Should I use minoxidil with my transplanted hair?

Minoxidil will have no value to the transplanted hairs. Minoxidil’s has value is in the non-transplanted areas. I performed a study where I had patients apply minoxidil to 1/3rd of the transplanted area (to manage overlap) and then compared both the speed of growth and the thickness of the end result. There was no difference between the treated sides and the non-treated sides.

Female with massive hair loss

I am a 28 year old single female. 3 years ago I started losing a lot of hair, my my estimate almost 70% of my hair. Now I have started multivitamin for the past 3 months and the hair stopped falling out and some regrowth has happened. Shall I get PRP added to what I am doing?

If you have seen value from taking multivitamins, then you may have a Vitamin deficiency and you should get the various blood tests to document which type of problem you have rather than treat it blindly. Doing PRP is just grasping for straws and does not make sense in the absence of a diagnosis and you may be wasting your money or worse, losing hair while you fail to get the right treatment for your ‘unknown’ condition.

Very Sick and on Losartan – Losing My Hair

In September, I had a virus that closed my throat, or at least that’s what they thought happened. I was intubated for 22 days and was in the hospital for 30 days. I was prescribed blood pressure medications: Amlodipine (10 mg) and Losartan Potassium (50mg). I always had really thick curly hair, but about 3 weeks after I got home, I noticed a lot of hair on my pillow and in the shower. Now, I can’t even put my hair in a ponytail; what’s left of it is straight and stragglers. My doctor said that hair loss isn’t a side effect, but I have read hundreds of the same stories. She told me that any kind of trauma will cause temporary hair loss and she won’t change my meds. Instead, she wants me to go to a dermatologist. My insurance sucks and I don’t really have the money to pay for a specialist. Anyone know if this is true or of any BP meds that don’t cause this?

Between your protracted and traumatic illness and the various medications you were on, it is impossible to point to any single cause of your hair loss. Although Losartan is known to have rare hair loss side effects, I think that the long-term stress you went through is as much a cause of your hair loss than any single medication. By the end of a year, you might see improvement. Good luck.


2018-08-15 09:31:08Very Sick and on Losartan – Losing My Hair

Fertility and finasteride in men

If my sperm count is reduced, does it go back to normal if you stop the drug to have a child?

If you have a fertility problem related to your sperm count from finasteride, you can expect that it might take months to return to normal. In the following publication: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205531/, the authors state: “A patient on finasteride (1 mg) for 1 year, diagnosed with oligospermia (impaired spermatogenesis) 5 years earlier, was found to have increased semen volume immediately after cessation of finasteride and his sperm concentration improved to more than 10 × 106/ml about 4 months later.” You should read more of this publication.


2021-02-14 10:06:11Fertility and finasteride in men

Singer John Mayer’s Hairline?

What kind of hairline does John Mayer have. He’s 33, but I seem to have almost the same hairline as him and I’m 21.

Photo

Based on the photo you linked to and other photos I’ve seen of singer John Mayer, I’d have to say that this is a normal, non-balding male hairline that he likely had when he was 12 years old. Appears to be a great head of hair!

Finasteride 3 months (photo)

These photos, although not identical ‘shots’ does show movement towards reversal. More time and better photography should be dramatic.


2021-01-23 13:40:42Finasteride 3 months (photo)

Smelly Hair System

I have a hair system and it smells. I am compulsively clean and I used to wash my hair once or twice daily. Now, with the hair system on, I can not wash frequently. A close friend told me that the colognes I use do not help hide the smell, so when I heard this, I was devastated. Now I think that everyone is smelling me, my dates, the ladies around the office and strangers I meet, but I am so embarrassed that I do not know what to do. Any suggestions?

Just in case you weren’t sure, the term hair system is another term for a toupee, a wig or in local slang, a rug. Systems have been around for centuries. They have been found in Egyptian tombs, on frozen mummies from Alaska’s Eskimos, and on your late night TV showing quick fixes for hair loss. My saddest story reflects a less than ethical wig-salesmen (only some are bad folks), who introduced a 21 year old with early frontal balding for a free trial. Before he knew what was happening, his head was shaved and then a ‘mop’ was put on this poor soul’s head, glued to his shaved scalp. Of course, he could have walked out and not purchased one, but alas, with the front of his scalp shaved bald and the back of your head with long luxurious hair, he knew he was going to look kind of funny walking into the office in the morning. So, like a few fixes of Heroin, he got hooked on a ‘system’ and found it part of his persona for years. Worse still is the hidden reality that these systems promote hair loss from traction, accelerating the genetic hair loss and promoting the addiction even further. Hair piece cripples are created and they live their hell almost every day.

When a poor self image is perpetuated in the mirror every morning, the smell may be less of an issue. This emaiiler’s main point is the smell. To deal with the smell, the only satisfactory solution is to have a series of wigs, use clips to attach them so that they can be taken off at night and then wash the wig often. Daily washing of the scalp is not a problem when the wig is off the head. Washing the wig will cause it to wear out sooner and the result will be more frequent replacements. The use of clips are not promoted by those who sell these systems. For reasons I can not fully understand, glues and tapes are more popular, and weaves are gaining in popularity. These last three fastening methods keep the soap and water away from doing a proper cleaning of the scalp, despite what the wig salesmen say. If you can’t wash the scalp with the system off, the scalp will smell and if you do not wash the wig, it will smell. I have rarely seen a person in my office with a system that does not smell, but sometimes I can not tell if it is the system or the patient. Does it matter what smells?

Today, the cost of a hair system properly fitted and maintained in a 5 year period of time will often run more than the cost of a hair transplant procedure.

finasteride and beard development

Obviously it affects it for some more for some less but I noticed while being off my beard was noticeably stronger and filled in with every year. After being on it my beard is worse, stopped filling in etc.

Some men do report a reversal of the beard growth on the drug finasteride.


2019-05-01 07:39:26finasteride and beard development

Scalp Micropigmentation (SMP) instead of hair?

If I was to get SMP, would it be pointless staying on meds to keep/grow my hair?

SMP colors your scalp with small tattooed dots, barely the size of a dot from a ballpoint pen, but hair growth is independent. If you stop taking medications like finasteride or oral minoxidil, you will lose all the benefits of the drugs you accumulated over time. Think this through. Do you want the SMP to be your presentation to the world with a shaved head? To do this with SMP alone, your SMP must be meticulously done. I have seen a lot of good SMP with a shaved scalp, which is a reasonable option if it is done well; however, so many of today’s SMP providers just don’t do great work. Be sure to ask to meet some of the SMP patients who shave their heads before going forward with any provider.

Finasteride and minoxidil just 45 days (photo)

This man is very sensitive to minoxidil and finasteride in combination which has produced almost instantaneous growth. The new hairs look like that are 3/4 inch long suggesting that the growth response to these medications was almost instantaneous. Such a fast response is highly unusual.