Will I See a Difference Between Avodart and Propecia?

I’m 24 and for the past year I’ve noticed some light thinning near the front of my scalp. I wanted to start taking Propecia or Avodart to prevent further hair loss and hopefully regrow some hair. I’ve read Avodart is more effective than Propecia. Do you think someone my age with moderate hair loss will notice much of difference between the two?

I realize there are many sources of information on the internet about both Avodart and Propecia. I generally do not recommend Avodart in my regular practice (although I have prescribed it on an individual basis) because of its very long half life (the time it takes for half of the drug to be out of your blood stream — which is in the order of many days). Propecia on the other hand has a half life of a few hours. Propecia (finasteride 1mg) is the only FDA approved medication for the treatment of male pattern hair loss. I would not therefore recommend Avodart over Propecia until you go through a trial on Propecia for a minimum of 12 months. The rest is up to you and your doctor.

Remember, before starting any medication you should first consult with a medical doctor to quantitatively record your current miniaturization hair loss pattern with a hair densitometer so you can follow-up up in 6 to 8 months to see the effects of the medication.

I believe I have diffuse thining

Diffuse thinning may or may not be uniform thinning. See the distinction in a recent commentary I published in the HT Forum: https://newhair.com/pdf/Kumaresan-Muthuvel-Bernstein-Rassman-Commentary.pdf You need to see magnified views of your hair in different parts of your scalp. By going to Amazon, look for hand microscopes and for under $50 you can get good digital photos of your scalp at the hair roots. Then get a map of the head from Google, label each area you photo (a, b, c, etc) and then send them to me and I will look at them and give you a diagnosis. Be sure to include your donor area from the back of your head.

I Consider a Hair Transplant Best To Get Hair

What If the Donor Area Is Not Particularly Dense Though?

I always measure the donor area density and total supply and then match the donor area to your ‘worst’ case possible hair loss. I always create a Master Plan individualized for each patient so that they always know what is going to happen to them. This is critical in hair transplantation because both doctors and often patients rush to use up all of their donor hair before the balding pattern is complete, leaving the patient stuck with an incomplete job.


2020-02-21 06:12:48I Consider a Hair Transplant Best To Get Hair

I Don’t Have Hair Loss, But My Hair Is Thin — Should I Use Rogaine?

(female)
Hi Doctor

I am not experiencing hair loss, but my hair has always been very thin and sparse. What products could your recommend to stimulate hair growth? Is Rogaine foam a product to consider?

Thank you.

In my opinion, Rogaine does a poor job of thickening hair. Rogaine generally grows fine hairs, so using the medication would not really result in too much thickening of your existing hair. You can give it a try if you want to see for yourself.

Woman Growing Facial Hair from Rogaine

I am (female) developing face hair ever since I started Rogaine. I believe that the Rogaine is helping. What can I do?

I have seen many women who report this. Usually, the hair is a fine, baby hair. You can bleach it or shave it off. Shaving will not make the facial hair thick, so I would not worry about that.


2007-05-21 10:33:49Woman Growing Facial Hair from Rogaine

Woman with Handfuls of Hair That Come Out Every Morning

(female)
I am 35 years old. My hair has been falling out for 2 years now and has become extremely thin. It comes out in HUGE handfulls every morning. It has pretty much stopped growing as well. Now the hair on my legs stopped growing and some eye lashes have fallen out and will not grow back. My cycles are regualr, dead on every month to be exact. My doctor says he sees no signs of disease in my scalp and my thyroid has come back normal. I am convinced this is not just a “cycle” of hair loss I’m going through. What else could it be? Please help. I am devistated.

Female hair loss is a difficult analysis and requires many tests, not just thyroid testing. I simply can not write a textbook on the subject on this site, but here’s a list of past posts that may help you understand what you’ve got going on:

  1. Female Genetic Hair Loss Is Different From Male Genetic Hair Loss
  2. Birth Control Pills and Hair Loss
  3. Woman With Thinning Hair After Family Tragedy
  4. Diseases Causing Women’s Hair Loss
  5. Female Hair Loss

The first step in evaluating hair loss in women, after a detailed history and physical exam, is to rule out any underlying medical causes of hair loss which can be treated. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. Furthermore, over 50% of women going through change of life hormone fluctuations (menopause) experience significant hair loss. It is also important to review the use of medications that may cause hair loss, such as (but not limited to) oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin, and prednisone. The following laboratory tests have been recommended to rule out the aforementioned medical conditions:

Some common blood tests for female hair loss:

  • Sex Hormone tests
  • SHBG (Sex Hormone Binding Globulin) used to test status of male hormones
  • Estradiol is a sex hormone
  • FSH (Follicle Stimulating Hormone) *not hair follicle but follicle in the ovary*
  • LH (Luteinizing Hormone) is a sex hormone
  • Free Testosterone
  • Total Testosterone
  • ANA (Anti Nuclear Antibody) used to test for Lupus or other autoimmune diseases
  • TSH (Thyroid Stimulating Hormone) used to test for hyper or hypo-thyroid disease
  • Test Iron status
  • TIBC (Total Iron Binding Capacity)
  • Ferritin
  • Iron

I also discuss female hair loss in my book, Hair Loss and Replacement for Dummies — available in all good bookstores.