Exactly the same pattern on crown I had in 2016 (was 22), but my hairline and temples was much better than your, I was a Norwood 1. I lost 50% of density on whole scalp in 2-3 weeks, even on back and sides. Now I am 23, started treatment a month ago and have noticed regrowth in a matter of 2 weeks. My treatment: 100mg spironolactone for 1 week, than 50mg (enough to stop my itch and sebum) and then added finasteride and ketoconazole 2% (cheap indian Nizoral). On the next week I have noticed minor regrowth on whole diffused area (even on sides, back and hairline). They are invisible white hairs, but pricky and strong enough, so I think they will be terminal. I don't know from what I have such a quick progress, but I doubt that it was finasteride. Maybe spironolactone and ketoconazole. I am also used dutasteride 2 times but dropped—it's expensive and I doubt I need it now. For temples I added 6.5mg of androcur eod (it has cumulative effect) so I have no reason to take higher dosages. It will work, but maybe it take some time, no a big problem for me. My temples slightly receded in summer 2016, so I hope it will regrow it. After next few month I will check my progress and will decide wheather I need 2mg of estradiol ed or not. I am going to cycle it to avoid total feminization.