Regular Member Cowhorns Posted November 27, 2013 Regular Member Share Posted November 27, 2013 P { margin-bottom: 0.21cm; }Hi. I started receding during my late teens and experienced some minor thinning of the crown at around 34. At this point I started using flinstrate (propecia) which I have taken for the last 6 years. I am now 41 and have responded well to finasteride where the crown has stabilised with some limited thickening. (A HT is taking care of the frontal re-session lol) I'm content with the crown as it is, however should I start to use minidoxil or shall I wait incase flinstrate starts to loose effectiveness and then at this point use minoxidil to help the crown? My concern is if I start on minoxidil now it may loose its effectiveness over time so should I leave it until I really need it? Thanks Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted November 27, 2013 Senior Member Share Posted November 27, 2013 nick, Well that's a difficult thing to determine because we all respond to these hair loss meds differently. If your crown has stabilized, then I would leave it alone and wait to see if things continue to remain stabilized. If your crown does begin to thin, you can then begin minoxidil which does not inhibit DHT like finasteride does, but minoxidil does improve blood flow to the scalp and also can potentially invigorate some new growth. It also improves hair shaft diameter which is the single most critical factor in visual coverage. If you had to choose between the two, finasteride is the better choice IMHO because it does inhibit DHT effectively. You can always try minoxidil in the future to see if you notice any thickening in the crown, but just be aware that some guys experience some generalized thinning and or shock loss from the initial use of minoxidil and/or finasteride. That thinning is temporary for the most part but it can happen. And again long term efficiency from either hair loss medication can vary between individuals. Only time will tell. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Senior Member WHTC-7706631290 Posted November 28, 2013 Senior Member Share Posted November 28, 2013 Nick72, Minoxidil is a good idea for helping to decrease your rate of hair loss. You would more than likely see little results with starting Minoxidil if your crown looks good after so many years on Finasteride. The reality of beginning Minoxidil is that you'd probably only notice the results after discontinuing its use. Your hair loss has stabilized and you seem to indicate that you are content as well. You can reconsider Minoxidil at a future date or when you notice a change in your crown. Remember to snap off a few photos once in a while. They'll help document the progression for future reference. Best of wishes. My opinions are not necessarily the opinions of Dr. Patrick Mwamba. My opinions are based on my beliefs and are simply my own. I am one representative of the WHTC clinic. Free Consultation Dates & Cities for Dr. Patrick Mwamba Brussels, Belgium - Available London, United Kingdom - Available Zurich, Switzerland - Available Bologna, Italy - Available Follow us: Facebook - Youtube - Pinterest Dr. Patrick Mwamba is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted November 28, 2013 Senior Member Share Posted November 28, 2013 (edited) Good advice above! It's important to note that Rogaine (minoxidil) is not a substitute for Propecia (finasteride). They work in very different ways and, therefore, affect different hairs. Thus, waiting for finasteride to "lose its effectiveness" before starting minoxidil is not the best option. Finasteride works to slow the advance of androgenic alopecia and regrow hair by inhibiting the conversion of testosterone to the hormone DHT. Minoxidil, on the other hand, is a vasodilator and is thought to treat thinning hair by widening blood vessels and increasing blood flow to miniaturizing follicles. Many hair restoration physicians believe that the best course of action is to use these two medical hair loss treatments in combination. It is thought that they work synergistically, each enhancing the effects of the other. Edited November 28, 2013 by David - TakingThePlunge spelling David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website Link to comment Share on other sites More sharing options...
Regular Member Cowhorns Posted November 28, 2013 Author Regular Member Share Posted November 28, 2013 Thanks as always guys, this is really sound advice and directly responds to my question. Top Community! Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now