you likely neeed transplant but should start everything now! including prp/acell in the office, at home vitamins and growth factors (see my daily protocol at emeragecosmetics.com link), and at home light cap. I suggest a formal consultation as there are a combination of treatments that can be done to improve har loss. Oral finesteride has very little to no side effects in the majority of people; PRP/platelet-rich plasma + stem cells like A Cell help regrow hair and slow down the thinning process; rogaine and restorsea spray should be used daily; oral viviscal helps keep nutrients high in the follices as well. Transplantation is a last resort but works early in the aging process as well. A formal consultation and combination treatment is needed. Best, Dr. Emer.