perfectly normal crown, you could just be cucked with a high hairline from default. either way can’t start 5ar inhibitors at 15, just gonna fry genital development
You look norwood 2 to norwood 3 albeit I am not a doctor and this is only a rough estimate. I am sorry but without a hair transplant it won’t be easy to regain the hair there. You need to see a dermatologist with access to a hair microscope that can see whether your hair follicles are miniaturizing (hair follicle is the cavity in which hair grows in, its size effects the hair’s size.). Keep in mind hair miniaturization is also associated with TE though if you are not living with a great deal of stress I don’t think it is TE, more likely AGA. My advice for you would be to ask the doctors about topical minoxidil, which will buy you time until DHT matures your body. Once DHT’s effect (pubertal) subsidises than you may consider finasteride/dutasteride too. I am not a doctor and this is not a medical advice, but you may follow this strategy under the guidance of a proper professional. By the way I began to lose my hair around the same age as you, and 20 rn, feel free to ask me about these in this thread, got lots of experience . Also ask your doctor about topical anti-DHT or anti-androgens eg topical finasteride, do NOT use this yourself without consulting a proper doctor but if approved you may use that until you are at an age where DHT is no longer of much importance and when you can switch to oral finasteride (if you wanna go that path under the guidance of a doc.). By the way, you seem to have mild acne which is correlated to an extent with DHT, so I assume (since DHT is correlated with AGA) that you have AGA rather than TE, seasonal shedding or something else (eg alopecia areta incognita).
important:please do NOT use ru58841 or be very, very careful if recommended by a doctor to do. I do NOT recommend the usage of ru58841 and thus update my post where I remove mentioning it as a potential treatment under the guidance of a doctor.
shampoos and conitioners won’t do jack shit man. Trust me, there are only two medications for AGA:Finasteride (or anti-dht perhaps anti-androgens) and Minoxidil. None other than that. There is a stuff known as ru58841 which is a research chemicals for instance that blocks not only DHT but also T (testesterone) or dutasteride which is another steroid-5-alpha-reductase inhibitor that has been approved for use in treatment of AGA in s. korea, taiwan, japan etc that blocks Type I steroid-5-alpha-reductase too (which is of use to CNS eg. in synthesis of alloprepnangolne). But this is it. You do NOT use ibuprofen for treating AGA, it is useless. You do NOT use rosemary oil (too weak) to treat AGA. Minoxidil in its topical form and Finasteride in its oral form, for most people these will do the trick. If you have pets etc. (minoxidil is hazardous to pets and topical form increases the contamination risk) then you may go with oral minoxidil but be careful as in high doses it is an anti hypertension drug, generally speaking when prescribed off-label it will be in low doses that is between 2.5mg-5mg for men, always consult a doctor for oral minoxidil. 10mg and above is for anti-hypertension for minoxidil.
Disclaimer:I hereby assume that you have AGA, if not then well you don’t need to use any of these above. Especially minoxidil (for regrowth of what you lost). Perhaps finasteride so that you can rock a nice hair up to your late 40s to 50s . Finasteride is an enzyme inhibitor for Type II steroid-5-alpha-reductase responsible for conversion of T to DHT and DHT in turn leads to miniaturization of hair follicles. This is the primary way through which how AGA occurs in men. TE based or Type I steroid-5-alpha-reductase (where dutasteride may be needed) based miniaturization is outside of the scope of AGA treatment in men in general for the majority of use cases.
Btw, since I had begun losing hair at 17, I am on dut 0.5mg but won’t recommend it to other people in the absence of a proper doctor. You can check my other posts. If your thinning is very aggressive, then yeah you may need dut (dutasteride for short) too, but please consult with a doctor, not the doctor that you had been to but a proper doctor. A real doctor in general is of great use in the fight against AGA, but one that recommends shampoos/conditioners etc. is not. Just throw them away in all seriousness if you suffer from AGA, they WON’T do anything in the long-term.
(on steroid-5-alpha-reductase)
(pubmed study was conducted on mouses, may not hold up to scrutiny
(finasteride may also cause neurological issues although to I assume a lesser extent and keep in mind brain is a bit compliacted so it is not easy to entirely mechanistically/theoretically describe everything in 100% parallel to what happens in reality, for instance there is something called as “post-finasteride syndrome” whereas “post-dutasteride syndrome” is not real. maybe dutasteride cannot cross the blood brain barrier to affect neurosteroids maybe yes, no one knows.)
First and foremost, it appears that you are balding possibly due to AGA, very, very unfortunately. Although you were norwood 1 to begin with judging from the photos, so it is not that you were norwood 0 to begin with.Your hairline was slightly recessed to begin with, from what I see based on the photos you posted here. My verdict here is that combined with the acne that you have (DHT, the hormone that causes baldness in men is known to an extent correlated with acne) and that your hairline had recessed a bit, you my man unfortunately seem to have AGA aka male-pattern-baldness or good old balding. Though keep in mind that I am NOT a medical professional and more advanced techniques like hair microscope may be required for your use case instead of bare-bones visual judgement from a forum user.
Secondly, you are an EXCEPTION. I repeat again you are an EXCEPTION. Under normal circumstances, an anti dht (to prevent further hair loss) and a topical vasodilator (to regrow lost hairs) is what is prescribed for AGA patients. Finasteride is as an anti-dht medication and topical minoxidil 5% are (esp. when combined with tretinoin for bad responders) solid solutions. You state that you are only 15, ONLY FIFTEEN YEARS OLD. This is NOT an age where anti-dht medications (dht blockers eg. finasteride/dutasteride) are typically prescribed at. I personally began using them at 20 and even then was cautious. You very likely are NOT endocrinologically mature and 5ARIs like fin/dut will likely stunt your growth eg. genital growth. You also need to be roughly 18 (adult male) for minoxidil 5%, maybe and this only a speculation not advice lower concentrations eg. 2% may be better for <18 but again this is not something I know. Minoxidil 2% is generally NOT the standard concentration used in men (by men I mean males who are matured and typically over 18, likely not you) as it is deemed insufficient, but maybe you should consult a dermatologist (a proper dermatologist) and GP then reassess the situation on what concentration you should personally use.
In other terms: (very likely) you canNOT use finasteride at any dose in its oral form. (very likely) you canNOT use dutasteride at any dose in its oral form. (likely) you canNOT use anti-dht medications like finasteride or dutasteride in their topical form as it may STILL harm the endocrinological development of yours as they still may go systemic. Your only choice may be topical ru58841 (oral ru58841 will be dangerous for everybody, including you) as its chance of going systemic is lesser and it will hold the line until you are an adult BUT the thing is A)long-term human studies on ru58841 is lacking and B) it is not an FDA approved medication or any institution approved medication BUT a research CHEMICAL developed for use as an anti-androgen (blocking both T+DHT hormones). So, you canNOT get a ru58841 prescription as I do not think any sane doctor would risk their career and face a lawsuit if you end up harming yourself in the process as it is NOT an FDA-approved medication (it canNOT be legally prescribed), and that it is nothing but a research chemical. So you are in a very unfortunate situation. I canNOT and will NOT comment on what I would have done if I was in your shoes as it may be perceived as an advice given that I would have taken a risk personally as an adult but I would ABSOLUTELY NOT give the same advice of taking risk to the other people especially given they are below 18 given their parents legally have to get involved too . All I can say is you to my analyiss are an unfortunate exception of aggressive early-onset AGA and there is NO legal way to stop it at this date and time. If you were 18 and above, doctors and personally myself could have said entirely different things legally and ethically but, canNOT say it for your case. I wish you strength and luck in all honesty.
So, to sum up: 1)You should definitely see a proper and respectful, knowledgible dermatologist who could determine whether you have AGA or not, he/she will issue the final verdict on this case. If possible, choose a reputable dermatologist (not like the one you had been to) and then ask him/her to look at your scalp with a hair microscope for in-close examination. If miniaturization of hair follicles are detected and that you do NOT have TE (which I assume you do NOT) it is extremely likely in my belief that you have AGA. TE typically does NOT progress but manifests in a wave-like pattern or resolves on its own, AGA never resolves on its own and progresses, judging from the pictures I cannot be certain but it is likely that you have AGA.
2)You MUST see a relevant doctor who can assess your pubertal development/maturation to conclude whether it would be safe for you to begin taking the anti-dht medications and relevant concentration of minoxidil (5% or 2%). LDOM or low-dose oral minoxidil to my knowledge is not suitable for minors although I am not a minor and use it myself off-label without a prescription, not that I would recommend it but to inform. I am UNCERTAIN but maybe a pediatric endocrinologist can be what you need to see.
3) You should stay away from all medications in the absence of a doctor’s prescription/recommendation, just please do NOT take anything on your own. Some people for instance I myself without a doctor’s prescription/recommendation can and have been taking finasteride or even dutasteride but we are usually above 18 and matured who can take the risk even if it is not appropriate without consulting a doctor, albeit I would still not advise taking them without consulting a healthcare professional. You are likely NOT mature (biologically) yet and anything you do will also concern your parents/caretakers etc. so it would be super irresponsible for you to take anything without a doctor.
1)you look norwood 2-3 to me, as I had mentioned earlier. let’s settle it on norwood 2.5, shall we? 2)you mention that your parents are mostly about money. my man I need to tell you that you are not 40 or 50. you are 15. I repeat again 15. at 15, the AGA is something I would N-O-T wish upon my sworn enemy and will likely affect you even if you ignore it. Humans are social animals your appearance plays a large part in it, people will treat you differently. In that regard, I would URGENTLY advise you to seek first a proper diagnosis then assess the situation on what kinds of treatments can be used at this age. Unfortunately I am not a bezos/musk or some wealthy celebrity and am NOT aware of any AGA foundation where you can seek help from that I could refer you to, only if there was . None that I am aware of, there exists NAAF foundation for alopecia areta but not for AGA. Maybe you could work to pay, which may alleviate some pressure but in all honesty it is up to your parents to not leave your hair to rot away in your youth, remember you are not 40 or 50 but only 15. If that gives you strength keep in mind that I have to fight this shit here on myself as AGA treatment in Turkey is a bit unknown and some times taboo. I had to do all the research on prescription requirements, pharmacies compounding oral minoxidil, on side effects/ steroid-5-alpha-reductase etc. myself and these meds are not cheap here too despite the government trying to keep prices low. It would cost about 150-200$ (excluding doc visits that I had done, which I don’t do anymore as they are expensive and doctors are dumb/rude here.) per month if you had the same prices there factored in (for 1 month of Low-Dose-Oral-Minoxidil 2.5mg+0.5mg dutasteride+1/5mg proscar+ketoconazole 2% that I use.). Every day for LDOM,Dut, Proscar 1/5 and twice weekly for ketoconazole. Great thing is that, once assesment (eg diagnosis and then the relevant strategy etc.) has been formed on the way forward, price would be less of a concern but the meds, which are not that expensive there from what I see on amazon in example for rogaine or kirkland minoxidil will be. I wish you luck.
This is all I could say… If possible, please show them this thread (excluding the part where you state that they are in for money, maybe edit that part as your parents may get offended and may lose their interest in pursuing treatment.). Stay strong.
ps: do NOT go down “I am just gonna shave it off” kind of path. I had personally seen a girl along with his boyfriend (ofc the boyfriend is not bald obviously) taking a photo of a bald man who delivered a speech in the opening ceremony of my college and mocking him. this alone should prompt you to seek urgent treatment. Also keep in mind he was well into his 30s if not 40s and you are only 15 so the effects of AGA-based hair loss will likely be worse on you.harsh, but truth at its finest. humans are social creatures and that you have to fit in, balding will make it hard if not impossible to fit in especially given that you are only 15 where guys your age have full head of hair and looks are everything.
edit:fixed the grammar and punctuation and added a ps.
Thank you so much for every comment in which you explained everything fully.
Still thank you so much for it because I was worrying about going bald,but with your help I fell like I can still rock my hair for couple of years till I have to turn into Mr Clean.
Im gonna try to talk to my parent about it and eventualy try to change my doctor and start using other ways of treatmeant.
Can I still dm you with questions when I will need them the most? Because you seem like somone who can explain them to me fully without any nonsense.
I will not have much time in the near future due to inherent increasing academic demands of college life but for you I can make an exception of fifteen minutes to half an hour or so. So yes, you can DM me. By the way if you have any siblings, when they make it to puberty I advise you to talk with them on this matter, balding. It can appear in women too, precisely for the same reason it appears on men (DHT and DHT sensitivity).
@Kuba I found something. There seems to exist SOME NSAAs (like ru58841 but FDA approved) that are ACTUALLY APPROVED by FDA, albeit for other use cases. “Topical Spironolactone, Topical Clascoterone (Winlevi), Topical Flutamide.” Can you ask a reputable health professional about (eg a proper qualified dermatologist) about whether it would be appropriate to use these since topical finasteride is NOT suitable for you. I do NOT know how much they go systemic so it is better especially given you are <18 to consult a doctor in all good faith. These will BUY you time, not stop it altogether like finasteride/dutasteride would but at least that is something given your situation. Perhaps you can ask haircafe (kevin mann) on youtube comments section for a recommendation by describing your situation, if I sound knowledgible to you he is 10x of me in these matters but keep in mind he might downplay the incidence of PFS or effect of fin/dut on neurosteroids a bit but apart from that I do not find much problems, keep in mind as much as he is knowledgible always consult a doc before using anything.
keep in mind that I assume you have AGA, if you do NOT, please just take rest of my advices and go live your life. AGA= male pattern balding, or just the good ol’ balding. Hairline recession that you have seems AGA to me especially given the acne you have both of which are correlated with DHT, however an evaluation by a medical professional is warranted nevertheless for the final verdict.
I have no damn idea honestly. I had seen people recommend salicylic acid or tretinoin but am not personally experienced and knowledgible much. I use ketoconazole (won’t do much for non-fungal acne albeit I use it for yeast myself even though I don’t have acne on scalp). A derm may guide you better in that regard. HOWEVER… pubertal acne (which I assume is what you have) is to an extent linked to DHT, and anti-DHT medications may do wonders in eliminating the root cause, too bad you are not endocrinologically mature yet.
Hey man the guys tellling you Minoxidil and finasteride are sick in their minds, dont ever take that as full shit they wreck shit in your hormones and literally Cook you from the 8nside, you should consume better food sleep before 11 and massage your scalp, Rosemary oil and dermaroller. But fix your environment first.
You’re 15 years old people are telling to to take drugs are crazy. Ask yourself why am i balding at 15? It must be 100% your environment something is off. You aint eating liver or low vit D no iodine or selenium gotta max that first. Forward head posture? Increases balding bro