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I figured I would offer my opinion here since the reader asked for a reply from somebody who had a similar experience and the response doesn’t really answer the question. I used Propecia about a decade ago and developed general sexual dysfunction (not just ED) that continues to this day.

Unfortunately nobody can provide you with the reassurance that you say you desperately need. You won’t know for sure if the side effects will be permanent unless you stop taking the drug. The doctor highlights that you risk “catch up hair loss” which provides an incomplete picture to the decision you need to make. On the other hand, if you continue taking the drug you risk “catch up side effects” because the side effects can get worse than they are today. You need to think about what is most important to you and how much you value your general health versus your hair in order to make a smart decision. There is uncertainty in making a decision like this which is stressful but the right decision is different for everybody.

In my practice, when a new patient goes on finasteride and has sexual side effects, I tell him to stop the medication. I have them report back to me about their sexual side effect which usually goes away within a month or so. I have not seen any patient tell me that after stopping the drug, the side effects continued.

This is an extensive overview of two great products for men and women who need to camouflage their hair loss. The products are very different in the way that they are used.

From my patient population over the years, I found that each person has his/her favorite. https://www.gll-getalife.com/the-best-hair-loss-concealers-toppik-dermmatch-results

Inert hair fibers like Toppik do not cause harm to the hair. Hair spray does not do damage provided that when you style your hair that you don’t tug your hair as tugging on the hair can pull out the hair at its roots and in the long term cause permanent hair loss and/or hair damage

I’m 20 year old male from the England and I have rapid thinning hair loss on the top of my head and slightly on the back. It’s all happened over the past two months, I spotted a slight gap in my hairline and was getting a little scared about it. I started counting the hair after washing to see if I was losing it. It was only about 20-30 and rapidly its been increasing to 50 then 100 and now for the last 5 weeks its 150 to 200 everyday. It itches a lot through the day, I’m starting to get dandruff (which I’ve never had before) and my scalp is becoming clearly visible, especially under bright lights. When I comb my hair I lose about 10 per area of my head including the sides and back. I went to see my doctor 4 weeks back and he said there is nothing any of us can do to stop it. I started Propecia a week ago in fear that if I don’t do something now I will lose it forever, the hair loss is still around 150-200 a day though. I know its no miracle worker but if my hair loss doesn’t stop now I fear it will be gone in two months. Its totally destroying my life and its making me completely depressed. I would provide photos but I think I’m the only 20 year old who doesn’t have a camera

Thanks for the great blog and I hope to hear from you soon, Thanks

Wow !!!
That is something !!!
You must be the only 20 year old without a camera (even on a phone) !!!

On a serious note, you should think about getting a camera.

With respect to hair loss you may be experiencing, I am glad you were able to see a doctor and you have a treatment plan. The doctor should perform a ‘HAIRCHECK’ on you for measuring your hair bulk. This is the most accurate test available to follow changes in your hair and hair loss across the board. Aside from that, I really cannot help you much other that give you a generalized fact that genetic male pattern balding starts in your 20’s, even in teens as early as 14.
There are medications such as Rogain and Propecia to help. There are also procedures like SMP and hair transplant surgeries which can help but there is not one thing along that will solve your hair loss problem. A good Master Plan is important, especially if you are in your teens or 20s as the wrong approach can be disastrous. There are too many horror stories about young men who took actions too early, like hair transplants in your teens or early 20s.

I know dr.rassman has mentioned a few times that if a person is genetically balding their hair has a certain lifetime (example 5 or 10 years) , with or without the use of finasteride, before it completely dies. If that is the case, what is the point of taking finasteride if the hair is going die anyways within 5 or 10 years? Could finasteride prolong the hair from falling out early?

The point is you have the extra 5 to 10 years or possibly more of good hair. Imagine being 20 years old in your prime and you notice thinning. Imagine taking a drug that can postpone this until you’re 30 or 40. To some this may be worth while.

Can you imagine having to walk around with this presentation? This man has to wear a hat all of the time because his hairline presentation is terrible. If he is a professional man or does something that will not allow him to wear a hat for his living, he is just out-of-luck. Selecting a doctor is critical. If this man chose to purchase a hair transplant because it was inexpensive, he not only got robbed, but his deformity has damaged him in every-day life. The good news is that a hair transplant performed by a good doctor can fix it, but it will take from 4-8 months for the new hair transplants to grow out. While he is waiting, he is stuck with this look. Maybe a frontal wig will work, but this runs the risk of hair loss, so he has to make sure that he doesn’t walk into another pot-hole.