I Was Unaware of the Maturing Hairline Process

Hello Doctor,

I’m 24 (male) and noticed my hair thinning around my temples and a bit in the very front less than a year ago. At first, I wasn’t accustomed to the new hairline and worried that I was beginning MPB. I was unaware of the “maturing hairline” between ages 19 and 29 and feel better knowing this. However, I recently noticed what seems to be minaturization in the front of my scalp. My hairline is still defined, but the hair in the front seems finer and a bit more separated (to me). I notice about 15-20 hairs coming out after washing and more coming out throughout the day. Could this be just a cycle, part of the maturing process, or the beginning of Type IIA. Also, I just began Rogaine Foam as a preventative measure and heard shampoo containing Panthenol without sodium laureth sulfate is good. Would Propecia be good to take or am I overreacting? Your thoughts?

Generally, I like to get a map of your scalp hair to examine for miniaturization and only prescribe Propecia (finasteride 1mg) if there is miniaturization present (meaning, if genetic balding is present). If there is no genetic balding, then there is no point to the use of Propecia. I am not certain if Propecia stops the maturing hairline from happening, but it probably slows that process as well.