Finasteride (propecia) blocks the conversion of testosterone to DHT. It is the DHT that attacts the scalp and causes hair follicles in MPB prone people to stop growing hairs. Taking finasteride is meant to prevent further hairloss, and in cases where you catch it quick enough, can reverse some hairloss. However, it is important to note that this will only work whilst you are using finasteride, once you come off, any hairloss that you prevented will begin to occur.
Taking finasteride whilst on any steroids other than Testosterone will have no effect. Finasteride and Dutasteride only work with testosterone, and in fact, if taken with Deca will cause more hair loss than not taking it.
Typically, everybody with hair, prone or not to hairloss, will lose around 100 hairs a day. This is because of the growth cycle which goes through three stages.
Stage 1: The growth stage. At this time, the stem cells within the follicle replicate and grow new hairs. This lasts for 6 years on average, and it is this length of time that dictates the maximum length your hair will ever grow to. Trimming hair does not cause it to grow any quicker or thicker, that is a myth.
Stage 2: This is the transition stage and it is essentially when the hair follicle stops the growth of the hair. This stage lasts around 14 days.
Stage 3: The resting phase. The hair follicle does not produce any new hair cells in this stage and so the hair, that is now cut off from the blood supply will die. The sheaf around the hair, and within the follicle, will gradually shrink in size, and clump as a white crusty mass around the base of the hair. The hair will eventually fall out. The resting phase lasts for around 3 months.
After stage 3 is over, the hair follicle begins growing hair again. However, in people prone to male patter baldness (MPB), the cycle can be interupted, and the growth phase ended early. This is when the follicle is attacked by DHT and the follicle goes into stage 2 early. After stage 3 when the hair has fallen out, if the DHT has done sufficient damage, the hair follicle will no longer return to stage 1 and so no hair grows in this follicle from now on. If DHT has not done enough damage, a vellous hair may grow. A vellous hair is a tiny thin almost colourless hair. Taking propecia can cause vellous hairs to increase in thickness and colour and become non-vellous and so return to a normal growth cycle.
One thing worth noting is that hormone fluctuations can cause hair loss just as much as steroids. Taking propecia is a commitment you have to stick to for a long period of time as stopping and starting it can be worse on the hair than never taking it. That being said, most hormonal induced hairloss (other than DHT or androgenic derived - steroids being androgenic) is not permenant. It is known as stress induced alopecia though despite its name, is not just caused by stress, but many factors such as hormones, chemicals, stress, illness, infection etc... Some people when on a cycle may notice some hairloss within the first few weeks, this almost always stress induced alopecia caused by the hormone fluctuations and is usually not permenant. Permenant hairloss takes around 3 months before the hair actually falls out due to the length of time stage 2 and 3 of the growth cycle require.
Besides propecia, there are a few other products you can try. Minoxidil, Spironolactone (topical is usually recommended over tablets), azelic acid flakes, nourkrin (nutritional supplement) and dutasteride to name a few.
Finasteride and Dutasteride are similar in effect, though fina only prevent conversion through one of the receptors and not both like dutasteride. However, dutasteride is known to cause severe side effects in some people and is not usually recommended.
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so there aren't sexual sides... Dutasteride might be the best thing then. I will keep the fina for backup and do the duta for the time being to try to save myself. I might still get the surgery anyway because I am that much of a perfectionist and in denial of looking old when I feel so damn young I am going to go nuts itf it isn't fixed or in the process of being fixed. I'm not the type of person that can sit back and let things get out of hand.
