Does Propecia Slowly Lose Effectiveness Over Years?

Dear Dr.Rassman,

Im trying to decide if I’m going to start taking propecia or not. On many places, including this blog, I have found similiar questions – is the positive effects of propecia time limited?

I think most people understands that this is very individual, however, if this product slowly losing it’s positive effects (4-6 years), why use it in the first place?

It feels like you are buying a couple of years of halted hairloss just to, 5 years later, wake up and face the reality – again.

Please advice, Im 24 years young with a Norwood II, I think it’s a good time to start fighting hairloss now but Im not to sure if I want to use propecia yet!

I am sure that Propecia keeps it effectiveness over many, many years. The issue is one of your progressive hair loss that comes with the genetic male hair loss process. The thing that we do not know is whether the loss stabilizes at a final pattern that will be better than had you never taken the drug. I suspect that the answer is that prolonging the hair loss process over many, many years buys you time and in this time frame, it is possible that better and more effective long term approaches to hair loss will materialize. Take the drug rather than lose the hair, and then when the new treatments become available (it is inevitable) you can move to the next generations of solutions for hair loss, whatever it be.