It is completely normal and actually very common to experience increased hair shedding during the first two to three months of starting finasteride. This shedding is often a sign that the medication is working. It happens because finasteride encourages resting hair follicles to enter a new growth phase, pushing out old, thin hairs to make room for healthier, thicker ones. This shed is temporary, and if you continue your daily treatment, you should see these hairs regrow stronger over the coming months.

Since you haven't seen progress after twelve months, it is best to consult your dermatologist. They can re-evaluate your scalp, check for underlying factors like nutrient deficiencies or hormonal shifts, and discuss alternative options tailored for you.

When starting Mintop 5% (minoxidil) and Finax (finasteride), temporary shedding is actually common as new hair growth pushes out older strands; this usually improves within a few months. Regarding your second concern, yes, finasteride can occasionally cause temporary erection difficulties in a small percentage of men. These side effects are typically reversible once the medication is stopped, and often resolve even with continued use. Please don't worry, but do discuss these symptoms with your prescribing doctor so they can monitor your progress and ensure you feel comfortable with your treatment plan.

Finax usually takes at least 3 to 6 months before you see noticeable hair growth, and the maximum effect is often seen after 12 months of consistent daily use. So, continuing it for 4 months is fine, but do not expect full results yet. Take it every day as prescribed, and consult your dermatologist for regular monitoring and guidance on ongoing treatment.

This lump could indeed be a small hemorrhoid (pile). It is highly unlikely to be directly caused by your hair loss medications, finasteride (Finax) or minoxidil. However, if other pills from your dermatologist caused constipation, the resulting strain might contribute to it. Many mild hemorrhoids heal on their own with a fiber-rich diet, plenty of fluids, and warm baths. Still, it is always safest to have a doctor examine it to confirm exactly what it is and ensure you get the right care.

Since minoxidil and finasteride aren't yielding the desired results, the next best step is to consult a dermatologist. They can evaluate your scalp and discuss advanced options. These may include switching to oral dutasteride, which can sometimes be more effective, or incorporating therapies like platelet-rich plasma (PRP) injections and low-level laser therapy. It's also wise to check for underlying factors like vitamin deficiencies or thyroid issues.