Dr. Rassman,
Why do some say that Finasteride does not work in the frontal area/hairline? If the drug simply prohibits DHT conversion, why would it discriminate against frontal hairs?
I believe your stance on the issue is that Finasteride does halt hair loss in the frontal area in some cases, but I’d like some clarification on the issue, as I’m sure most of the younger users of Finasteride are mostly concerned with halting early temple/hairline recession. Thank you.
No one knows. This is an observation that we have seen clinically. Its just the way things are! It may point to the fact that DHT is not the only culprit in male pattern baldness. Generally, frontal hair loss in men occurs faster than crown hair loss, so it might be that DHT blocking works earlier in the miniaturization process and many times when the patient gets to the doctor, the frontal balding is further into its progressive path. It also points out that blocking DHT may not be a cure for hair loss. There is no cure for hair loss yet.