Help deciding: Preventive finasteride now (NW2-3) vs. waiting for visible changes? (28M with family history)

Hi everyone,

I am trying to come up with the best strategy regarding the use of finasteride.

My current status: I’m a 28-year-old male with a Norwood classification of 2-3 (not sure where exactly). You can judge based on the picture I provided. Over the past 2-3 years, I noticed changes in my hairline; my widow’s peak became more prominent, and my hair looks ‘clowny’ when it’s windy outside. I’ve also started asking barbers to leave some hair to cover my temples, which I didn’t do 3 years ago. I didn’t realize this change due to the curliness of my hair and how sudden it was.

Currently, however, I don’t notice any thinning or active balding. The changes seem to have occurred 2-3 years ago and appear to have stopped. When I compare my current pictures to those taken two years ago, I don’t see much difference. I don’t see any thinning on the crown too (it’s a bit tricky with curly hair, but I don’t think I have any thinning there).

Here’s my family history: all the men in my family are bald on both my mom’s and dad’s sides. My dad started balding in his late twenties, and I’m 28 now.


I asked my doctor for a prescription, and I currently have finasteride on my hand right now.

Here are two plans for how I might proceed, and I need to choose one.

Plan Option A:
Track any current changes and start using finasteride only once I notice further changes. This way, I avoid having finasteride in my system unnecessarily.

Potential Cons:

  • I might lose sight of changes, as it’s quite possible that my curly hair could hide thinning that I might not notice until it’s late. I can’t allow any more hair lost. Not sure if this is a reasonable fear though.

Plan Option B:
Start using finasteride right away.

Potential Pros:

  • I’m proactively addressing an issue I am likely to face, given my family history.
  • Since I’ve already begun treatment, my curly hair won’t obscure any potential problems or spots.

Potential Cons:

  • I might have finasteride in my system when I don’t actually really need it at the moment.
  • I can’t accurately track progress as there would be no baseline to compare against (I might be wrong about this).
  • It makes it difficult to determine the right dosage since I won’t have tracking points to gauge effectiveness.

Which option is better? Am I missing something in the pros and cons I’ve outlined?

Thank you for reading the whole thing and your suggestions!


Start it as soon as possible except the first two weeks or maximum first month might see 10 percent reduction of libido or very slight low intense doll pain for few seconds in your testis you won’t have any side effect, believe all of the postfin syndrome infertility depression is myths , even your test level bild up 5 to 10 percent you have low increase muscle mass , iam saying increase not decrease :joy: