Month: January 2023

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I Took Propecia For 3 Days And Have Gynecomastia

I have a question regarding my start with Finasteride. Im a 26 years old Male suffering from mpb. I just started Finasteride 1mg / day 3 Days ago and feel some kind of pain in my right Breast area i didn’t have before. What would you recommend lowering the dosage to 0,5mg or stop the medication at all or try to ride it out with 1mg? Im really afraid that fin won’t work for me because of the very rare side effect of gynecomastia.

I recommend seeing your doctor who prescribed you the medication. Having your doctor examine your breast and having a discussion about side effects associated with the drug.

I suppose anything is possible but some things are improbable. Go see a doctor (in person).

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I Took A Pill Of Propecia Last Night And My Testicles Shrunk This Morning

This type of complaint is not totally unheard of. Shrinking of the testicles after taking Propecia for one day is an impossibility, yet some people have reported this before. It is a reflection of a condition called Body Dysmorphic Syndrome (BDS) and we see similar things reported by some patients some of the time. It is not that these patients don’t really believe it, but their reality is different than most people’s sense of reality. I have also heard of one patient who reported taking the first dose of Propecia and an hour later, reported he was impotent. This again, is highly unlikely and is a psychological reaction to what some people read on the internet and the suggestive power of these words to their psyche.

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I Thought You Can See Hair Transplants!

If I have a restoration of the crown, will the swirl look right or will it look noticeably like a transplant?

If the surgeon is experienced and properly recreates the whorl in your crown, it will not stand out as anything more than your naturally growing hair.

Just the other day, I went to my new eye doctor. We talked for a bit and when she asked me what I did for a living, I told her I performed hair transplant surgeries. She was suspicious, so I pointed to my crown and told her that those were hair transplants (see here). She said, “That’s hard to believe! I always thought that you can see them.” I couldn’t help but smile.

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I thought that FUE did not have any scars? (photo)

FUE produces “punctate scars” which show up clearly on your head. The more FUEs that you do, the more FUE scars will be seen. If you do too many, then these scars will dominate your head. Every time the human body is cut, it heals with a scar. There is no such thing as a completely scar-less surgery. The surgeon tries to use very small punches to make the wounds small which then usually produce small scars. Punch sizes of 0.9mm or less are best for small, less detectable scars. Ask your surgeon what size punch he/she used.


2020-08-18 07:13:23I thought that FUE did not have any scars? (photo)

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I Thought Miniaturization Analysis Was the Best Test for Balding!

After my visit to your office today, I was more confused because your miniaturization analysis showed no miniaturization and your bulk analysis seemed to contradict the finding by identifying early balding. I thought that miniaturization was the most important test a doctor could do to determine balding. Please help me understand what appears to be a discrepancy.

I am sorry that I confused you. Before the Haircheck bulk measuring device was invented by a Florida hair transplant surgeon, the only way one could tell if hair loss was occurring was:

  1. Seeing excess hair falling out (very early and not conclusive)
  2. Seeing a balding pattern developing (maybe too late)
  3. Looking for miniaturization (does not always appear, especially when hair loss is slow)
  4. Taking photographs and comparing them (often too late)

By doing bulk measurements, it is a very sensitive way of understanding hair loss with a metric that is replicable once the measurements are repeated and compared over time. In your case, the metrics showed early hair loss, but there was no miniaturization present in the area of concern. Based upon this, the drug finasteride was recommended. By repeating this test in a year, you will know if the hair loss is stable or reversing, and if you are progressing in both anatomic areas as well as local measurements to see the state compared to what was done today.

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I Thought HGH Thickened the Hair?

Hi,
I was just reading the recent questions pertaining to hGH therapy and hairloss. Could you explain the actual reason for the hair loss that occurs while a patient is on hGH therapy. I’m just curious because many physicians who promote hGH for anti-aging say it should thicken the hair in most cases. Perhaps the hairloss is mainly due to the Testosterone therapy that many use in addition to hGH?

It causes hair loss. Also look at the other things that it will do that are not good for you, which is defined well in MedLine Plus’s website: Growth Hormone

I do not want to write a book on pharmacology here. This is one of the master hormones of the body and its influence is massive everywhere.


2007-02-05 09:33:22I Thought HGH Thickened the Hair?

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I think that topical minoxidil is not working

I’ve been using topical minoxidil and oral finasteride for around 6 months. My loss has pretty much stabilized but no regrowth so far. I’m thinking about switching to oral minoxidil. Is this a good idea after 6 months or should I wait longer like with finasteride? Also, I have a lot of body hair, basically all over (shoulders, back, chest, stomach, you name it). I guess this can’t even get much worse with oral minoxidil, just wondering if anyone else who already had a lot of body hair here started using oral minoxidil and what their experience was.

What do you think? Switch now or wait longer?

if you feel that minoxidil is not working, then you probably do not have Sulfotransferases, an enzyme that enhances the conversion of Minoxidil to Minoxidil Sulfate, the active form of minoxidil for hair growth. Sulfotransferases are found both in the liver and in the ‘outer root hair sheath’ of the hair follicle. When present in the hair follicle, the person will respond well to minoxidil. Only about 40% of people are responders to minoxidil in the scalp. Because it is also present in the liver, the conversion of oral minoxidil to minoxidil sulfate in the liver with the oral minoxidil may help people who do not have this enzyme in the scalp hair follicles, making them more responsive to oral minoxidil than to topical minoxidil. That becomes a decision that only you know if the topical minoxidil is working, if not, then the switch may be a reasonable decision.

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I Think That I Have Dupa!

I was really worried about it, so went to quite a famous derm, who told me I had no miniaturization(using the proper equipment, I assume, not just by eye like another derm did). Cut to now, my scalp is beginning to show even more, and the itching continues.

Should I hop on fin + min? I wanted to get a dermaroller, and have no problem with proscar, but was hoping to delay it, maybe try coco butter or rosemary oil to slow down the shedding.As I said, I have no problem with the big three, but am afraid it would only rush the fall process without any recovery, seeing the unusual pattern.

I first defined the term DUPA and it is very rare. For reasons that confuse me, many men make that diagnosis based upon fear, no facts. To make the diagnosis you need a hand microscope to measure the miniaturization in the ‘donor area’ hair which must be significantly over 20% miniaturization to be DUPA (Diffuse Unpatterned Alpecia). Since it is rare and you probably don’t have it, you need an expert like me to tell you what is going on. Did your expert dermatologist look at your hair with a hand microscope on your head? Most doctors rarely do this so that they can’t make the DUPA diagnosis. That is good news for you, as if you don’t have DUPA, then there are many things that you can do and you have options.


2019-09-12 12:32:03I Think That I Have Dupa!

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I Think Some of My Grafts Were Dropped on the Floor During Surgery!

I recently received a hair transplant and while I was in surgery I believe some of my transplant hairs were dropped. The doc had pulled a lot of hair out and another worker was doing something with them for a long time in another room and then when coming back she dropped a glass containing the hair. I could tell something bad had happened but nobody said anything because it was behind me and I couldn’t actually see it. I overheard someone saying she was cleaning them but the doc ended up pulling more hair out of my head. I figured by asking it wasn’t going to affect my outcome so I didn’t say anything. Do you think these hairs were lost or could they have been saved and used?

You can suffer from infection or hair death if the grafts remained on the the floor for a period of time without being hydrated and kept wet. There no absolute cut off time limit but I am just giving a generality here. It probabaly also depends on how dirty the floor was. Mistakes can happen but there are appropriate steps to take if there was contamination (such as thoroughly rinsing / washing the grafts). Ask your doctor! Trust should be the foremost foundation between the patient and surgeon.