I first started noticing my hair thinning in August 2025. I’m constantly stressed because of work, and I also had some family members pass away in 2025, so I initially assumed it was stress-related.
By December 2025, I noticed that it had gotten worse, so I decided to reach out to my doctor. After doing some research, my doctor recommended trying minoxidil first. However, I was concerned that minoxidil might not address the underlying cause of my hair loss, so I decided to get a second opinion.
The second doctor recommended taking 1 mg of finasteride daily with lunch, so I started on February 2, 2026.
The first photo is from December 2025, the second is from June 2026, and the third is from today. Unfortunately, it looks like my hair loss is continuing to progress.
Here are my blood test results from before I started finasteride:
- TSH: 1.77 mcIU/mL (Normal)
- HbA1c: 5.1% (Normal)
- Iron: 128 mcg/dL (Normal)
- Total Iron-Binding Capacity (TIBC): 314 mcg/dL (Normal)
- Iron Saturation: 41% (Normal)
- Ferritin: 119 ng/mL (Normal)
- DHEA-S: 130 mcg/dL (Lower end of the reference range)
My main questions are:
- Should I consider switching to dutasteride, or is it too early to make that decision? I’ve been on finasteride for about eight months, and I’m concerned that my hair loss is still progressing.
- Are there any additional blood tests I should ask my doctor about? I’m wondering whether a more comprehensive blood panel could help identify other potential causes of my hair loss.
- Could this be stress-related hair loss, male pattern baldness, or a combination of both?
For context, nobody on my mom’s side of the family is bald. My dad is bald, but his hair loss was primarily concentrated around his receding hairline rather than the crown, which is where I’m experiencing the most thinning.
I haven’t started minoxidil because I wanted to see how well finasteride would work on its own rather than introducing two treatments at once and having difficulty determining which one was responsible for any improvement.
Fortunately, I haven’t experienced any side effects from finasteride so far. However, I’m unsure about the potential side effects of dutasteride and whether switching would be worthwhile.
I’d appreciate hearing about other people’s experiences with finasteride, dutasteride, and crown thinning, especially if you continued losing hair after several months on finasteride.