Dutasteride has destroyed my hairline

Jpw1999

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I've heard a few horror stories of dutasteride ruining people's hair but I never thought that it would happen to me, my hair everywhere else seems to have improved, my crown is looking thicker but my hairline has been destroyed.

This is before switching from finasteride to dutasteride

f172cc6bda42ceab2473858e4b674432.jpg


Here it is after 18 months on dutasteride + oral min

IMG_20260609_121255.jpg
 

Ĺawton

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I've heard a few horror stories of dutasteride ruining people's hair but I never thought that it would happen to me, my hair everywhere else seems to have improved, my crown is looking thicker but my hairline has been destroyed.

This is before switching from finasteride to dutasteride

View attachment 191794

Here it is after 18 months on dutasteride + oral min

View attachment 191795

Why would finasteride not do that but dutasteride would?
 

Yar

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In the first photo the hair looks alive, in the second it looks like it's dying.
 

thatslin

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Am I tripping or what. To me your hairline looks better in the 2nd pic. The thickness, the density
 

Jpw1999

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Am I tripping or what. To me your hairline looks better in the 2nd pic. The thickness, the density
idk, maybe. I keep freaking out because my pharmacy keeps changing brands of dutasteride and it's making me shed like a motherfucker. They even changed my oral min brand recently so I'll probably go through another fkin shed.
 

thatslin

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idk, maybe. I keep freaking out because my pharmacy keeps changing brands of dutasteride and it's making me shed like a motherfucker. They even changed my oral min brand recently so I'll probably go through another fkin shed.
Same crap happened to me when I changed my oral min brand. Definitely more shed but not too crazy. Now I stick to the original drug only
 

bsmith

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@Jpw1999

Your hairline has good density in the photo.

Age is going to do bad things to everybody.

There's nothing wrong with your hair density. Enjoy life, it's too short.
 

Elithair

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I understand the alarm, but let me gently untangle this, because the story doesn't quite hold together, and that's good news.

Dutasteride can't improve your crown and everywhere else while singling out your hairline to destroy. That's not how it works. It blocks DHT across your whole scalp, so if your crown is thicker and the rest improved, the drug is clearly doing its job. It physically can't rescue most of your head and attack one strip. So dutasteride isn't the villain, even if the timing makes it feel that way.

What's far more likely is the hairline being the hairline. The front, and the temporal corners especially, are the most androgen-sensitive and least responsive area to any medication. Meds routinely hold the crown and mid-scalp while struggling to defend the very front. Gains everywhere except the hairline isn't dutasteride failing, it's the normal pattern.

There's also a photo issue: in the first image your hair is forward and covering, in the second it's pushed fully back with the hairline exposed. That styling difference alone exaggerates the change. You're not comparing like with like.

Please don't stop it in a panic. By your own account it's improving most of your hair, and quitting would risk those gains to chase a hairline medication was always going to struggle with. If the corners bother you most, that's a specific conversation about that zone, not a reason to drop a drug that's working. Measure it with trichoscopy rather than styled photos before drawing a conclusion.
 
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