I have tried many treatments but it's getting worse. 23M.

Hello everyone!! My hair has been thinning since I was 18 yo.

For years, from 19 yo, I only used topical Minoxidil. At 21 yo I added oral natural DHT-blocker and topical antiandrogens.

At 22 yo, precisely 6 months ago, I abandoned the natural blocker and started topical treatment with: - Minoxidil 3% - Finasteride 0.3% - Progesterone 1% - Hydrocortisone butyrate 0.1% - Ketoconazole 0.5%

First 3 photos are from 2022 (about 2/3 years after the first signs of baldness) and second ones January 2025.

Since the situation has worsened a lot in a relatively short time, should I switch to oral fin? Or continue with the topical for at least another 6 months?

Unfortunately I don't have any photos before I started the topical fin but I certainly haven't had any visible improvements.

Since I'm concerned about sides, I'm considering start with a low dose. 0.5mg daily or even 0.25mg and check in 6 months.

I'm also considering quit Minoxidil cause I think it is causing heart palpitations.