PS the combo dermaroller and minoxidil seems to be promising and scientifically proven.
Yes it looks promising but with minoxidil itself: It seems to not work permanently. I'll explain:
Finasteride (and maybe Nizoral Shampoo) reduce DHT in the scalp. Which is one trigger in the chain to male pattern baldness. This means if you respond to either of these, your hair loss will stop for at least 10 years +, likely forever but few people tested it for longer.
Minoxidil is a growth stimulant. It stimulates hair growth but does nothing against the true cause of male pattern baldness.
Meaning: Someone who uses finasteride will have increased hair counts after a year and will maintain that. Someone who uses Minoxidil will have increased hair count after a year as he stimulated more hair in general. Hair loss will continue though, he just increased the baseline of the amount of hair he had. Meaning his hair count first goes up (as he started minox) and then goes down again over time (as hair loss progresses), after 2-5 years he will probably be at baseline again and then he will continue with his hair loss, just offset by a few years.
I'm just saying this because I made an informed decision and did a lot of research. As soon as you stop minox, your lose the hair you gained. Which is the same with finasteride, but just note that you'll have to apply some lotion once daily to your scalp for as long as you wish to keep your hair. Taking a pill to me seems easier.
Yes you got more possibility of side-effects with finasteride. But its also more future-proof. There are currently interesting new solutions researched (like CB 03 01) that may be released in the future. Like minox, you can apply it topically but they work by the same mechanism that fin works, wihout possible sides. Maybe in a shampoo, every second day when you shower and thats it. These new treatments use mostly the same mechanism (DHT inhibition or inhibition of inflammation) that fin uses meaning you can then change from fin to these new treatments. The question is can you switch minox for these new treatments or do you then need to take both? As both use different mechanisms, the minox-stimulated hair might vanish if you stop it even if you use a treatment that stops hair loss by other mechanisms.
If you truly suspect that your hair loss has stopped now, theres no reason to not do a hair transplant if you're scared of fin side effects apart from the money. I can only tell you what I think is useful, the choice is yours. I'd try to delve a bit into the research, to me research seems to be more reliable compared to anecdotal scare-stories in the internet. My plan is to stop fin as soon as a new treatment is available, I suspect this will be at least 2-5 years. I imagine that if I were to use minox instead, I can't ever stop minox, I'd need to take two different treatments then forever.
I was also scared about minox causing a lack of collagen. This seems to be one of the possible mechanisms, as this allows more nutrients to reach your hair follices. But may also increase wrinkles etc...
Don't make hasty decisions, take a few weeks and try to inform yourself.
Edited by Heyman, 22 December 2013 - 07:58 PM.