Dr. William Rassman – Page 1506

February 18, 2008

If My Libido is Better than Ever with Dutasteride, Will It Cause More Hair Loss? – Hair Loss Information – Balding Blog

I have heard on almost every website that Propecia/Avodart decreases your libido and they find it hard to get an erection, however my libido is working better than it ever did. Since taking Avodart, i feel as though it has raised my testosterone and increased my sexual desire. My question is, if Avodart increased my testosterone which it can, will it increase my hairloss. If it has increased my testosterone, does that mean it will continually stay at the same level, what i mean is that will my testosterone always be higher because im taking Avodart or will it slowy decrease over the months. If it will not should i stop taking it as it will increase my hair loss.

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I know that men who take Propecia (finasteride) sometimes get an increased sex drive because testosterone levels rise by about 15% on this drug. I don’t have direct experience, but I would expect that Avodart (dutasteride) should have similar effects, because there is a feedback loop which tells your body just how much male hormone it needs. That feedback loop is what causes the rise in testosterone on finasteride.

The value for treating hair loss has nothing to do with your libido, and you should get benefits for hair growth.

February 18, 2008

Will My Urologist Tell Me to Stop Finasteride? – Hair Loss Information – Balding Blog

Going to see a Urologist next week, will he tell me to stop finasteride?

Hi Doctor. I have been on 1/4 proscar for over a year now with great success, no side effects, and great reqrowth and maintenance. I’m a 26 year old male and went to my hair loss doctor for my yearly check up a few weeks back and he and I were very happy with the way things are going. In the last 3 months however i have had 3 cases of hematospermia, passing blood in the semen accompanied with some minor pelvic pain. I however, have no other problems urinating so it’s clearly something to do with the prostate. My family GP gave me some antibiotics, which seemed to clear one episode and he referred me a urologist to get it checked out further. He mentioned that the fact i was on finasteride would have to be seriously looked at when I visit the urologist. I mentioned all of this to my hair loss doctor during my yearly consultation, now this guy is very ethical and has over 20 years in micro surgery and over 2000 patients my age on the drug. He told me that the finasteride had nothing to do with it.

In fairness to finasteride, I was on it for 10 months without a hitch before I started getting episodes of hematospermia. I’m just worried that the urologist may ask me to stop it as he clearly will not be concerned about male pattern baldness…and effectively lose the wonderful gains the drug has provided me.

In your experience have you ever encountered cases of hematospermia any more in patients on finasteride in my age group? Do you think it may have anything to do with it, what about prostate shrinkage?

Thank you so much and i hope you can help me on this, i really hold your opinion i this area in high regard.

Regards

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People who are not on finasteride do develop hematospermia, so I would expect that people on the drug will be at the same risks. I doubt that the drug is contributing to the problem and would agree that finasteride should be continued. I would doubt that a urologist would ask you to stop this, considering the benefit you have achieved.

February 18, 2008

Body Hair or Scalp Hair — Which Grows Faster? – Hair Loss Information by Dr. William Rassman

which grows faster body hair or scalp hair?

The cycle of hair growth is shorter with body hair than scalp hair.

If what you are actually wondering is whether or not body hair or scalp hair will grow faster after a hair transplant, that would require some experience with body hair for an answer. I frankly do not have the answer for that, other than to say that hair growth after a hair transplant ranges from immediate to about 5 months on average.

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February 18, 2008

I Had Poor Results After a Transplant 11 Months Ago — What Can I Suggest to My Doctor? – Hair Loss Information by Dr. William Rassman

Hello Dr Rassman,
i had a hair transplant surgery,(strip method of 2400grafts approx)from a well reputable doctor about 11 months ago with relatively poor results in the crown area. what can i do in my case, what can i suggest to my doctor? my doctor would make the final assets at the 12th-14th month he told me. (what usaualy happens in cases like mine?)
Thank you

Failure to grow can happen, even if everything is done right. Assuming that your doctor and his/her team did it all right and you did not grow the hair, you should sit down with your doctor for a frank discussion of the problem. His/her experience should produce a good interchange with the risks of failure amongst the possible outcomes. In the hands of an inexperienced team, failure rates might be much higher. On the rare occasions that I have seen failures of the transplants to grow, I have offered to repeat them at my cost. Sometimes it grows just fine the second time, yet sometimes it does not grow even on the second round. I generally wait a year to determine what the results will probably be.

The profession has called the failure of a hair transplant to grow, the “X” (unknown) factor. This distinguishes the cause from the “H” (human) factor, which reflects defects in either the surgeon’s control or the transplant surgeon’s team. Some of the causes of “H” factor include trauma to the grafts caused by drying (leaving the grafts exposed to air for more than 30 seconds at a time), or rough handling, or a switch of the solutions used in error from saline or Ringer’s solution to distilled water (slop in protocols and process of the team).

Failures in follicular unit extraction (FUE), in particular, reflect many elements of damage caused by the extraction process which have been defined by me and some other experts at various medical meetings. Lack of required skills in FUE is the most common cause of graft growth failures. Some of the causes of failure to grow may reflect autoimmune diseases such as diffuse alopecia areata, which has no real physical presentation for an easy diagnosis other than a series of biopsies to look at the scalp under the microscope.

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February 18, 2008

Months After My Transplant, There’s Dead Hairs In My Scalp – Hair Loss Information by Dr. William Rassman

I received a 3100 graft procedure a little over 5 months ago in the 1/3 frontal area. I see a lot of growth, but also noticed that there are areas that still have the short, blunt hairs that were originally in the follicle when it was transplanted. They never grew, nor ever fell out. If I take a tweezer to them, the hair just slips right out, and has a bent area where it’s in the scalp. Also there are black bumps at the scalp that if pulled with a tweezer, keeps getting longer and longer until it comes out of the scalp. No pain, just seems like dead hairs. Can you “shed” some light on any of this?

I am sure that when you pluck these short hairs, you will not see any bulb with them. These reflect remnants of the old hairs and they are not growth from new hair follicles. I see this in a few patients and they usually fall out with good washing.

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February 15, 2008

Can NHI Help Balding African American Men? – Hair Loss Information by Dr. William Rassman

Hey, I came in last summer for a consultation and I had a miniaturization test. The doctor confirmed that I was probably a class 2-3 on the Norwood scale. At the time he prescribed finasteride, which I have taken daily ever since. It’s been about a year now, and although my hair loss may have slowed down, it certainly hasn’t stopped. My hairline is a little suspect at this point, and I’m nervous that if I wait much longer people will really start to notice I’m “losing it.” I am biracial, with relatively coarse hair, and I’ve been able to get away with styling it so that no one can tell, however I think I’d like to solve the problem while I still have a relatively large amount of hair on my head. I’ve heard that there are doctors who specialize in treating African American hair loss patients. I’m wondering if this is true, or is NHI capable of generating the same results? Also, I’ve heard that micro-grafting is the least noticeable transplant procedure, do you perform this procedure at NHI?

Thanks for your help.

We are as experienced with African hair types as any medical group anywhere. We also stand by all of our results. You should be seen yearly, so I would hope to see you again.

The most natural way to transplant hair is with individual follicular units, as these are the natural groupings of hair in your scalp. A micrograft is not the same as a follicular unit and you need to be aware that the gold standard for hair transplantation in any race is follicular unit transplantation (FUT). Propecia (finasteride) is probably working for you, as it is slowing down what would probably be more dramatic hair loss. You are welcome to come back and have one of us take a look and further answer any questions you have.

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February 15, 2008

Hair Loss Information » DHT, DHT, and Another Thing About DHT – Balding Blog

Hey, i’m just writing in response to a question that has been recently answered about DHT. I recall you said that just because that you’re hairy, oily skin (skin) and i’m assuming any other DHT physical signs, cited as byproducts of DHT, don’t indefinitely mean that you have alot of DHT. I guess I dont follow that notion, could you please elaborate. I only ask out of curiosity, considering any site that talks about DHT, describes these attributes as a indictive of DHT. Granted, I know that some of the “symptoms” listed definitely have alot to do with genetic blueprints. But, most men start to get hairy in their 20′s like the case of my father and others I know of. Then they started to bald around them. I’d hypothetically assume that since they didn’t have enough DHT to fill in their blueprints at the time. I know DHT only has physical characteristics if you’re genetic blueprint follows, but when you’re blueprint does and the DHT feeds it, wouldn’t that be indicative of DHT?

DHT causes many secondary sex characteristics after puberty, such as hair in different parts of the body (groin, underarms, chest, nose, ear, etc…). I really do not understand your questions. If by genetic blueprint you mean a balding pattern in your family line, then yes, you can inherit it. DHT is a byproduct of testosterone metabolism and all men who make testosterone will make DHT unless they have a genetic defect.

February 15, 2008

Hairmax Claims They Formally Challenged Dr Rassman – Hair Loss Information by Dr. William Rassman

Hairmax claimed that at the ISHRS they “formally challenged you on the issue and you were unable to justify the accuracy of your hair counts you presented and you therefore had to retract your comments.” Is this true?

I remember that we had some verbal interchange, but I never retracted any of my comments.

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February 15, 2008

How Good Are The Chances that Transplanted Hair Will Grow? – Hair Loss Information by Dr. William Rassman

Hello Dr.

What are the chances that transplanted hair will grow?
What is cost/per graft?
How much area 2500 cover ?

Best Regards

If everything goes as planned, you should expect 95+% of the transplanted follicular units (grafts) to grow. I am not sure if you are asking me what the cost per graft is for us at NHI or what the average rate is. Prices do vary per doctor or clinic. There are many variables to consider when evaluating a facility to perform your surgery, and cost should not be the most important factor. There are many places that will charge you per hair, and not per graft. Some clinics cut up follicular units to milk the patient for more money, yet no more hair. The quality of work will also suffer if you choose a disreputable hair transplant surgeon, just because you are attracted to their price for the procedure.

The number of grafts you require is relative and depends on the color of your hair contrasting with your skin tone, the character of hair you have (curly vs straight), and your hair density. In general you should get about 4 sq. inches of coverage with 2500 follicular units. Shear numbers are not the answer — all the other aspects are just as important.

For more, please see:

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February 15, 2008

I Have Red Hair — My Dad’s Family Has Red Hair, My Mom’s Family Line Is Balding – Hair Loss Information by Dr. William Rassman

Hi

I have red hair and it comes from my father’s side of the family only. The men on this side of the family have their hair but the men on my mom’s side (who do not have the red hair gene)all suffer from MPB.

My hair is starting to form into Norwood Scale 2: is it possible I could go bald too even though the red hair gene comes from my dad’s side?

Thank you for your help.

The color of you hair, along with other physical characteristics you inherited, are carried in different genes than the ones associated with MPB. The genetic predisposition for balding is inherited from either your father’s and mother’s sides, with more weight on your maternal lineage (48% for father’s side vs 52% for mom). There is a possibility that you may develop MPB. You need to be examined by an expert, someone who will map out your scalp hair for miniaturization to determine if you will be losing your hair. If you are in the early stages of hair loss, then you need a Master Plan to determine how to proceed with your hair loss treatments.

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