Jefff – It seems that everyone reacts differently to the drug. I can speak to my experience. I’m almost 42, been on Propecia about 15yrs or so I guess. I had those same thoughts, that I had been on the drug for so long, is it actually doing anything for me? Some time ago I decided to start lowering my dosage over time. Eventually I got down to 1mg a week. I don’t know the exact time it took me to get down to 1mg, less than a year I guess. Up until that point I had a decent head of hair. I can tell you that during that period I lost most of my hair, I guess it happened gradually so I didn’t catch it quick enough. Went to a transplant doc a few months ago and he told me I had lost about 80% of the hair on my head. The worst part is that I did this to myself. Propecia was working great I just had forgotten about it.
I’ve since been back on 1mg a day or every other day, as well as adding in Rogaine, but so far the hair is not really coming back. It sucks. I’ve never had any sides from the drug that I read about. Long story short, a couple of years ago I noticed my body slowing down. To me it was just part of getting older but I'm really active so it was frustrating that my body was not quite keeping up with my mind. I went to my doc and we discussed hormone replacement. Did the blood work and my testosterone was in the lower range, but still normal. I tried the cream you had mentioned but this made my hair fall out in a bad way, since then I switched to shots a couple times a week which works really well and my hair is stable. Doing my blood work every few months I’ve noticed that my DHT levels don’t change whether I’m taking 1mg a day or 1mg every other day. Every time my doc looks at the blood work she always says the same thing, the Propecia is definitely doing its job.
Who knows with the family history. My dad and my grandfather were pretty much bald by the time they were in their mid 30’s. Unfortunately I got that gene. My older brother on the other hand still has the same head of hair he did when he was 12. He complains about getting grey hair and I want to slap him, I always say at least you still have f'n hair! I'm glad one of us came out ahead. I would discuss everything with your doctor, hopefully they have the knowledge and guide you in the right direction. Personally I wouldn’t be as scared of stopping Propecia if my dad had a full head of hair. Just keep a close eye on it if you do.. Good luck