expensive)
- I started using Toppik shampoo between keto days and I think it is very effective in terms of making the hair look better
- Struggling to get hold of Regenepure reliably and for a fair price, I'm looking for a more readily available SLS free keto shampoo, I would welcome some suggestions
15 Months: I haven’t noticed any particular change since my previous update. In terms of sides, the situation is also the same (none). I will be continuing with this regimen and the next update will be in 3 months. I have had increasing difficulty obtaining Regenepure DR in the UK so I’m going to have to try Revita.
~17 Months - The End: So after 9-10 months side effect free on finasteride I am coming to the end of the road due to the recent onset of sides. Twice in the last month I experienced a “nipple chaffing†feeling most commonly experienced by people who do lots of long distance running, which I hadn’t been doing. This drew my attention to the way things looked and I had the suspicion that gynecomastia was developing. Things were complicated by some recent weight gain, but I am far from overweight. A trip to the GP led to them confirming that in their opinion gyno is forming.
The sensible thing is obviously to stop taking finasteride…
I am incredibly disappointed, bitter and pissed off at the moment. I was well on my way to a “success story†and now I have to watch as that progress disappears before my eyes. For the first time I felt like I had an element of control over this, and now I suddenly have no options. I’m back to being resigned to a life of being treated differently (worse) personally and professionally. Needless to say if I looked at all decent with a shaved head I wouldn’t have made these efforts. I have a terrible head shape, weak jawline and weak facial features. Maybe with all the mega compensating balding people are just supposed to do I might manage to be on par with the ugliest, laziest and thickest people who have hair. I’ve had noticeable hairloss since I was 16 years old, absolutely disgusted.
As far as practical steps go I guess I will drop down to 1.25 mg EOD with a view to stopping finasteride and combine that with an attempt at rapid cutting down to single digit body fat. All I can hope for is that in the period before I drop off finasteride completely I get a miracle recovery from the beginnings of gyno and can put it down to fat or decide that finasteride EOD is viable.
Basically though – it’s over. I have no motivation to carry on with minoxidil or keto shampoos either. In fact this has killed my motivation for every aspect of my life in general.