The conclusion is that doctors should be careful when prescribing 5α-reductase inhibitors due to possible serious side effects, and they should discuss these risks with patients.
A user has been using Hims topical finasteride and minoxidil for seven months, along with micro needling, and is asking if there's an improvement in their hairline. Responses vary, with some seeing progress and others criticizing the photo quality for comparison, but no side effects were reported.
Dutasteride and finasteride may temporarily affect semenquality but are unlikely to cause permanent infertility. The Kim et al. study is criticized for poor methodology, and many prefer hair retention over potential fertility concerns, using treatments like dutasteride, finasteride, and minoxidil.
Pyrilutamide is seen as a last hope for those who can't take finasteride, with promising results reported. However, there's uncertainty about the quality and consistency of Pyrilutamide from black market sources.
The user reported initial hair regrowth and improved hair quality after starting finasteride, but noticed a return of hair loss after about a year. They also experienced side effects like erectile dysfunction and watery semen, which later improved.
Hair loss treatments, specifically Minoxidil, Fluridil & Alfatradiol, Nizoral, Saw Palmetto, Hairmetto and Microneedling. The user mentioned they have seen a decrease in shedding and improvement in the quality/density of their hair since using this stack, but opted out of trying Finasteride due to potential side effects.