Do I need to speak to a doctor before starting Finasteride? (Photo)

Based on your description Finasteride would probably be a helpful adjunct for preserving your hair.I would recommend consulting with a physician to discuss the risks and benefits of Finasteride.

Yes, you need to see a doctor before starting medications such as Propecia (finasteride) since it is a drug that needs a prescription from a doctor.   More importantly, you need a diagnosis before starting a treatment. 

You may have Post-finasteride syndrome, occurs in men who’ve taken finasteride to treat hair loss by a chance of %4-5. That may causes some symptoms include: loss of libido, erectile dysfunction, depression, suicidal ideation, anxiety, panic attacks, Peyronie’s disease, penile shrinkage, gynecomastia, muscle atrophy, cognitive impairment, insomnia, severely dry skin and tinnitus. The condition often has a life-altering impact on victims and their families, such as job loss and the breakup of marriages and romantic relationships..

Yes, you must speak to a Doctor as this medication is (in the UK) a Prescription Only Medication that should only be taken after a detailed consultation to assess not only your Hair Loss but your medical health and ensure your aware of all and any side effects from taking this medication. This is not something that you should simply take without professional guidance from a specialist in medicine/hair restoration so any Hair Transplant Surgeon you can see face to face would be a good place to start.

Finasteride in USA requires a prescription, so you should see a physician for a correct diagnosis and review of whether or not you are a candidate for medical treatment. As far as PRP goes, the jury is still out, however at this time the evidence does not show that PRP is advantageous for hair restoration.

Finasteride is a good first step in a 24 year old male. You must find a doctor who will make the diagnosis and prescribe this drug for you