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Hello how are you? I am patient under dialysis treatments because my kidneys do not work anymore, and I wonder if some of your doctors could prescribe me generic 5 mg. My doctor did not want to prescribe generic finasteride 5 mg, the doctor just prescribe me Propecia, but is very expensive. It cost more than 80 dollars for thirty pills, I can not afford to pay that, I’ll be waiting for your reply. thank you!!

You can make an appointment with any dermatologist or a hair transplant doctor if your doctor won’t prescribe the 5mg. Did he give you a specific reason for not prescribing it (even if you are instructed to cut the pill)?

You would first need to have a good medical diagnosis for androgenic alopecia before you receive a prescription for Propecia or its generic finasteride. In general, there is a consultation fee for patients, but most hair transplant doctors waive the first visit fee.

DHT is a byproduct of testosterone metabolism and is a critical hormone for establishing male characteristics. No diet can’t change your DHT levels

In your opinion, if there is no miniaturization does that mean there is no hair loss? I recently had my hair mapped for miniaturization by Dr. Pak in San Jose, CA. He found no miniaturization beyond what is normal. It is possible that I have experienced a telogen effluvium, I mistakenly took a testosterone booster for a month about 8 months back, I also had 4 surgeries this past summer. I know for a fact that my hair has changed some in the past year, but I don’t show any miniaturization upon examination. Should I be worried?

In the interest of patient confidentiality, I will keep the answers generic. If you have specific questions or concerns you can call our office at 800-NEW-HAIR (800-639-4247) for a personal consultation / discussion.

Having no significant miniaturization should indicate that your hair loss state at that point in time was stable. You may have lost your hair in prior months and may have even experienced telogen effluvium, but there is no way to tell with a miniaturization study, which just shows hairs that are in the process of being lost.

If you take testosterone or anabolic steroids, you could “kick start” the genetic balding process, but as stated above, if you do not show signs of miniaturization at this point, it indicates things are stable. Most people will undergo changes in hair texture with age, but frankly there is no way to tell. I would recommend watching the hair over time with repeat miniaturization studies in the hope that your hair will become more full.

I have just moved to Jordan from London to live and I notice that more hair than usual (enough for me to worry) comes out when I brush my hair and wash my hair (in particular). It has been quite stressful moving and adjusting, plus I have a 5 month old son. There is no history of hairloss in my family – should I worry?

Many thanks

Hair loss comes when a person has genetic tendencies for it (many people find that they may not have it in the short family history but that it exists in the ancestry somewhere). Add hormones and stress to that and you have a deadly hair combo. Well, not “deadly”, but you get the idea. Then add time and you cement the process. Moving from one country to another with your family will almost certainly cause a high degree of stress. Hair loss is caused by genes, hormones, time and stress. Do you have it all? Yes, you should worry and get your hair assessed for early balding. The drug Propecia (for men only) should slow it down or reverse it if the diagnosis is made.

Can frequent, obssesive pulling back of the hair cause traction alopecia at the hairline? I’m a 20 year old male who cannot go past a mirror without pulling my hair up to look at my hairline. If there is a comb available, I use that as well. I do this to the point where the left side of my hairline in particular feels sore. Would you have any pictures to illustrate this sort of traction alopecia?

If you have an obsessive compulsive disorder to constantly pull on your hair, that may cause permanent hair loss to the area (depending on the severity and length of the offending habit)… but just looking at yourself in the mirror and combing your hair back will likely not cause traction alopecia.

It may seem like a chicken/egg conundrum (which came first…), but most men who have frontal recession are likely experiencing male pattern baldness. Particularly men around your age, which is when it wouldn’t be uncommon for genetic hair loss to begin.

If you are indeed worried about your possible hair loss or an obsessive compulsive disorder, you would establish a diagnosis with your doctor.