Next steps after 6 years on topical Minoxidil and 1mg fin with no response

've been on Oral Finasteride 1x 1mg a day for almost 5 years and topical minoxidil 2x a day for for 6 years. I am 28 now and I I wish I can say I’ve seen improvements but I have been declining the whole time. Crown bald spot growing and front hair line receding not to mention thinning everywhere else. I see all of the success stories and clearly I am a non responder, and am looking for other options. I have been consistent every day on both of these for YEARS now. I have no side effects and I am not seeing anything positive out of this. What more can I do? It is the one thing that I struggle with my appearance about. The HIMS doc that was prescribing me the meds basically said its not worth paying for fin anymore and should look at transplant options and closed the account out. That is not something I am interested in doing ATM. Help?

Since you’ve tried fin and min with no success, consider switching to oral min or adding dutasteride, which might be more effective for you. Topical treatments like dut could also be an option. Adding microneedling might also help boost results. Hair transplants require continued treatment post-procedure. Check The Beginner’s Guide for more on these options.

topical dut is not very effective. ignore @henryk. when I first began researching hair loss, I was dumb and believed everybody. then developed my own knowledge and had seen that almost all people are wrong on some things including me, nobody is 100% correct all the time. dut is almost always superior in oral form. topical dut is not useless but imho not very potent. you may need 0.5mg dutasteride every day, I am afraid, though consult a doctor first as always. I wish ru58841 was very safe and approved for AGA :frowning: . It would have been perfect for you then under the guidance of a doc without even mentioning the dut, if only it was approved…….

-bbnb

All of these “ignore @henryk” responses are funny but please be more thoughtful before making overly confident replies like “topical dut is not very effective”. There is real research that shows you’re wrong. Bear in mind the delivery mechanisms of topicals has variance, as in the case with dut with options like liposomal and mesotheraputic. But yes, topical is less effective than oral, which is why I listed it separately. The tradeoff is far less systemic involvement, especially with dut, which is important to most people.