Do Males With Higher Dht Respond Better To Treatments?

[tele]

I have been browsing this site for a short period of time. I am noticing a lot of talk about new treatments on the horizon, which is cool but it sounds like it will be a while. I am currently 22 years old and am not sure what to do. Should I hold out a little longer, or should I try finasteride? I had telogen effluvium due to an eating order about a year ago which I think is now turning into androgen hair loss.
I am 6'2 and pretty thin, like hardly any fat, masculine facial features (does this indicate high dht?) I started getting facial hair at about 16 and now at 22 can pretty much grow a full thick beard (high dht?) My voice has been very deep since about age 16 (high dht?) I have had mild acne and very oily skin since about age 16 (high dht?) I am constantly aroused throughout the day and have erections very easily. (high dht?) Also at about age 21 my chest hair started to thicken considerably. (high dht?) This is around when I noticed hair shedding and weird hair texture change.
Basically the point of this post is to find out whether taking finasteride would benefit me other than just helping hair loss. It seems like high dht might be causing other issues for me. (acne and oily skin, and not being able to ever put on any weight.)
I have read some posts on here about how it would be bad to suppress dht production but I seem to be over producing it. I have also read posts saying males with high Dht are the best candidates for treatment. this is all very confusing.

 

[Pavi]

I wouldn't conclude you have high DHT off those factors. I thought the same thing and then I tested my DHT. My DHT was 1 point from being out of range.... Being too low.

The problem isn't the amount of DHT you have... It's the sensitivity your cells have to DHT. I have low DHT, average T and I can bench 315 pounds as a 5'6 165 pound man. My cells are just very responsive to DHT/T. I also have had back hair since 18.

 

[Samson123]

It's not really confusing. Get a DHT test to see what your levels are. finasteride/dutasteride slows/stops/regrows hair by suppressing DHT so if we could predict who would be a good responder to finasteride/dutasteride who would that be? Someone with low or high DHT levels? IMO, and I would put money on it, guys losing hair with low DHT have a different problem, greater sensitivity to DHT. finasteride/dutasteride might give a little benefit in these people or in some cases can accelerate thinning/hair loss because the body will seek to compensate for the suppressed DHT levels by upregulating the androgen receptors, basically making a bigger net to catch the remaining DHT. AR upregulation is a real phenomenon everywhere else except on hairloss forums. It's a little hilarious. Why do you think when people who have been taking finasteride/dutasteride for a while and quit lose a lot of hair in a very little time? If AR upregulation didn't happen then people would just start to lose hair at their normal rate, but this, for the most part, does not happen. The point I'm trying to make here is there is a lot more that can go wrong with these drugs than what the studies have shown and if you take them and get sides or have a bad reaction hair wise and quit, well, there is a good chance that your hairloss will be in a worse state because of AR upregulation, a process that doesn't necessarily normalize anytime soon, even after quitting the drug. I can speak to this personally as finasteride had the opposite effect on me in every way, lost hair faster everywhere and all my hair became much thinner in diameter and started balding badly in the safe areas, the sides and back. So approach this drug with caution by taking smaller doses. If you start finasteride definitely don't start with 1 mg dose even if your DHT levels are sky high because .5 mg will be just as effective. I would highly recommend starting at .25 mg for a year because if you start too high and have to reduce the dose for whatever reason you could also be left worse off. This happened to me as well. Its way safer to start low and go higher than the reverse. I think adverse reactions to finasteride are rare but they do happen, and if they do, then you are most likely screwed in more ways than one.