30M - Should I Get a Crown Hair Transplant?
    2/16/2026

    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Dutasteride →

    Heavy duty finasteride that comes with higher risks

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💧 Minoxidil (topical) almost daily since 09/2022
    💊 Minoxidil (oral) 2.5mg daily since 02/2024
    💊 Finasteride (oral) 1mg daily 08/2022 to 11/03/2024
    💊 Dutasteride (oral) 0.5mg daily since 10/11/2024
    💧 RU58841 (topical) since 04/14/2024
    • Microneedling 1-1.5mm weekly since 03/20/2024
    💧 Ketoconazole shampoo (topical) 3-4x weekly since 03/20/2024
    the tone is 😐 neutral.

    Other terms

    A 30-year-old man is considering a crown hair transplant after experiencing thinning since 2022, despite using treatments like minoxidil, finasteride, dutasteride, RU58841, microneedling, and ketoconazole shampoo. Opinions vary, with some suggesting additional treatments or lifestyle changes, while others recommend waiting or focusing on maintaining current treatments.
    View this post in the Community →

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      in Progress Pictures  71 upvotes 5 months ago
      The user shared their 5-year hair regrowth journey using oral finasteride, oral dutasteride, topical and oral minoxidil, and a hair transplant. They experienced significant hair improvement without major side effects, although RU58841 was not effective for them.

      community 4 years of topicals and some oral medicine

       14 upvotes 5 days ago
      The user has been using various hair loss treatments for four years, including topical and oral minoxidil, topical finasteride, topical dutasteride, and RU58841, along with microneedling. They report some improvement in hair density but are considering additional options like a hair transplant to fill in the crown.

      community I want my hair back so badly bros

      in Chat  234 upvotes 1 year ago
      Hair loss treatments like finasteride, minoxidil, dutasteride, and RU58841. Users suggest hair fibers for temporary coverage and consider hair transplants for permanent solutions.

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