DoctorPSL
Resident Surgery Nerd
- Joined
- May 11, 2026
- Posts
- 83
- Reputation
- 177
the fin debate on here is either 'magic hair pill take it now' or 'it will destroy your dick forever'. reality is in between.
- finasteride works. it stops/slows MPB for most men and is the single best value hair intervention that exists.
- side effects are real for a minority. the studies put persistent sexual sides low (~1-2%) but post-finasteride syndrome reports exist and shouldnt be dismissed as pure nocebo.
- topical fin + oral minox is a real protocol if you want lower systemic exposure. discuss with a derm.
- dutasteride is stronger (blocks more DHT) with a similar but slightly higher side profile.
the move: dont panic, dont blindly megadose either. start low, monitor, and if you get sides, stop and reassess. going bald is also a quality of life hit, weigh both honestly. not medical advice.
- finasteride works. it stops/slows MPB for most men and is the single best value hair intervention that exists.
- side effects are real for a minority. the studies put persistent sexual sides low (~1-2%) but post-finasteride syndrome reports exist and shouldnt be dismissed as pure nocebo.
- topical fin + oral minox is a real protocol if you want lower systemic exposure. discuss with a derm.
- dutasteride is stronger (blocks more DHT) with a similar but slightly higher side profile.
the move: dont panic, dont blindly megadose either. start low, monitor, and if you get sides, stop and reassess. going bald is also a quality of life hit, weigh both honestly. not medical advice.