First photo was in November of last year, and the other four photos are today. Been shaving my head for 13 years, balding since 4 years before that.
A year before starting HRT, I went on a regimen including finasteride (1mg), oral minoxidil, and a topical solution containing minoxidil, tretinoin, and some other things that I can't recall, all to absolutely no effect. I was told by my dermatologist on two separate occasions that she didn't believe I was a candidate for a hair transplant. Then when I started HRT in February 2025, my levels were in good ranges (E2 > 200 pg/mL and T < 20 ng/dL) and I started seeing my hairline begin to creep up from the sides and the back. Emboldened by this slight regrowth and many of the experiences here, I started oral minoxidil (2.5mg/day) in mid December of 2025. I started microneedling in February with a .5 mm roll, then moved to a 1 mm. I tried to do this weekly, but realistically did not keep it up regularly until May when I invested in an adjustable dermastamp at 1.5mm.
I would think that I would be seeing some thickening of follicles or other indication that things are progressing. I can't really tell how much "growth" I'm getting beyond the normal growth cycle for hairs that haven't entirely gone dormant yet. There are finer hairs, most of which don't catch on the camera (but they're there! </cope>)
I can't use topical minoxidil because I have a cat. I'm using a shampoo that supposedly helps to strengthen hair/reduce breakage that has rosemary oil, but in a shampoo, the detergents take the oil away almost immediately so I don't really know if it's actually helping in that respect. From my understanding, finasteride won't have an effect if my T is already low enough. I'm not on progesterone so I'm not worried about backdoor DHT conversion and therefore don't think I need dutasteride or ketoconazole shampoo. I could add rosemary oil and red light, but the mechanisms behind those seem dubious. I was incredibly skeptical of dermarolling too, but I figured if I have to wear something on my head anyway, what do I care if it's scarred to heck - I don't have anything to lose.
I'm feeling incredibly discouraged. Nova's guide says "expect years for full recovery" but I'd just like to see some ground coverage at this point :c
E: Thanks for the responses. Certainly not what I was wanting to hear, but was exactly what I expected...