Month: July 2008

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I Stopped Propecia and Now I See Sperm in My Urine!!! – Hair Loss Information – Balding Blog

Sex: Male
Age : 25

I have been using Finasteride for the past 7 months. I have seen some improvement in hair regrowth during the coarse of the treatment. I stopped it suddenly 2 months back. As soon as i stopped sperm got released in my urine and with out my control it was leaking so many times. but after some 20 days this problem goes off. now no issues. Since i stopped the treatment hair started falling again. Is it advisable to go for the treatment again?

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This is the first such observation in my advanced medical history. Perhaps stopping Propecia made your eyesight so fine-tuned that you’re now able to see sperm with the naked eye? I’m kidding — that isn’t possible. If you’re seeing a weird discharge in your urine, you should see a urologist. I couldn’t advise you whether to stop or start the medication, particularly since it sounds like you have other medical conditions that need to be looked at first and foremost.

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Should I Stop Propecia After 6 Years? I Never Saw Any Regrowth – Hair Loss Information – Balding Blog

I have been taking Propecia for 6.5 years. I was wondering should I continue. Will the effects fade after 6 years? Will my body get ammune to it. It basically stopped my hair loss, I got no gains.I don’t know if it actually works on me or my hair just reached a point and stopped or slowed loss. I am 46.

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If you stop taking the medication, you will lose any benefits you’ve had. If you haven’t seen gains in hair, that doesn’t mean the drug hasn’t worked — it could’ve retained hair or slowed the process down for you (as you noticed). Stopping the Propecia will result in “catch-up” hair loss, where your hair will fall out at an accelerated pace to get to the point that you would’ve been at had you never taken the drug at all.

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Can Propecia Keep Miniaturizing Hairs at the Temples from Falling Out? – Balding Blog

My temples receded from my highest wrinkle brow to 1.75 inches. You said a mature hairline temples are up to 1.5 inches away from that wrinkle. So I’m slightly more which is fine by me. But around those corners there is a piece of short hairs, they seem to have the same thickness as a lot of my front hairs but they look like they will fall of since I assume they are miniaturized. After that my temples will be about 2-2.2 inches receded which will be too much. I just began Propecia and am almost 22 years old, can Propecia stop those hairs from falling out and even help them grow normal again? But I’m also taking Propecia because I have frontal and mid anterior probs as well but early stage.

Propecia will slow or stop the hair loss in most men of your age. Consider sending me photos (will be kept private) and I will give you an opinion, but you should consider getting your hair mapped out for miniaturization to determine if these hairs at that exact location are really miniaturizing.




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Balding Forum - Hair Loss Discussion

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Hair Loss InformationIf I’m Class 3V Now, Will It Stabilize and Then Progress More? How Does it Work? – Hair Loss Information – Balding Blog

I really have to give a shout out to the balding blog: YOU GUYS ROCK!!

Ok, i was wondering if you can explain (in a nutshell) how the balding progression works. Specifically of interest to me is how I, currently diagnosed as a 3V pattern can seem to be moving towards a 4 pattern, while. I know it sounds kind of silly, but i don’t understand how i can go from thinning in the crown to stabilization and now thinning on top. What do i have to look forward to? 5 pattern? 6? Please help me understand

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I really cannot answer your specific problem, because I have not examined you or diagnosed you. In general, if you have the genes for balding, you will bald in a certain pattern as depicted in the Norwood chart (as follows):

Norwood scale

You may look like a class 3V, but depending on your age, miniaturization pattern of the hairs on your scalp, and even family history, you may eventually progress to a class 4 or a 5, etc. Some men will stop with a 3V pattern while others progress to a 4 or 5 pattern. There is really no way to generalize and doctors are not fortune tellers to give you a prediction of what you will look like in many years to come. Drugs like Propecia (finasteride 1mg) can and usually will slow down this progression. Nevertheless, with a good examination and follow up you can generally get an idea of what your hair loss pattern resembles and by mapping out your hair for miniaturization you can follow the progression before it become apparent with the naked eye.

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Topical Steroids and Hair Loss – Hair Loss Information – Balding Blog

Dr. Rassman,
Thank you for writing this blog. It’s very informative. Also, nice job on TLC.

Anyway, my question deals with Topical Steroids, Topical Antibotics, Rogaine and hairloss. I’m 32yrs old and have been using Propecia (7.5yrs) Rogaine(4yrs) and have maintained my hair pretty well until recently. Over the years I’ve also had a red inflammed scalp with what looked like bumps or pimples, and itch. I went to hair specialist/ dermatologist in my area and they gave me lidex and diagnosed it as Seb Derm, that was about 3 years ago. The steriod took some of the itch away but my scalp was still red and bumpy. This past April it seemed to get worse after a trip to Cancun so I began using the Lidex everyday approximately 2-3 times a day and made an appointment with another Derm.

The New Derm diagnosed it as folliculitus and gave me a prescripton for EvoClin. So far I’ve been using that for about a month, 2 times a day along with my Rogaine. The New Derm said to stop the steriod. The Evoclin has stopped the itch but a few bumps and mainly the redness remain.

My question is I feel that my hair has thinned dramatically from Mid April til now. That was around the time I increase the use of the steriod. If the overuse of the steriod caused my hair to fallout will it grow back? It’s one thing to be balding but the way my scalp looks I can’t even buzz my head because my red scalp will show. Will the redness ever disappear?

Thanks for the time and keep up the good work.

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With respect to your scalp condition, it seems you’re on the right track with your dermatologist. Establish a good communication line with your doctor and discuss your concerns with him/her. I really cannot comment on your state of hair loss.

If you are using Rogaine (minoxidil), I am assuming it is because you are thinning or balding. Instead of focusing on the details of what you are doing with steroids, try to get the big picture: The most common cause of thinning or balding is genetic androgenic alopecia (male pattern balding). While steroids may (or may not) contribute to some degree, I doubt it is the main reason for your hair loss but it is clearly possible. With the steroids not chronically used, the offending element from it should be obviated.

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Is Minoxidil Shedding Age-Dependent? – Hair Loss Information – Balding Blog

Dear Doctor,

I am 19 years old and my hairline has receded a bit at the front and a bit more at the temples starting about a year ago. I am considering using rogaine to halt the loss but I read on the website that it could cause a significant increase in hair loss during the first stage of use. my questions are:

  1. is it safe to assume that because I am relatively young, my hair wont fall out as much during this stage?
  2. I read that rogaine does not work for everyone. If I experience the initial excessive hair loss, then stop using rogaine, will most of that hair grow back?

In addition, I would be more than happy to have your opinion on what path of treatment I should take

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Shedding from minoxidil use does not occur for everyone and should be temporary, and there is no connection between this shedding and your age. See Hair Loss Worse After Rogaine for more.

You’re focused on Rogaine (minoxidil) and at 19 years old, your hair loss most certainly will be genetic. Propecia (finasteride) is the best choice for genetic hair loss in a 19 year old, without a doubt. Get your hair mapped out for miniaturization, have your doctor make a diagnosis, and then get him/her to think through a Master Plan with finasteride (Propecia) in it.

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Propecia and Tinnitus – Hair Loss Information – Balding Blog

Hi Dr. Rassman,

i am following up on a previous message i sent. I am wondering if you know of anyone who after taking propecia(finasteride) found the following symtoms- tinnitus with an overall feeling of pressure in the head. I only took the drug for two weeks and then stopped after these symtoms appeared. I am still suffering with this six months later. I had these same symtoms five years ago, (but was not taking propecia at the time) which lasted for one year and am wondering if the propecia could have triggered this again as it is used as a blocker, or might it just be a coincidence.

Hope you can answer this for me, thanks!

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I do not know what may be the cause of your problem. While many drugs can cause tinnitus, it is relatively rare. More importantly, tinnitus can potentially be a sign of serious medical problems and suggests to me that you have some medical issue which needs to be addressed by an expert in middle ear problems. I personally have not seen any patients in the last 10 years with tinnitus as a side effect of Propecia. I’ve been asked about this once before, a couple of years ago — Propecia Causing Tinnitus?

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8 Year Old with ADHD and Hair Loss – Hair Loss Information – Balding Blog

My question is I have an 8 yr daughter she has ADHD and has hair loss she right will be almost bald, then that will grow back and her left side will fall out. Could this be caused but her anger? or ADHD. or the medication she is on? Her dr. has tried different medications to see if it is the medication. She is a little girl who wants to have ponytails so bad.

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Hair loss that comes and goes may be related to pulling out of the hair (most common cause in young children). Also included in the differential diagnosis would be chronic telogen effluvium, ringworm, and medications (it is a rare possible side effect of Ritalin, for example). This is not meant to be an inclusive listing. She clearly needs to see a specialist.

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I Overplucked My Eyebrows and Had Them Tattooed Back On, But Want a More Natural Look – Hair Loss Information – Balding Blog

I overplucked, then had to have them tattooed because they wouldn’t grow back. With the tattoing, of course, they didn’t regrow either. It’s been years and I would like a natural looking eyebrow, one that doesn’t fade and frames my face. What would you recommend?

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Hair transplants into the eyebrows is the answer and it works wonderfully. Here’s an example of a female patient that had eyebrow restoration — Patient BG. For more info about eyebrow transplants, here’s an article from a few months back that I was quoted in — Women who pluck too much turn to eyebrow transplants.

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Taking Propecia a Few Weeks Before Surgery to Prevent Shock Loss – Hair Loss Information – Balding Blog

I have FUT surgery scheduled in late late July. I started taking propecia early July..so would have started about 3 weeks before surgery. Is this long enough before to help reduce chances of shock loss?

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The longer the better, but 3-4 weeks should cover you. Stay on the medications until all of the results are achieved and then consider staying on the drug for life. Talk with your doctor about this.