This is John Cole, MD respond:
James,
Sometimes these medications will in fact begin to become less effective over time. The fact that you've been using them does not affect your suitability as a transplant candidate. At 33, you're certainly old enough.
Often, what we're trying to find out in a very young patient with hair loss is whether they are going to be one of those unfortunates who, with meds or without, tend to progress very rapidly. You are evidently not one of those.
Also, we have to consider this: the efficacy of these meds varies widely from patient to patient as well as varying over time in the same patient. We cannot truly know if it is the meds alone that are maintaining the hair, or is it just that the condition of androgenetic alopecia is progressing fairly slowly in that particular individual, or some infinite number of combinations of both of these variables?
But know this: you are not too young to consider HT based on chronology alone. A face to face exam and/or pictures would supply more information.
What you see as significant hair loss may not in fact be that, or vice versa.
Regards,
John Cole, MD

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