Finasteride and Gynecomastia – Hair Loss Information – Balding Blog

I plan to take Proscar (split into 4/1.25mg each) but my biggest concern is breast enlargement. What would be the best way to determine I was experiencing the side effect? I am very slim with zero fat (like a 33″ chest) and chest is pretty flat. I’m wary that it can be harder for one to notice a gradual change so would taking photos from the side and comparing every week be an idea?

How likely would any change in feeling (tenderness, pain etc) be an indicator of gyno starting to occur? If I noticed a slight increase in breasts and stopped Proscar immediately would the size return to normal – and how long may it take? And at what point does it no longer become reversible? Thanks.

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Breast tenderness and breast enlargement are different — one may not be indicative of the other. Each person is different, and as that particular side effect is extremely rare, I can’t say for sure where the “point of no return” is. It varies from person to person. Just try not to get too obsessive about it, but if you do begin to notice anything strange, then discuss it with your prescribing doctor. You won’t just wake up with man-boobs overnight and certainly, the side effect is so rare that it shouldn’t be cause for worry.

Can I Apply Rogaine to the Vellus Hairs at My Hairline’s Corners? – Hair Loss Information – Balding Blog

Dear doctors at Balding Blog,
once again, I would like to take this opportunity to thank you for your great work. It is really really much appreciated from everyone out here. I have a question which I have not seen answered, so I hope you can help me out.

  1. I believe I am a guy with naturally high Testosterone levels. I have a very high sex drive, and I believe this is causing my excessive testosterone to be converted into DHT. Do you think that is logical? How do I reduce my sex drive?
  2. I have been on Propecia for 10 months. How long do you think I should wait to see results? My hair has been slowly thinning, and now I can’t even comb it properly.
  3. I have a receeding hairline, especially at the corners. However I can see tiny vellus hairs at the corners. Should I start applying Rogaine in that particular area?

Thank you very much for your time. I wish you and your team all the best always

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  1. I do not suggest that you try to reduce your sex drive, but if you think that your testosterone level is too high, get it tested.
  2. The results of Propecia take at least 8-12 months to see benefits, but that benefit may just be reduced hair loss, not hair growth.
  3. You can apply Rogaine to the corners, but you will have to wait at least 8 months to determine if it works.

Thank you for your well wishing. I hope I helped.

Asymmetrical Hairline Maturing – Hair Loss Information – Balding Blog

hi dr,
i have a question about hair lines. if you were born with an asymmetrical hairline (one side of your hairline is higher then the other) and in the future your hairline matures, could this be misdiagnosed as androgenetic alopecia due to the unsymmetrical balding? also i have a cowlick in the front of my hair line off center. i was wondering can you place grafts into the cowlick to restore or lower a hairline

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If you were born with an asymmetrical hairline and you did not tell your doctor when he/she was examining your hair loss, then this can lead to misdiagnosis. Cowlicks in the frontal hairline can be transplanted, but they are tricky and require a surgeon with great skills.

Topical Zinc Can Block Minoxidil – Hair Loss Information – Balding Blog

Dear Doctor,

regarding the use of zinc together with minoxidil. Please note at the end of this page (HairLossFight.com):

There are studies in regards to the use of topical zinc. However, zinc will form insoluble salts when it reacts with minoxidil/azelaic acid, rendering all of the ingredients ineffective.

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The above email was received in response to Can Zinc Block Minoxidil?. Thanks for sending this in.

Doctors That Are “Consultants” with Drug Companies – Hair Loss Information – Balding Blog

What is your opinion of hair restoration doctors who sell supplies in their office? And are listed as consultants with various drug companies? And what does “consultant” mean? Basically a salesperson?

Are these doctors someone to avoid?

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DoctorA consultant could be a variety of things to a pharmaceutical company. Off the top of my head, it could be a label used to give some credence to the product by having an M.D. associated with it. It could be a go-to person for data. Could be that the drug company gives that doctor early access to treatment information. I don’t know for sure, as I’m not a consultant (and it could vary from company to company). I have seen some doctors listed as advisors to various crap hair treatments, and without getting into specifics, I’m sure the doctor would have to be paid well to attach his name and reputation to such a product. I wouldn’t say you should automatically rule out any doctor that consults or advises or whatever word you’d want to use to describe it.

In my office, I don’t sell products or medications that are marked up in price (in other words, I sell Propecia at cost), so you will know that I have no conflict of interest. I can’t speak for the others you are reflecting upon.

Hair Loss InformationThe Good and Bad of Miniaturization Mapping – Hair Loss Information – Balding Blog

Doctor

Miniaturization seems to be a bad news good news scenario. The bad news obviously is you’re thinning or balding. The good news, if there is miniaturized hairs, there’s a good possibility they can be reversed with medication. Would that be a correct assessment?

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Yes, that is the case. I can tell you a short story about heart disease, which I think is a good metaphor for your question.

There is a test that can plot out the aging of your heart and the degree of heart disease that you might have. This test (a CAT scan of the heart for coronary calcification) can actually predict the probability of a heart attack within 2 years. Many people find out about this test and really don’t want to know. I tell them that in 70% of people, the first sign of heart disease is death and some people still don’t want to know. I tell everyone that there is no bad news. Either your heart is good or you have heart disease with some risk of dying — your choice to know. Is it not better to know and do something to prevent your death than to refuse to take the test?

Predicting outcome is similar with miniaturization mapping, but hair loss progress does not kill you. Do you get the metaphor?

Testosterone, DHT, Acne, and Propecia – Hair Loss Information – Balding Blog

First, I would like to Thank you doctor for having this blog. I just have a couple of questions that I can’t seem to get an answer too, and I decided to ask an expert like you. I would really appreciate it if you answered this question, as it is stressing me out lately. Firstly im 23 year old male with thinning hair, and these 2 questions are a reason I am reluctant in using propecia. My dermatologist prescirbed me the propecia but he was in such rush the day I went, and I coudnt ask him my questions. I still have my prescription but I am reluctant to use it.

If DHT(the by-product of testosterone) is responsible for angrogenetic alopecia in genetically predisposed males, then why does the increase in testosterone (or even normal levels testosterone) from taking propecia aggravate more hairloss or even aggravate more hairline hairloss(as I have read in numerous internet hairloss forums, from people complaining of more hairloss from propecia)? Isnt DHT suppose to cause the hairloss and not just testosterone by it self? Or does testosterone cause hairloss as well by itself? If the testosterone will cause hairloss then what is the point of taking propecia as it will only block DHT but that will just let the testosterone or sometimes the increased testosterone that results from propecia take over and continue the hairloss in genetically predisposed males.

Also doctor I also suffer from acne as I take topical clindoxyl gel and topical differen to correct that problem. I have read numerous medical articles that DHT is a cause of acne, then why does propecia sometime cause acne as a side affect? I know its a rare form of side affect but I have read people complaining from propecia causing acne or increasing there acne. If propecia inhibits DHT, and DHT is a culprit for acne, then shouldn’t propecia help out with clearing the acne problem instead of aggravating it? Or does the testosterone cause acne and propecia raises testosterone and thus cause more acne.

I Am really confused here. I really do want to start using propecia so if you can take the time to reply and answer my question, I would really appreciate it Doctor. Thanks again

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These are questions you should ask your doctor, not us here. There is a feedback loop in the human body so when the DHT drops, the testosterone goes up to compensate for it. This is the best explanation I can give on the process. Testosterone does not cause hair loss until it is converted to DHT. That is just the way it is.

I am not an expert on acne so you should see your doctor or dermatologist on these questions. I haven’t a clue why Propecia might cause acne. I haven’t seen that in my patients, and as hormones aren’t fully understood, the connection is difficult to make.

Hair Loss InformationSisterlocks – Hair Loss Information – Balding Blog

There is a Dr. JoAnne Cornwell who has claimed that she has developed a form of locking hair called brotherlocks and sisterlocks. She claims that they do not put any form of tension on the scalp meaning no traction alopecia. I was hoping you could look into this potential scam before it fools too many.

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This is a styling option, not a medical or surgical option. I looked at the product’s website, but I am not sure what Sisterlocks is (aside from some kind of hair extension for African hair types) or how it attaches to the hair or scalp. It seems like it’s just a technique rather than a product, but I’ve spent 15 minutes going through this site and I’m still coming up empty. Anyone else have an idea?

Sorry, but I can not help you understand it any better.

Gray Hair, Changing Diameter? – Hair Loss Information – Balding Blog

When hair turns gray, does the diameter change?

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From my clinical experience I can tell you that the gray grafts appear thicker than the non-gray grafts. This is evident in the single hair grafts. Now that you sent me this question, I should measure the gray hair diameter and compare it with the non-gray hair diameter over the next few weeks and maybe get back to you with a small research study. Thanks for the great question!

Normal Miniaturization? – Hair Loss Information – Balding Blog

Hi Doc, how’s it going? I wanted to ask you how much miniaturization throughout the scalp is considered normal? 10-20%? I’m male, 22 and I have been on propecia for the past 3 years. I had a miniaturization test 3 months ago and the doc said I have slight to moderate miniaturization at my hairline and crown. At my age, would my hairloss stabilize? I’m just hoping I have enough hair until the next hair treatment makes its way to the market, thanks.

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I call any miniaturization under 20% as normal, because it may reflect vellus hair. What you see in one part of the head should be similar to other parts if it is not miniaturizing so that additional piece of information helps me as well.