My Doctor Suggested These Things For My Female Hair Loss – Hair Loss Information – Balding Blog

Is there anything that can be done for hair loss in women. Mine has been determined by my PCP that it is hereditary. I have seen a Derm physician specializing in this area. He mentioned the following:

1. Do the Rogaine lotion (but do the 5% not the 2%)

2. Finasteride, but instead of the 1 mg do the 2 mg. This is Propecia though right? My PCP had mentioned that it should not be used in women or women that are pregnant, but there is no chance of that at this point. Or is it for all women that it is not recommended? He said the 1 mg is FDA approved by 2 mg is not FDA approved.

3. Mesotherapy (Keractive)…also not FDA approved. Right now used more for skin rejuvenation. Injections into the scalp of vitamins.

I’m desperate. I’m a 41 year old female and need some answers. I’m treated at one of the biggest hospitals in MI and no one can seem to help me. I’m tempted at this point to see someone at the hair loss club, or something like that. What do you think about the above. I have the rogaine but it seems to dry out my scalp/hair. Making things worse.

SUGGESTIONS!!!! I will send some photos to the email below.

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What I can comment on is that finasteride (1mg or 2mg) is not approved by the FDA for use in women. If you should become pregnant on this drug, your child will have a high risk of sexual deformities and there may be effects on certain types of female cancers like breast, ovary, cervical or uterus. I’ve written previously about Mesotherapy.

Female hair loss is unfortunately a difficult problem without clear and definite solutions and many desperate women collectively spend millions of dollars a year trying to find a cure. If you are seeing a specialist, and have a good rapport and understand the treatment limitations and its risks, it is your ultimate choice. Be careful in selecting who you see as many people and their sales staffs may just want to sell you things like transplants or wigs that may not be in your best interest.

Can I Restart Using Rogaine to Regain Lost Hairs? – Hair Loss Information by Dr. William Rassman

Hello, I’m a 21 year old male who started using Rogaine at the age of 19. I was worried I was losing my hair because it is very prevalent in my mom’s family. After using Rogaine for over two years I decided to stop because of the irritation it was causing on my scalp. I stopped late last January and for the first three months I did not notice my hair count change at all, but in about the past three weeks my hair has been falling out by the handfulls. If this continues much longer I may be left with no hair at all. I have been using Rogaine again now for about a week and will continue, but do you think I will be able to get back in the large amount of hair I lost that was apparently dependent on Rogaine? Will reintroducing Rogaine to the follicles bring my hair back to what it was? thank you!

The only two FDA approved products approved for male pattern hair loss are topical minoxidil (Rogaine) and oral finasteride (Propecia). They both have limitations and work primarily by slowing hair loss than growing new hair. Only a small minority of men with genetic hair loss will experience great amounts of hair regrowth with minoxidil, while Propecia will show more predictable results in someone of your age. In your case, your genetic destiny may be catching up to you. It is doubtful that restarting Rogaine will regrow your hair, but Propecia, on the other hand, may reverse recent hair loss. Both drugs may slow the process of hair loss, but if you are genetically balding, Propecia attacks the cause of the hair loss and therefore is far superior. Get your diagnosis by mapping out your hair for miniaturization and with good measurement, you will be smarter about what is causing your hair loss and what benefits you may or may not get from doing whatever you choose to do.

48 Years Old With Shock Loss After Transplant – Hair Loss Information by Dr. William Rassman

Dr Rassman
I recently had transplant surgery at a reputable office to combat thinning hair on top and a receding hair line. I am 48 years old. I was suprised by what I believe was a fair amount of shock loss around the graft areas given my age. I was not on propecia pre-surgery but began taking it a few days following the procedure after reading your column. Now I believe propecia can also cause shedding in the early months. Could you explain the difference between shedding and shock loss and what you believe I am experiencing. Maybe a combination of both.

Thank you

MilkIt sounds like you experienced shock loss and if this is in the miniaturized hair, the hair may not come back. Treating thinning with transplants is not something I do often. In many people with miniaturized hair, transplanting into that ‘unhealthy’ hair does little to really increase the fullness. I believe that for most people like you, any benefit you will get in the long term may be lost in the short term, making transplants a poor decision. I would think that Propecia should have been used in advance of your hair transplant procedure just to minimize this risk. The transplants done may offset the hair loss and the Propecia may bring some of the hair back. Only time will tell. Once the glass of milk falls and the milk spills out, it may be impossible to bring it back.

I’ve Tried Propecia for 6 Months and Have No Results – Hair Loss Information by Dr. William Rassman

Dr Rassman, I am a 39 year old male with very thin hair. i went to Dr bernstein about two years ago because i saw a change in the texture of my hair. It was getting thinner all over, especially in the front.Dr Bernstein said I was losing my hair and was on my way to becoming bald. He took a sample of my hair also. he said i was not a candidate for a transplant since the quality of the donor area was not good. He gave me a year prescription for propecia and told me to visit him in a year.I have been on propecia for six months now , but have not seen any results. it seems my hair is getting even thinner, especially at the hairline. does this mean that if the propecia does not work, i am out of options,since i am not a candidate for a transplant ? If the propecia does work, will that make me a candidate ? I didn,t want to visit dr bernstein again until i have been on the propecia for a full year and since it has not grown hair for me, would he be able to do anything for me?

In most patients over 30 years old, Propecia will help stop further hair loss instead of growing thicker hair. However, there are some fortunate patients who will have thicker or fuller hair after about a year on Propecia. If you experience further thinning after being on Propecia for a year or so, you may be continuing on the natural course of rapid hair loss.

If Dr. Bernstein said you were not a candidate for hair transplantation and he confirmed that you are balding, AND are not helped by Propecia after a year, then I might think (I am guessing here, since I have not examined you) that you have a condition called Diffuse Unpatterned Alopecia (DUPA), which is an extensive analysis of the diagnosis process for hair loss and planning for the future. It is important to revisit Dr. Bernstein after you have been on Propecia for a year.

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Hair Loss InformationMerck’s Drug Patent on Propecia Expiring? – Hair Loss Information – Balding Blog

Two websites list Merck’s drug patent on Propecia expiring this summer:

1. Drug Digest
2. RX Solutions

According to RX Solutions, the exact expiration date for Propecia is June 19, 2006.

Brand Name: Propecia
Ingredient Name: Finasteride
Patent Number: 4760071
Expiration Date: Jun 19, 2006

Is this accurate? Thanks.

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PropeciaThese reference sites are what they are and say what they say. I have looked up finasteride on the United States Patent office website and found issued Method patents for finasteride — #5,571,817, granted November 1996 “Methods of treating androgenic alopecia with finasteride” and #5,567,708, granted October 1996 “Methods of treating androgenic alopecia with finasteride”. Clearly, this is a treatment method for hair loss defined for this drug and if these publication dates hold, they would be good for 17 years from the date of issue (for patents filed at that time), but as a method patent they may have limited value. In March 1999, Merck received patent #5,886,184 for the process of manufacture of finasteride and it may be this process that is the enforcing patent, as I understand that method patents can not be enforced in providing a service related process for healthcare in the United States. Another process patent for manufacture was published in November 1995 again following the 17 year rule.

It was an exhausting read, so rather than digest it for you, may I suggest that you do your own research. Go to: Patents – Merck AND Finasteride or just to USPTO.gov.

What everyone wants to know is whether this change brings on generic finasteride into the US and Western European Market? I have confirmed with a Merck rep that the drug does go off patent this summer, but I am told that other patents will be enforceable. If generics come into the market, will the pills be scored so that it is easy to break into 1mg sizes?

We are not far from the answer to this question. My capitalistic nose tells me: Follow the money!

Propecia’s Effective Years – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman.

I write today about a nagging issue concerning propecia. I started it just a couple of weeks ago, with no side effects so far, but my worry is this that I read around the web, about propecia eventually losing its effectiveness after five years. I thought it would work by diminishing A-5-Reductase and therefore it would reduce DHT as well. Why would it lose its effectiveness? Or is this just a rumor? I wouldn’t mind having to take it for the rest of my life as long as I can keep my hair with it. Of course I plan to get a transplant eventually to recover some thinning areas in case it can’t fix it, in addition to some other treatments available today. If it’s only going to work for five years, what’s the point of taking it? Wouldn’t it be better to blow it all in a transplant? Or is there the chance to keep most of my mane by simply taking Propecia?

Thanks, and keep up the great work.

You should approach the question as Propecia not losing effectiveness, but having limitations and possibly not managing all of the hair loss to your satisfaction. Propecia will not restore your hair back to when you were a teenager. Even hair transplant surgery will not do that. Propecia slows down the male pattern hair loss process. The 5 years is not a magic number, but it does reflect the published 5 year study by Merck, the makers of Propecia. Patients not taking Propecia had a much greater rate of hair loss in the five years that the process was studied. If your question is based on pure monetary economics, you are correct in stating that hair transplant is the only permanent solution, but a solution to what? I often tell young men not to transplant if the drug holds off the hair loss and the hair loss does not bother them a great deal. I make my living doing hair transplants, yet I tell more people to take Propecia than suggest hair transplants, because I am honest… and honesty is the best policy. But if your question is based on hair economics, Propecia with a hair transplant (in some people) will maximize your hair density and give you a better cosmetic result. Just be careful who you talk to. When someone wants to push you to a hair transplant, take your time and remember: Let the buyer beware.

Eucapil – Hair Loss Information by Dr. William Rassman

Hello Dr. Rassman.

What, in your opinion, would be the best medical option for treating/preventing hairloss?

I have stumbled across a product called Eucapil (fluridil) which claims to be a potent topical anti-androgen. Informaton about the drug can be found at http://www.eucapil.com/. It seems a product such as this one might be a great addition to an internal AR inhibitor. Can you please give it a look? Most importantly, are there any exisiting products or others in development that have a similar method of action?

Thanks very much.

Eucapil is stated to be a cosmetic and is available only in the Czech and Slovak countries. By stating that is a cosmetic, that means that no medical claim will have any value whatsoever. Products like these may do good things for the appearance of hair, but there is no suggestion or proof that it will grow hair or reverse hair loss. It is well known that herbal and natural supplements have wide variability in their manufactured ingredients and the owners of these product seem to push claims that may not be valid far too often. As I have stated many times on this site, it is a buyer beware market. That is my medical opinion. There are medical solutions available, which are finasteride 1mg (Propecia) taken orally, minoxidil (Rogaine) applied topically, or a hair transplant procedure — all of which require a medical examination by a qualified doctor.

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I Had Increased Libido From Propecia, Then Lost All Sex Drive – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassmann,

I am 22 and started taking propecia around 8 months ago and had some side effects that I did not mind much at all, increased libido and increased ejaculate volume. But a few weeks ago out of nowhere I completely lost all sex drive, it was a very drastic decrease in libido. I can still get myself to have good erections but it is very hard without sex drive. Since I had “beneficial” sexual side effects from propecia, yet still sexual side effects, I stopped its use a few days ago and will see if I return to normal, otherwise it means I have ED and will resume propecia as it has been working well to maintain my hair (I might have even gained some hair). I guess my questions are, how long before I should see a reversal of the sexual side effects? and if I return to normal should I resume the 1mg dose and stay on it until I lose my sex drive once again (hopefully I won’t)? or should I take 1/2mg a day? Thank you for your help. Have a nice day.

The effects of Propecia should be out of your body in a couple of days. Some of it may be bound to some tissue receptors, but within a week, I would expect to see you return to your normal libido. Taking 1/2mg each day will not be as effective as the 1mg, but it is better than taking none at all. Go off of it until the libido returns to normal and then try a half pill. That has worked for half of the patients who reported libido problem to me.

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Propecia Shedding vs Regular Hair Loss – Hair Loss Information by Dr. William Rassman

I read alot of posts from medical experts and bloggers about shedding on Propecia and how it is a good sign that the drug is working. My question really is what is the difference between shedding on a drug like propecia and actual hairloss? How can you tell which one is occuring and at what point in your treatment do you accept your shedding as hairloss. Hope this is clear. I just don’t understand the difference. If 17% of males that use Propecia get no benefit did they experience hairloss that they believed was just shedding?

There is no way to distinguish shedding from Propecia (rare) vs normal shedding from continuation of male genetic hair loss. Hair loss shedding will be continuing at the same rate that you saw it prior to starting the drug if the drug is not working. Any shedding caused by Propecia should pass within 3-4 months so that by the 8th month, the benefits should be clear one way or the other.

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Can I Use Minoxidil To Keep Hair Saved By Propecia? – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman,
You are true credit to the Medical Community, and your blog, and expertise are greatly appreciated by many.

Two quick questions…If after using Propecia for 2 years, and going off of it at that point (the point of diminshing returns) would continued use of Minoxidil support the hair that was produced by the Propecia?? I’m 53, have been using Minoxidil for 8 years, and Propecia for 4 months, and the Propecia is already working well on my thinning crown area. I thought after the propecia loses its effectiveness, I would just stay with the Minoxidil, & let the Minoxidil take over. Please advise

Also, are FOX grafts more expensive, than the more established FUT grafts, since this procedure is more difficult for the Surgeon?

If you are getting a benefit from Propecia and then maximize it, whatever benefit you received will be lost when you stop taking it and minoxidil will not save that benefit for you. I assume that you are trying to save money. That would make your investment to date valueless as you go backward.

FOX/FUE grafts are more expensive than standard FUT harvested through the strip method. In my opinion, they are not better, just different.