DHT nearly doubled after switching to oral Fin
    3/13/2026

    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💧 Minoxidil (topical) 5% once a day
    💊 Finasteride (oral) 1mg daily
    💧 Finasteride (topical) 0.1% once a day
    💉 Testosterone Replacement Therapy (injections) 40mg/week split into 2 injections since 2022
    the tone is 😞 negative with hair loss worsened results.

    Other terms

    The user switched from topical Minoxidil and Finasteride to oral Finasteride and reduced testosterone, expecting to lower DHT, but instead, DHT increased and hair loss worsened. The user is seeking advice on whether to return to the previous topical treatment or if others have experienced similar issues with oral Finasteride while on TRT.
    View this post in the Community →

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      in Progress Pictures  16 upvotes 4 months ago
      The user experienced thicker hair and less hair loss after using topical finasteride (0.5%) and minoxidil (5%) foam for four months, with minimal side effects compared to oral finasteride. They also use a derma needler and injectable testosterone, noting no increased hair loss despite higher testosterone levels.

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      in Treatment  7 upvotes 1 year ago
      The user experienced erectile dysfunction from oral finasteride and is considering alternatives like topical high-dose finasteride, RU58841, topical Latanoprost, and oral Minoxidil. Blood tests showed changes in testosterone and DHT levels, and the endocrinologist advised stopping finasteride.

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