Month: January 2023

How is the donor area approached and managed for a hair transplant based on the balding pattern? What I mean is the donor area for a Norwood 4 is going to be larger than for a person with a Norwood 7 whose crown dips down and cuts into much of the donor area.

A good doctor will plan for the unexpected balding pattern that might sneak up on his patient. That means that the Personalized Master Plan that I write so much about expects a Class 7 pattern of balding on each and every one of his patients. This is what separates the great doctors from the poor ones.

Doctor Rassman I have a question. I apologize before hand if the question is inappropriate, but a lot of people online say sexual activity, and masturbation causes hairloss in those with the genes with hairloss. Im not sure if this is true, but I have read masturbation increases prolactin levels and prolactin tends to increase DHT. I know sex and masturbation doesn’t cause hairloss by itself or else every male out there would be bald, but can it cause the hairloss to speed up in those with the Genes for hairloss? I would really appreciate your input on the matter. I might be wrong.

I rephrased your question in the title of this post. With regard to any association between Masturbation and hair loss, which men would want to give up their sex lives to slow down a hair loss process that is going to happen anyway? We have talked in previous posts that the genetically impacted hairs for hair loss, just die out (apoptosis) when their time comes. It is clearly associated with age, modified by the drug finasteride. I can’t say one way or the other that sex (which ever way you have it), will increase the speed of the hair loss, as I believe that is the crux of your question.

You need want to stop masturbating and see if this helps with the hair. Let us know how that goes, or you can search your topic from our previous posts

I already read expert advice that there is no direct connection between masturbation and hair loss. But I want to know if there is any chance that masturbation or excess masturbation converts testosterone in to DHT (dihydrotestosterone) that can cause hair loss in the male body.

You got it backwards. Testosterone is converted to DHT. If you have more testosterone, then you have more DHT and this combination increases the sex drive in males. If you have the genes for balding, the DHT also precipitates the genetic balding process.

See my video on this topic below

i had a fue some week ago, and i masturbated already the day of my fue (4-5 hours after hairtransplant).No sex and no strange masturbation, only normal masturbation , many times. The same the day 2-3-4….Now, i read there isn’t a univocal opinion about masturbation after hairtranplant for the blood pressure. But can really a simple masturbation raises blood pressure enough to be dangerous for the grafts? isn’t unrealistic?why do some doctors say that? I still haven’t understood your opinion on this topic, because i read that sometimes you told that masturbation is safe also immediately after HT, sometimes i read you told it is safe after 1-2 days after ht and ,then, i didn’t understand what you mean when you tell ” masturbation is safe within a day of having fue”.Within a day means “after 24 hours” or ” immediately after hairtransplant”? So i ask : normal masturbation few hours later hairtransplant is safe or not? I didn’t bleed from my head.Thak you and i’m sorry to bother you.

Masturbation or sex after a hair transplant is fine. We all have our needs and they must be met. You will not damage the grafts.

Okay, so I am sure all of us have heard this theory before: “Masturbation contributes to hair loss”. I have done a significant amount of reading on this and to be honest, it is hard to know for sure. Different sources are saying different things. Some say that masturbation/sex accelerates male pattern baldness and others say it does not play a role at all. Putting aside everything I have read elsewhere and looking at my own experience with hair loss, I struggle to accept that masturbation has been a causative factor. I am 24 now and only began experiencing hair loss last year. So from the ages of 15-22, I was masturbating A LOT and didn’t experience any hair loss at all. So how could masturbation be a causative factor? I am curious to hear other peoples thoughts.

Your genes almost certainly kicked in causing your hair loss. Your years of masturbating have nothing to do with building up of stress, if anything it reduced your stress. You are, most likely, just developing a genetic balding process.

Im 20 years old and I am noticing my hair thinning on both the front left and front right sides of my head. Receding hair does exist in my family, however, for a while I had been excessively masturbating. This may have also been a cause, so Ive heard. What do you think? Is it possible for my hair to grow back thicker? And what would be the best thing for me to do?

Thinning hair does come from family genetics and I gather from your question that you have the genetics in your family history, which may point to the most probable cause of your hair loss. Genetic hair loss is caused by the interaction between your genes, your testosterone (and DHT levels), time, and stress. The young man has a great deal of circulating testosterone (which creates DHT, which causes hair loss and thinning on the negative side and hair growth in beard, chest hair, and hair almost everywhere else on the body, except the scalp). Because testosterone levels are high, the sex drive in young men is also very high. Frequent erections (in some teenage boys as many as 20 times per hour in some situations) produce a desire to masturbate (when the opportunity is right) to relieve the sexual drive. High testosterone levels and the desire to masturbate are a perfectly normal response to both your erections and the hormone levels driving them. As a culture, we hide our masturbating with some shame but the process is a normal process.

Your frequency of masturbation will not impact your hair loss; only things like genetics, hormones and hormone blocking agents like Propecia will impact your hair loss/thinning. You should have your scalp evaluated for miniaturization and balding patterns. If you do have genetic hair loss, you should get on the appropriate treatment (like Propecia), for if you do not treat it, the family pattern may prevail. It is said that men who are bald, are more sexually active than hairy men. I do not know if this is correct or not or if that means that bald men try harder. There are better statistics for hair loss than the masturbating habits of young, balding men. I would suggest that you masturbate all you want, just focus upon getting your hair diagnosis and treatment going in the right direction by taking action, rather than ignoring the proper approach to your problem. Keep hair loss and your penis agenda separate and give both, the attention they need. If you are able to come to Los Angeles, visit me and I would be happy to evaluate your hair loss and recommend the appropriate treatment for you.

Once and for all, in regards to thousands of emails i imagine you get, i have a question for you. I can see there is a miscommunication with the emails you receive regarding matsurbation and hairloss. The way people are wording the emails they send you such as ‘does masturbation cause hairloss’ isn’t what i think their trying to convey. My question is as follows:

I UNDERSTAND that masturbation doesn’t CAUSE MPB/hairloss/genetic hairloss, however for the people who are loosing there hair due to MPB can masturbation exacerbate their hair loss (make it worse). Put simply, the only cure for MPB would be castration (removing the testicles). To gain an erection and to ejaculate you need your testicles, so they can perform their functions to enable erections. So logically, if your stimulating your testicles to perform its functions such as:

-producing sperm (spermatozoa)
-producing male sex hormones of which testosterone is the best- known

your increasing testosterone inturn DHT and other androgens. So if castration is a cure for MPB they only thing you can do is try and replicate what casturation does (it stops you from being able to ejaculate) SO in conclusion try to limit sexual activity (which will reduce androgen activity and you can help to reduce its effect towards MPB

thank you for your continued replies NHI. great work!!

If you are asking about what happens after one loses his testicles from castration, well, there will be no desire or ability to masturbate unless you take exogenous testosterone. I do not have experience with removing the testicles on anyone, so the subtleties of what you are asking are not my cup of tea. If you really want to know the answers to those questions, ask doctors who do sex change operations (male to female). They would know by experience, as sometimes they remove the testicles before they remove the penis.

If you are asking if a balding man increases his masturbating habits or sexual activities, will he accelerate his hair loss… I believe the answer is no. Theory is one thing, but to prove it is another. I’ve seen no such proof. Also, I posted a story about a year ago regarding China’s last eunuch going bald, so that is some food for thought — see here.

Dr,
I am 26 & experiencing severe dandruff ,itching on skull,hair fall after masturbation.I have small boils on my head after masturbation which automatically go away if I don’t masturbate for few days also is it normal for the skull specially the top part of my skull to remain hot after masturbation(this is where I am having hair loss)?

The above mentioned problem is recurring & is specifically caused due to masturbation, reason: if I don’t masturbate for few days these problems don’t occur.Please help me with you valuable advise.

We’ve written about this many times. Simply put — masturbation does not cause hair loss. I do not know what other advice I can provide or how much clearer I can be.

If you strongly feel masturbation is causing your hair loss, then stop masturbating. I suppose at that point, it is your choice — you can choose hair versus masturbation. I have no idea how small boils could develop on your head after masturbating, then magically disappear when you’re leaving yourself alone. See a dermatologist about the boils (infections).