Yes sir,
That is MPB alright, and it looks quite familiar... That was me a year ago, more or less.
The question is does it bother you? You WILL look unmistakeably dudely if you let it go. Finasteride seems to work best on recent hair loss from what I've heard, and it (plus the rest of my HRT) really helped me to the point where I'm no longer researching hair transplants, extensions or rugs.
MPB really bothered me personally, but I'm MTF and it goes with the territory. Most of my cisguy friends are 30s-50s, and the ones who did lose hair mostly just shrug it off and laugh. I'm the only one I know who bothered to counter it (OK, what I did was atypical), and rocking a chrome dome is often considered a sign of confidence.
But yes, your options are plugs, rugs, drugs or just say, "to hell with it".