Your wife/mother/friend might have noticed. Or your shower drains might have a bunch of stray hair all over.
That would certainly raise a certain level of alarm.
But let’s not fret yet.
Hair loss is a very sensitive and common issue, and male pattern baldness is the most frequent form of pattern hair loss. 
In fact, taking finasteride can temporarily increase your hair loss.
There’s a science behind it and we’ll explain it.
The finasteride is a drug that is both safe and well-tolerated and is used to prevent hair loss. Don’t kancheong.
Too much DHT equals hair loss
If you have male pattern baldness (androgenetic alopecia), it’s likely caused by the hormone dihydrotestosterone (DHT).
So if you have too much DHT, you will experience hair thinning.
Finasteride works by lowering DHT levels in the body and allowing hair to regenerate.
To understand how finasteride works as a hair loss treatment, it’s necessary to first know about the mechanism of action of the DHT and its involvement in male pattern baldness.
DHT is an androgen, male sex hormone. It is important for the development of male genitals, facial and body hair.
DHT no longer plays a significant impact on one’s physiology after puberty. However, if someone is genetically susceptible to male pattern baldness or hereditary hair loss, DHT binds to receptors in the scalp and causes shrinkage of hair follicles by a process called miniaturization.
Finasteride protects hair follicles from DHT-related damage and treats male pattern hair loss. It actually prevents testosterone from being converted to dihydrotestosterone (DHT) by inhibiting the enzyme, type II 5-alpha-reductase, responsible for this conversion. 
So why am I losing hair on finasteride?
This is quite strange for a medication used for hair loss treatment. Now the question arises how does finasteride make hair shedding worse?
The truth is that experts are not sure about why finasteride causes initial hair shedding.
One theory posits that this is related to the growth cycle of hair.
Every hair in our body passes through a phasic growth cycle involving growth, regression, rest and shedding.
During a phase of this growth cycle, called the “anagen phase,” hair grows to almost its full length before resting stage and falling down. 
With the passage of time, finasteride is much effective for hair loss treatment. A 10-year study has proved that more than 99% of men using finasteride suffer no more hair loss over time. However, its results are not immediate.
The anagen phase for scalp hair is much longer and lasts for several years, while it is shorter for body hair.
That’s why our body hair can’t grow beyond a certain length and is much shorter than the hair on the face and scalp.
When DHT binds and starts to damage a certain hair follicle, it actually shortens the anagen phase that restricts new hair from growing out of the scalp.
After starting the usage of finasteride, the DHT level in our body drops by almost 70% or more. Finasteride also promotes the hair follicles to enter into the anagen phase of a new growth cycle.
Due to this decrease in DHT levels and increase in hair growth, the hair follicles that were going through regression can become active again.
This can lead to temporary hair loss as a few hair follicles start shedding old hair to replace them with newer ones.
Minoxidil can aggravate the situation
This finasteride shedding can be severe for someone if minoxidil, a topical medication for hair regrowth, is also applied to the scalp.
It almost seems like double-edged adverse reactions, but read on and learn about what is happening…
Minoxidil acts by making more and more hair follicles enter into the anagen phase of the cycle, so this is also known for causing hair shedding temporarily during the first few weeks of use. Combine the use of finasteride and minoxidil is also effective in the long term.
If one experiences more hair loss after starting the use of finasteride either alone or with minoxidil, it is necessary to complete the course.
If you keep using finasteride as it is prescribed, it does work. The hair shedding one faces through during the first few weeks or months of starting this medication is a temporary issue. After three to four months, real improvement starts. 
How is finasteride taken?
Oral finasteride is taken as a finasteride tablet.
It’s sometimes known as Propecia 1mg. Finasteride is just the generic version.
Finasteride 1mg has the same effectiveness and safety profile as Propecia 1mg.
All medication has to pass through the Health Science Authority’s (HSA) stringent tests before they can go into the Singapore medicine market. This process can take up to two years.
You might find another 5mg variant of the finasteride tablet.
A stronger dose does not mean that it will provide better efficacy.
Clinical studies have proven that not only does finasteride 5mg not improve a man’s hair density, it can also lead to further sexual dysfunction.
A study showed that 8 – 16 % of men taking finasteride 5mg experienced side effects.
But less than 2% experienced reduced libido and erectile dysfunction on finasteride 1mg.
OK, how long must I wait?
While you might still be experiencing further hair loss now, know that in time you will likely see improvements.
The timelines for a visible change range from as early as three months.
But you must take the pill every day. That will consistently reduce DHT and ensure that your new hair has the environment it needs to regenerate.
In fact, studies have shown positive results of 86% over one year and 65% over five years.
Can I take more finasteride to speed it up?
More finasteride circulating in your body does not mean you will see results faster.
At its worst, you might experience more side effects.
Keeping the habit will lead to the best outcomes
A patient taking finasteride’s biggest challenge is keeping the habit.
To take a tablet every day and only to see results three months later can be rather tiring.
We are used to getting everything almost instantly, but when it comes to growing new hair, it takes a while because the body has to go through a regeneration process.
Think of it as your body having to get rid of old habits.
If you have had a habit that you had such a difficult time getting rid of, you’ll know.
But just as your body has to get rid of old habits, you will have to develop this new habit of taking finasteride regularly.
What we have found to be effective is by pairing it with a morning routine. Take one immediately after breakfast or after brushing your teeth.
Keep some in your bag in case you forget. Put a reminder on your phone that alerts you every day.
Finasteride has been proven to work. It just takes time and we’re here to help.
Can finasteride make hair loss worse?
Yes, but only temporarily. The results of taking finasteride is not immediate but studies have shown positive results over a one, five and 10 year period. 85% reported positive results after one year and then 65% at five years. A 10-year study has shown that almost all men using finasteride do not suffer from hair loss over time.
Does finasteride stop hair loss immediately?
It takes at least three months to see results, and that can vary. At the heart of it, finasteride is trying to change your body’s habits and just like real human habits, it takes a lot of time and effort.
 N. Banka, M. J. K. Bunagan, and J. Shapiro, “Pattern Hair Loss in Men: Diagnosis and Medical Treatment,” Dermatol. Clin., vol. 31, no. 1, pp. 129–140, Jan. 2013, doi: 10.1016/J.DET.2012.08.003.
 J. F. Libecco and W. F. Bergfeld, “Finasteride in the treatment of alopecia,” http://dx.doi.org/10.1517/146565220.127.116.113, vol. 5, no. 4, pp. 933–940, Apr. 2005, doi: 10.1517/14656518.104.22.1683.
 D. M. Ansell, J. E. Kloepper, H. A. Thomason, R. Paus, and M. J. Hardman, “Exploring the ‘Hair Growth–Wound Healing Connection’: Anagen Phase Promotes Wound Re-Epithelialization,” J. Invest. Dermatol., vol. 131, no. 2, pp. 518–528, Feb. 2011, doi: 10.1038/JID.2010.291.
 R. Hu et al., “Combined treatment with oral finasteride and topical minoxidil in male androgenetic alopecia: a randomized and comparative study in Chinese patients,” Dermatol. Ther., vol. 28, no. 5, pp. 303–308, Sep. 2015, doi: 10.1111/DTH.12246.
 A. K. Gupta, M. Venkataraman, M. Talukder, and M. A. Bamimore, “Finasteride for hair loss: a review,” https://doi.org/10.1080/09546634.2021.1959506, pp. 1–9, Aug. 2021, doi: 10.1080/09546634.2021.1959506.
A tablet a day keeps the baldness at bay.
Consistent daily usage is key to help you slow down your hair loss.
You may not be able to see any visible changes within the first 1-2 months of usage. Some people may shed more fine hairs than usual. This is completely temporary and normal.
Your hair loss may have slowed or stopped. Take a photo every month to track your progress. Stay the course!
Months 7 and beyond
Hair loss might have considerably slowed down or stopped. Some people might even see signs of regrowth. Don’t stop now, keep going!
We were meant to be bold, not bald
With Sire, you can say goodbye to expensive consultation fees, and ridiculous mark-ups on medications. Style shouldn’t cost more than your daily cup of coffee.