18M: Persistent Hair Loss at Temples Despite Minoxidil/Finasteride, Adjust Dosage?

I’m an 18M. I started topical minoxidil 5% in late March 2024. From then until May 2025, my hair fall slowed a lot. Hairline was still receding, but very slowly and overall things looked stable.

In late May 2025, I tried Morr F (topical fin + min) to protect my hairline. Within 12–13 days I developed sexual side effects (from topical), so I stopped. The sides went away, but soon after that I entered a heavy shedding phase, much worse than before (possibly TE).

Around late July / early August 2025, I tried oral finasteride:

  • 0.5 mg EOD, took ~3 doses, mild sides → stopped

  • Restarted in early August 2025 at 0.25 mg daily, have been consistent since still on mild sides tho but just pushing thru

Current routine (Dec 2025):

  • Finasteride 0.25 mg daily

  • Minoxidil 5% once daily (night)

Current situation:

  • Shedding is lilttle less than peak months, but I’m still losing hair from temples/front

  • Temples and frontal area still feel thin

  • Unsure if this is fin-induced shedding, leftover TE, or fin not working well enough

  • I do have mild sexual sides (lower libido, softer erections), but they’re not severe — I still sometimes get morning wood and erections

  • I believe most of the sides may be nocebo, and I have no issue continuing fin or even increasing the dose if needed

    One more thing I noticed recently: I’m seeing very tiny, thin hairs along my forehead/hairline. They’re small and not cosmetically useful yet. I’m unsure whether this represents early regrowth from fin/min or just miniaturized hairs that were already there, and I don’t want to assume improvement if it’s not real.

My questions:

  1. Is continued shedding from front/temples at ~4 months on fin normal?

  2. How do I tell fin shed vs fin not working, especially for the hairline?

  3. Is it wise to stay on 0.25 mg daily, or should I adjust dose/frequency?

  4. Would increasing to 0.5 mg make sense if sides are mild and tolerable?

  1. Shedding at this stage is common. It can take time for your hair to adjust.

  2. If fin isn’t showing much at the hairline, 0.25 mg is a low dose. Check out The Beginner’s Guide for more info.

  3. Min and fin doses are personal, but increasing fin could help if mild sides are tolerable.

  4. An increase to 0.5 mg might help with temple loss if sides are manageable for you. But it might take 6-12 months to see real benefits.