Category: Uncategorized

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HairSil Accelerator Shampoo

I’m 31, and have been using Nioxin for about 6 years. My hair has always been thin and my hairline has been continuously receding since my early twenties. I do believe the Nioxin has helped slow my hair loss (I have a younger brother whose head is nearly bald!). But I still have major shedding every morning in the shower.

Now I see a new product called “HairSil” – which is “clinically proven with Bioactive Peptide TA-5.” What the heck is that stuff, and how would it benefit a balding head? I’m considering giving it a try but don’t want to throw away all those years I’ve invested in Nioxin already.

I read on a forum where someone said the product claims “100% of patients in the study saw increased hair growth” and “80% saw a reduction in hair loss by 8 weeks“, but I can’t find an official site for HairSil that says that. If indeed that’s what the makers of HairSil actually claim, the FDA should probably look into it.

On the surface, HairSil just sounds like it’s a shampoo like any other. It’s hard to find much information on it outside of what others have written on hair loss forums. It’s worth noting that they offer a 20% commission to affiliates that sell this shampoo, so it might be another in a long line of products that people are hyping up just to get your money.

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I want to get my wife pregnant, should I stop taking finasteride?

The following journal article seems to address this problem: https://onlinelibrary.wiley.com/doi/pdf/10.2164/jandrol.109.009381

In summary, a 1-mg dose of finasteride does not appear to adversely affect spermatogenesis. In addition, the level present in the ejaculate of patients taking 1 mg appears to be negligible. Thus, there does not appear to be any need to stop 1 mg of finasteride in those patients trying to conceive or in those whose partners are pregnant.


2018-05-31 16:40:28I want to get my wife pregnant, should I stop taking finasteride?

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Happy Holidays!

It’s the holiday season, so we’re not going to post today or tomorrow like we would normally do. We’ll be back on Thursday!

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Washing off the crusts at 12 days

I waited for 12 days before washing the recipient area of my transplant. At that time, could I have damaged the grafts?

We wrote an article that discusses what happens day by day after a hair transplant. The grafts are secure in 7-8 days if no crusting is present. If crusting has not come off with good washing, removing the crusts at 12 days with good washing techniques is safe.

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Weeks After Hair Transplant, I Had an Impact Injury On My Scalp

i had a hard impact injury to the top of my head after 5 or 6 weeks after transplant surgery. I had a big bump on top and a small amount of bleeding. I was wondering what the chances of damage to the implants. Do you think I should be that concerned about this accident? Thanks so much for your comments and advice on hair transplants.

Since the injury occurred 5-6 weeks after your hair transplant, I do not think that it will be any risk to the grafts. Of course, if you have concerns and are able to make a follow-up appointment with your surgeon, that would be the best thing to do (at least for peace of mind).

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Has Propecia Turned My Semen Brown?

Dear Dr Rassman

Your site is a fantastic resource for men suffering from ongoing hair loss. Based on your advice and other research I have conducted, I have been using a combination regimen of Propecia and Minoxidil with some success over the last year, and as yet have noticed no significant side effects.

But recently I have experienced two instances of discoloured semen on Propecia. Rather than the usual milky white colour, on two occasions in the last 6 months my semen has turned a dark brown colour. On both occasions I stopped the Propecia and the colour returned to normal after about 2 weeks. I then started the regimen again but the same thing happened after around 6 months. Again I stopped the medication and the discoloration stopped.

Could you give me some advice on this? It would seem that the Propecia is having some effect on the prostate and causing bleeding of some kind to discolor the semen. Is this a common side-effect of Propecia or Finasteride, and most importantly, is it safe for me to continue taking the drug?

Many thanks

I do not know why your semen is changing colors. You need to go to your doctor or a urologist for a good history and examination. The issues is not about how safe it is to take Propecia. The issue is about finding an underlying, undiagnosed medical problem you are now aware of. Please see your doctor.


2008-05-19 09:00:12Has Propecia Turned My Semen Brown?

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What Are The Best Options For Improving My Hair Transplant Scars?

What are the best options for improving my hair transplant scars so that I can wear my hair shorter?

I had strip done 10 years ago with DR .xxxx (for privacy name omitted)

There is no universal answer or solution to improving a hair transplant scar. Some try scar revision surgery. Some try FUE to scars. Some try SMP to scar. My Scalp MicroPigmentation reviews have been very positive. See the results on the video.

Scalp MicroPigmentation and hair transplant FUE Review of this patient’s Experience on his scalp scar and hair restoration.

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Have You Tried NeoGraft Yet?

Hi Dr. Rassman,

I read where your colleague, Dr. Bernstein, recently decided to add the NeoGraft Unit to his office’s hair restoration offering – see his blog for more information. I was wondering if you have had an opportunity to try the NeoGraft and whether or not they have managed to overcome trauma to the grafts from “drying” and mechanical effects (during extraction and implanting)? I have read your blog concerning your (and Dr. Pak) device (hydro) and was really hoping that they might take a page from your book on this technique.

I did try NeoGraft on one of our known FOX negative patients and the results were not good, but comparable to what we would have gotten using our own techniques in such a patient. A quick aside, the FOX test means that we ran a small FUE test to see if they are candidates for a full FUE procedure… and FOX negative means we do not recommend the FUE procedure for them.

The NeoGraft system did what we would have expected it to do. I believe (without direct experience) that the ARTAS robot would have also produced damage with this FOX negative patient, but as most patients are not FOX negative, the test of the NeoGraft on this patient was not a fair representation of what it should do.

I have asked for a loan of a NeoGraft system to help me find a place in my practice for it. I know that Dr. Bernstein is getting an ARTAS system and I am sure that when he has a FOX negative patient, I will find out what his experience is with such a patient.

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What Caused My Transplanted Hair to Thin 6 Months After My Surgery?

I’m 6 months into my hair transplant and it seems to be getting thinner from about 2 months ago. I was under a great deal of stress a few months back. Could that cause a thinning of the newly transplanted hair. I use Rogaine and Avodart every day. The doctor said it was ok to use on the new hair. At the 4 month mark it really looked promising. However it has definitely thinned since then. Any suggestions on the cause?

Hair transplant surgery is highly variable in terms of the individual patient, as well as the techniques used by clinics and doctors. Many people who have a hair transplant will actually lose some of their original hair and that may be the cause of what you are seeing.

The general estimate is that it can take 4-8 months to see results, and usually the majority of the results are visible by the 8th-12th month. I’d follow up with the doctor that did your surgery.