Finasteride After 10 Years

Hello dr Rassman, i’m sure you have read the 10 years old finasteride study being conducted on 118 men. It was found that 10 years later 86% of men had the same hair compared to the baseline. Do you believe this is true from your experience?

The uncontrolled study you’re referring to is this — Finasteride, 1 mg daily administration on male androgenetic alopecia in different age groups: 10-year follow-up.

And to answer your question — yes. I don’t know if my percentages would line up exactly since I haven’t done the statistical analysis, but this drug is very effective at stabilizing hair loss as I see it on a daily basis in the patients I’ve been treating (some for over 10 years).


2013-01-07 19:19:57Finasteride After 10 Years

SMP and worried about turning gray

I’m 28 and have been on fin for just over 2 years. My hairloss was very slow and minor so it’s kept it completely stable. I do however feel my hair whorl is more prominent than it should be though and have been looking into micropigmentation as apparently it’s very good for something incredibly minor like this where a transplant would be ridiculous.

Has anybody had it done when they still have a ton of hair? I know it can look very un natural when it’s done all over on a bald head but I still thankfully have a ton of hair and only want it in a very small area. My concern is if it lasts for 6-7 years I could go grey in that time (only 4-5 grey hairs at the moment) and then the dark shading might shine through my grey hair and look weird. I’ve also heard micropigmentation turns blue or green over time? Lastly, if I ever did need to shave my head (god forbid) in X amount of years it would look super weird then if I had a very small patch of micropigmentation on the back of my head. I heard it can be lasered off quite easily but I presume you wouldn’t want to do that if you still have healthy hair follicles as that could kill them off?

The tattoo inks should be a shade of gray so that they stand up over time to the graying of your hair. That is the way we do it and it has been effective with many happy patients. See our website here: https://scalpmicropigmentation.com/ A special type of laser can remove it, or you can increase its use as your balding progresses. We have had many patient who followed up with hair transplants sometime after they got it.


2020-04-19 09:09:10SMP and worried about turning gray

Finasteride and libido

Is it normal in the first year on finasteride to have periods of lower libido, or other sexual symptoms, that level out if you give them time? Kinda like a rollercoaster in that sense?

The response to finasteride with regard to libido various in different people. In some men, they find over time things get better, but others may find that it gets no better and maybe worse. When you are having libido problems, you need to see your doctor


2019-03-26 18:17:02Finasteride and libido

So Does Finasteride Actually Reverse Miniaturization?

My understanding is that for those who suffer MPB, that “miniturazation” is inevitable. Finasteride is used to stop or slow that process. My question is can Finasteride actually reverse “miniturazation” in other words thicken back up the hair shaft as it grows vs. just stop/slowing it? Thanks in advance.

I believe that Propecia can reverse miniaturization in some people and that would easily explain the results we see in young men (in particular) who have increased fullness, not just associated with hair count. The best hair that responds to Propecia are those that are not near the end stage of miniaturization. This does not occur in everyone.

finasteride and the frontal hairline

If finasteride doesn’t reverse frontal hair loss, will is slow it down or stop it?

I have seen some patients get good results in the frontal area (not common), more are younger (closer to 20 rather than 30 y/o). Yes it often slows or stops the recession.

Some People Say Hair Loss Occurs Because of Reduced Blood Flow. This Is Incorrect.

When a man loses hair the blood flow to the scalp reduces, not the other way around. Reduced blood flow occurs when the need for oxygen and nutrients goes away with progressive balding. This is because there is less hair growth and the hair is the second highest use of blood flow to the brain.


2019-12-05 13:04:20Some People Say Hair Loss Occurs Because of Reduced Blood Flow. This Is Incorrect.

Finasteride causing testicle pain

I am currently taking Fin 5mg cutting it into 6 parts. While taking it, i am feeling a very mild ball ache. And still continuing it. as it is very mild and tolerable. is it ok?

You should speak with the doctor who prescribed the drug to you. If the ache and the pills are connected, then maybe you are not a candidate for finasteride.

 


2020-12-04 11:52:53Finasteride causing testicle pain

Spot on my scalp (photo)

I developed this spot on my scalp. What is it and can it be transplanted?

This appears like alopecia areata which is an autoimmune disease and best treated by a dermatologist with medications. Transplants to this will fail.

 

Starting dutasteride instead of finasteride

The safety of dutasteride in young men with hair loss has not been determined as this drug is not FDA approved. Start with finasteride which is almost as effective (70% vs 85% of the competitive inhibition at the hair follicle level)