25M in Spain Considering Finasteride: Private Dermatology Experiences Needed

General
1

Hey everyone,

I’m a 25M from Spain. I’ve been dealing with hair loss for around 5 years now, though it’s not too aggressive yet. I’ve been using 5% minoxidil for about 2 years, and it’s helped a bit, but lately I’ve noticed my hair loss getting worse. I still have a decent amount of hair, so I’m seriously considering starting a DHT blocker (finasteride) before it’s too late.

I tried going through public healthcare, but since it’s considered a cosmetic issue here, I’m not expecting much help beyond some basic orientation. I actually have an appointment this week just to get some photos and general advice, but I’m assuming I’ll need to go private for any real treatment.

My main question is about how private dermatology works for this kind of treatment in Spain.
Do dermatologists usually prescribe finasteride after one appointment, or do they need multiple follow-ups before giving the prescription? Is it something you get prescribed long-term right away, or do they want to monitor you closely over time?
I’m willing to invest money into this, but private dermatologists here are expensive, and I’m a bit afraid of getting stuck in a cycle of multiple unnecessary consultations or “follow-ups” just to keep getting the meds.

Also, for those already on finasteride — how has your experience been?

  • How long did it take you to notice results?

  • Do you still combine it with minoxidil?

  • What’s the average cost for you to maintain the treatment?

  • And in what form do you recommend starting? (I’ve heard there are pills, topical options, maybe others?)

Any insights or experiences would be super appreciated.

2

hey! starting fin is a solid step to tackle DHT and slow hair loss. min’s great as a growth booster, so keep them both going! it usually takes 3-6 months to see results with fin. dermatologists might start you on fin after one appointment, but it’s good to check how often follow-ups are needed. cost can vary, so check locally or with telehealth. pills are typical for fin, but topical options can reduce side effects. check out the beginner’s guide here for more details: The Beginner’s Guide.