Dutasteride 5 years

[pnl]

Dear members.

I am a 29-year-old man who started taking Dutasteride five years ago. Over the past 5 years, I have been able to maintain my hair. However, this summer, I suddenly and rapidly (within 2 months) started losing hair and became bald. In a very short period, I lost a lot of hair. It is now November, and I can see that it is slowly starting to grow back. However, it is still far from how it was before the summer. Now I have 2 questions.

Can Dutasteride suddenly stop working after 5 years?
If it no longer works, why are the hairs growing back slowly (or is this part of the miniaturization process)?

Thank you!

 

[pnl]

Btw first pic is shed phase. Second pic is before shed. Third pic is today

[12345]

could be Telogen effluvium 

[pnl]

3 hours ago, 12345 said:

could be Telogen effluvium 

Any idea what could trigger TE?

[12345]

1 hour ago, pnl said:

Any idea what could trigger TE?

usually its stress or sickness, or a major life change. 

[Viney]

Are you sure the brand supplied by your pharmacist hasn't changed?

[pnl]

59 minutes ago, 12345 said:

usually its stress or sickness, or a major life change. 

Nothing of that tbh thats the strange thing

 

34 minutes ago, Viney said:

Are you sure the brand supplied by your pharmacist hasn't changed?

Nope. Still same brand ED for the past 5 years

[mxnprettynice]

Start using microneedling and minoxidil fast before your hair follicles diminish completely. I assure you, it will lead to complete hair regrowth.

I know I keep advocating this on this forum but microneedeling has made significant impact on my hair. Id recommend any derma pen for ths

[duchaine]

34 minutes ago, mxnprettynice said:

Start using microneedling and minoxidil fast before your hair follicles diminish completely. I assure you, it will lead to complete hair regrowth.

I know I keep advocating this on this forum but microneedeling has made significant impact on my hair. Id recommend any derma pen for ths

totally I agree.
I take fina, oral minoxidil, topical minoxidil, PRP, data mesotherapy, ketoconozol but...dermarolling is a game changer for me!

[12345]

1 hour ago, duchaine said:

totally I agree.
I take fina, oral minoxidil, topical minoxidil, PRP, data mesotherapy, ketoconozol but...dermarolling is a game changer for me!

when you say game changer, do you mean regrowth?

[duchaine]

45 minutes ago, 12345 said:

when you say game changer, do you mean regrowth?

yes!

[12345]

1 minute ago, duchaine said:

yes!

how many times a week, and do you use topical minoxidil afterwards. also are you using a dermal stamp/roller/electric dermastamp? and when you say regrowth is this hairs becoming mature and terminal, or just fine baby hairs, vellus etc 

[duchaine]

6 minutes ago, 12345 said:

how many times a week, and do you use topical minoxidil afterwards. also are you using a dermal stamp/roller/electric dermastamp? and when you say regrowth is this hairs becoming mature and terminal, or just fine baby hairs, vellus etc 

for many years I used something between 1,5 and 2, once per week. Sometimes I used derma roller and other times I used derma pen.
Recently, according to some researches (but they are ambiguous so take my conclusion "cum grano salis", I'm using 1 mm, every five days.

I see an overall increase in density/covering effect. I can't say it is because I have more hair or ticker hair or both.
On the temporal peaks, I see an increase in baby hair (it can't be different, because the TP are made of baby hair).
On the HL I see new hair coming out.

At the beginning, about 5 years ago, I used a mixture of olive oil and castor oil.
Since a couple of years, I'm using minoxidil.

 

Edited November 28, 2023 by duchaine

[12345]

40 minutes ago, duchaine said:

for many years I used something between 1,5 and 2, once per week. Sometimes I used derma roller and other times I used derma pen.
Recently, according to some researches (but they are ambiguous so take my conclusion "cum grano salis", I'm using 1 mm, every five days.

I see an overall increase in density/covering effect. I can't say it is because I have more hair or ticker hair or both.
On the temporal peaks, I see an increase in baby hair (it can't be different, because the TP are made of baby hair).
On the HL I see new hair coming out.

At the beginning, about 5 years ago, I used a mixture of olive oil and castor oil.
Since a couple of years, I'm using minoxidil.

 

thanks for this thorough answer.

So you derma roll and then apply minoxidil afterwards, or before?

Do you clean your scalp with iodine or alcohol before and after to prevent infection?

also with the derma penn, do you use a new blade each time, or do you sterilize it afterwards. i had a dermapen years ago and found that the alleged surgical steel pins would rust after being cleaned with alcohol

[12345]

3 hours ago, mxnprettynice said:

Start using microneedling and minoxidil fast before your hair follicles diminish completely. I assure you, it will lead to complete hair regrowth.

I know I keep advocating this on this forum but microneedeling has made significant impact on my hair. Id recommend any derma pen for ths

can you elaborate more on your regrowth with the microneedling? thanks in advance. 

[duchaine]

2 minutes ago, 12345 said:

thanks for this thorough answer.

So you derma roll and then apply minoxidil afterwards, or before?

Do you clean your scalp with iodine or alcohol before and after to prevent infection?

also with the derma penn, do you use a new blade each time, or do you sterilize it afterwards. i had a dermapen years ago and found that the alleged surgical steel pins would rust after being cleaned with alcohol

You are welcome, buddy!
I use some minoxidil before (just because it makes easier the microneedeling) and some minoxidil after.
No, I just use alcohol to Clean the tool and stop.

[12345]

4 minutes ago, duchaine said:

You are welcome, buddy!
I use some minoxidil before (just because it makes easier the microneedeling) and some minoxidil after.
No, I just use alcohol to Clean the tool and stop.

thank you!

 

[mxnprettynice]

Yes, @12345 @duchaine

it is indeed a game changer. Typically, the results are seen around four months. Especially good for miniaturized hair. Personally, I use a 2mm depth, but I advise starting at 1mm and gradually increasing to 1.5mm. Over time, the nerves and skin adapt, and the discomfort reduces.

Below, I'm excited to showcase a photo with my remarkable results from microneedling combined with minoxidil (and finasteride)

[12345]

55 minutes ago, mxnprettynice said:

Yes, @12345 @duchaine

it is indeed a game changer. Typically, the results are seen around four months. Especially good for miniaturized hair. Personally, I use a 2mm depth, but I advise starting at 1mm and gradually increasing to 1.5mm. Over time, the nerves and skin adapt, and the discomfort reduces.

Below, I'm excited to showcase a photo with my remarkable results from microneedling combined with minoxidil (and finasteride)

thanks for sharing. what are you using to roll? derma roller, stamp or pin, and how often? are you using minoxidil prior to rolling, or after rolling? 

[duchaine]

1 hour ago, mxnprettynice said:

Yes, @12345 @duchaine

it is indeed a game changer. Typically, the results are seen around four months. Especially good for miniaturized hair. Personally, I use a 2mm depth, but I advise starting at 1mm and gradually increasing to 1.5mm. Over time, the nerves and skin adapt, and the discomfort reduces.

Below, I'm excited to showcase a photo with my remarkable results from microneedling combined with minoxidil (and finasteride)

If I am not wrong, you started to use MN at 4 months after HT.
 

[mxnprettynice]

@12345

I use a derma pen, which you can find on Amazon or a local online store. I wouldn't recommend rollers and stamps. I apply minoxidil immediately after microneedling and wear a hat, as I've read a study that says most topical minoxidil evaporates.

 

@duchaine These results are from before I had a hair transplant. I stopped microneedling during the transplant and resumed 2 months and 8 days post-transplant.

[duchaine]

7 hours ago, mxnprettynice said:

@12345

I use a derma pen, which you can find on Amazon or a local online store. I wouldn't recommend rollers and stamps. I apply minoxidil immediately after microneedling and wear a hat, as I've read a study that says most topical minoxidil evaporates.

 

@duchaine These results are from before I had a hair transplant. I stopped microneedling during the transplant and resumed 2 months and 8 days post-transplant.

Before??? OMG, you were full of hair!!! where did they put new hair?!!?

[mcr7777]

You should

On 11/27/2023 at 12:44 PM, pnl said:

Dear members.

I am a 29-year-old man who started taking Dutasteride five years ago. Over the past 5 years, I have been able to maintain my hair. However, this summer, I suddenly and rapidly (within 2 months) started losing hair and became bald. In a very short period, I lost a lot of hair. It is now November, and I can see that it is slowly starting to grow back. However, it is still far from how it was before the summer. Now I have 2 questions.

Can Dutasteride suddenly stop working after 5 years?
If it no longer works, why are the hairs growing back slowly (or is this part of the miniaturization process)?

Thank you!

 

You should find a specialist hair dermatologist -you might have an inflammatory or autoimmune condition e.g. LPP or Areata - or something else.  It doesn't appear to be usual MBP based on the pattern and speed.

[pnl]

On 11/27/2023 at 9:18 PM, 12345 said:

usually its stress or sickness, or a major life change. 

Holy .... i think i know what it could be. I was dieting in may very stricly and heavy. 1400 calories a day with 500 calories burned everyday.

That must be it i think?

[12345]

2 hours ago, pnl said:

Holy .... i think i know what it could be. I was dieting in may very stricly and heavy. 1400 calories a day with 500 calories burned everyday.

That must be it i think?

its a possibility. with return to normal diet, and adequate protein, the hair should regrow if that was the tirigger