Author: Dr. William Rassman

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Female Hair Loss in Temples – Balding Blog

I have thinning hair at my temples. I am in the Army and have to wear my hair up everyday while at work. My hairstylist says that my hair will grow back once I stop putting it up. However, I will be in the Army for the next 10 years and am thinking about hairloss treatments for my temple area? Any suggestions?

If your hair dresser is correct and you have traction alopecia (hair loss from traction), then you can expect little relief. Whatever is causing the hair loss must be addressed by stopping the pulling. There are other conditions, such as triangular alopecia, where people lose hair in the temples from genetic causes. This is part of the differential diagnosis that you needs to have made. See a good doctor and discuss these two conditions with him/her.




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Balding Forum - Hair Loss Discussion

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Pain from FUE

Hi I’m getting this horrible pain after FUE. I know its been some time please let me know how long does this pain last its been 4 Weeks now I am still with burning sensation and pressure pain all around my donor area and face

You should go back and speak with your doctor. Pain following an FUE might be the result of damage to the many small nerves around the scalp (there are thousands of them) so many are cut by either the FUE punch or the needles used to make the recipient area. The good news is that the pain you are reporting almost always goes away in week. A few people might see the pain a couple of months of so as it does take time for the nerves to heal.

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Does Propecia Lower Testosterone or Increase Testosterone for Body Building Strength? – Hair Loss Information – Balding Blog

Hi doctor. how are you. I have asked you questions before and you have replied to my answers, and I want to thank you for that. Keep up the good job.

Correct me if I am wrong. In this article that someone posted to you it states that finasteride lowers T levels(testosterone) as well.
here is the link: http://baldingblog.com/2010/09/13/mercks-fda-submitted-propecia-documents/

Here is my question. I thought finasteride lowers DHT and increases testosterone by about 15% or something. Does finasteride lower testosterone as well? And how would this affect building muscle and body building?

please clarify this for me doc.

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Propecia slightly raises testosterone initially but eventually your hormone levels should return to normal. The reports in the literature seems to go both ways. Some reports indicate a rise in Testosterone while others show a decrease. Unless you are a biochemist/pharmacist doing research, I do not think these are significant issues. Propecia will not make you into Arnold Schwarzenegger or Urkle.
muscleurkle
You are trying to make sense and correlate biochemical hormonal variation with clinical issues that may not be related. If you are asking your question for pure scientific purposes, I would take a course a biochemistry for a better understanding or speak to a research pharmacist/biochemist. My desire to revisit my biochemistry days and contemplate professorial issues are not really there.

I do occasionally run into men who are heavily into weight lifting and body building and use anabolic steroids. One of them was convinced that Propecia made them weaker and gave them a disadvantage. A few have insisted taking Propecia to counteract the hair loss from their anabolic steroid use and didn’t report any changes in strength or muscle mass. But these are all anecdotal (non-scientific) and subjective stories. In my humble opinion, Propecia has negligible impact on testosterone and strength. Even the professional world of sports have taken the position that it is not a performance enhancing drug.

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Pain in Donor Area One Day After Transplant

Dear Dr. Rassman,
I am one day post-op from my first hair transplant. Right now, the only problem that I’m having is pain in the donor area. Can I sleep normally at night without disturbing the recently placed grafts? They told me to rest sitting up, but this is uncomfortable for me. Thanks.

Sleeping normally will work after a day or two post transplant. This information is something that should have been covered. Did you receive written instructions? By the time you read the post, you should be better. I always wonder why someone would ask me (a doctor they have not met) rather important questions when they have a doctor that they trusted to perform the surgery. I do appreciate the question, but your doctor should outline all of these issues for you.

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Pain in Left Testicle while on Finasteride

Is this a common symptom because of finasteride? It also aches a lot when I lift heavy in the gym, especially when doing squats. My left testicle also got bigger than my right testicle, is this normal? My right testicle doesn’t ache at all, only left.

Pain in a testicle can be from many causes, and if it is swollen it would worry me even more. You should see a doctor as some of the causes can be threatening to the testicle.


2019-12-11 09:44:12Pain in Left Testicle while on Finasteride

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Painful, Clumpy Ejaculations After Starting Propecia

Hi there-

I’ve surfed through past entries, and was unable to find a post specific to the problem I’m having.

I began noticing the signs of MPB in my late teens, and a more prolific loss in my early twenties. I’m 24 years old now, and have been on a Propecia/Rogaine regiment since visiting a dermotologist last year.

Within two weeks of consistent Propecia use, I began to have painful ejaculations and the consistency of my semen became clumpy/very gelatenous. I was told that sexual side effects usually subside with continued use, and indeed, ejaculation is no longer painful. My semen consistency is mostly normal now, but it occasionally reverts back to that of the initial months of taking the medication.

Ever heard of a similar experience?

I have been aware that the consistency of the semen changes in some men, but I have not heard about painful ejaculation. Talk to your prescribing doctor about this issue.

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Painful ejaculation gone after stopping Finastertide

Started FIN 1 year ago. Started to get watery semen straight away. Was told this would fix itself but it’s been like that for the whole year. (I take 0.5mg per day btw). I also started to get painful ejaculation. This would hurt more the longer I went without sex or masturbation. Everyone here told me that there was no way this could be FIN and that it was just coincidence. I went to Doctors and all sorts of stuff, and ruled out infections etc and then from reading, there was the possibility of some sort of prostatis which was concerning as from reading the prostate sub, that can be really hard to treat!

I eventually decided to stop taking FIN a few weeks back and the pain has now gone! It definitely was the fin. Watery semen still remains. I’m glad that that’s what it was, though. I now need to decide whether to hop back on fin. I can live with the painful ejaculation as long as I don’t go too long without ‘release’ (that’s when it REALLY hurts!) and now that I know that it’s nothing long term or serious and that I can stop it by stopping the drug, there is less worry. Tempted to hold off too so see whether the watery semen ever fixes itself!!

Stopping finasteride often solves side effect within a month or so. You might want to see your family doctor who can refer you to a urologist to find out if you have some problem.


2019-06-17 08:29:37Painful ejaculation gone after stopping Finastertide

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I Am Balding And My Hair Looks Like Pubic Hair

I started to lose my hair at 19 due to MPB. After a year or so, my hair texture started to change rapidly and my hair changed from normal hair which you can style to pubic-like hair.

It looks horrible.

My question therefore is: what can you do about acquired progressive kinking. I am already taking finasteride which seems to do little against it.

Generally when you lose hair from genetic balding, your hair thins out (miniaturize) and fall out. It generally does not change in texture to a point it starts to kink. Maybe you should see a dermatologist as there may be a series of genetic hair diseases that can cause kinking.

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I Had 3500 Grafts And I Still Feel Stubbles On My Scalp

I had a hair transplant done over a year ago (3500 grafts) and all in all I’m very please with the results. Definitely looks better than it did. However, one side came in much thicker and fuller than the other side. But when I now run my fingers through my hair on the lesser filled in side I can feel this stubble growth sticking through that’s about 1/8 to 1/4″ in length. The thing is, its been over 13 months since I had the procedure done but its been at least 8 months feeling this same stubble length on that one side. It just doesn’t seem to want to grow any longer than it is now. So my questions is… is it normal for some of the implanted grafts to not necessarily fall out and not grow at all but they’ll never really take and grow past this stubble phase? If so, what would be some of the reasons for this dilemma? I’ve been taking the prescribed Propecia (finasteride) but is there something else I can do or try or something you might recommended trying to somehow kick start the growth again on my thinner side so my overall hair growth will look more even?

I always advocate that if you had surgery and you are having issues, that you should always follow up with your surgeon. They are the best equipped to answer any issues arising from surgery since every surgery is different and not all results are the same.

In general if you are still feeling the same stubble a year after the surgery those may be just old hairs left in your scalp that are not growing. Think of it like a foreign body. If you gently pull on them it may just slide right out. I cannot say if the surgery was a success or if hairs will grow from that spot. Only your doctor can best explain this to you. Final note: I am just guessing all of this based on generality. If one side is fuller than the other, and the same number of grafts were place on both sides of the head and if both sides were equally bald, the a HAIRCHECK measurement may tell you if there is a difference in bulk/ growth.

As far as what I would recommend is deferred to your doctor who you have a relationship with. They should be better equipped than me to answer that question because they have examined your and know your specific situation.