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Can you take 2.5mg of Finasteride (half of a 5mg pill) 3x per week as my doctor suggested, or should I attempt to split the pills further? I spent years worrying about asking for Finasteride, I finally asked using my clinic’s online messaging system, and the doctor was more than happy to give me more information and prescribe it.

This dosage is fine. Finasteride ‘fixes’ to the receptors in the hair follicles for about 7 days so the blood levels are less important as is the way you take the drug. About 1mg/day is ideal, but more will not hurt you.

I was wanting to know if you have any information/clinical observations concerning worsening of side effects for patients who continue to take finasteride? I ask this as I am experiencing watery semen. In addition to this, I have an extremely high libido that’s way too high for my own good. In regards to such, I have a very minimal, almost non-existent refractory period after ejaculation. After having sex the first few times around, my erection quality isn’t quite what was pre-finasteride. But this is a side effect that I can very much live with. In your clinic, what observations have you made concerning patients who have manageable side effects? Do they worsen or get better with time? Or is there a general consensus that they stay the same?

Good questions. When the water semen occurs it seems to stay until you sop the finasteride. Some people report it takes 3 months before the water semen goes away. I have seen an increased sex drive from some of my patients, even my own son experienced it. He loved that side ffect.

Most people find either (1) they get accustomed to the finasteride and the side effects eventually reverse, or (2) the side effects continue or even get worse. For those who have a reduced sexual drive or ED, some doctors, including me, feel that the longer the ED on the drug, the more likely that the irreversible PFS becomes a problem (although still a very small number of people fall into this category). For doctors like me who tell the patients with significant ED that can’t mange it on the drug, I tell my patient to stop taking finasteride. As a result, of the thousands of finasteride men I have given the drug to, I have never seen a case of PFS in my practice as many of my colleagues who have similar approaches to such problems.

I am not surprised about these numbers. Most men deny their balding, and I believe that almost all men care about it and would prefer to have hair. You can see the embarrassment of Donald Trump about the facts that he takes Finasteride, and this is not an unusual issue for being embarrassed. Men, unlike women, don’t like to recognize that they are vain. Accepting that they are going to treat their hair loss makes men uncomfortable. Assuming that these statistics are real (they seem too low to me, but may be correct), the number of men who seek hair transplants is probably 2% of the 5% who actually get proactive. There were ~160,000 hair transplants in the US in 2016. Considering that hair loss is present in 50% of men over 45, and probably 30-40% of men over 25, and considering that the number of men between 25-44 years of age are 49 million, 44-54 years of age are 30 million, and 54+ are about 32 million as of the 2010 census, there are a total of roughly 133 million men in these brackets in the US, half of which have male pattern balding at some level. Considering that there were only about 165,000 hair transplants in the US, that means that only about 0.00124 % of men has had a hair transplant in 2016.

Only 5% of balding men see a doctor about it and a minority of them (28% of the 5%) try to treat it. from tressless

This 23 year old male had taken finasteride and minoxidil for 4 months. This is a remarkable benefit in just 4 months; however, the hair length is clearly longer in the photo on the right.

Can i get a hair transplant and take steroids at the same time while taking medication to prevent further hair loss? This is a subject you must discuss with your hair transplant doctor. Bulking up with steroids just causes more hair loss. Why do a hair transplant and lose hair at the same time?

I have been using Minoxidil AND Finasteride, and I developed pericarditis. The VA did not warn me of these possibilities. Today, I am aware of the Minoxidil connection but not about a Finasteride connection. Is there a clear Finasteride connection I can get data on?

There are reports that this drug (Finasteride) can cause pericarditis (a swelling and inflammation in the sack around the heart).tc

hi doctor im 30 years old and took propecia for 3 years with amazing results. Prior to propecia my hair was horrible, thin, and was losing it. Then I started propecia and after 3 years my hair was amazing, thick, looked like when I was 20 years old again. it looked thick and amazing, it was like a miracle drug. A year ago I stopped it because I didn’t know I had to take it6 everyday forever and stupid me didn’t even consult my doctor. worst mistake I ever made. and my hair loss has picked up and looks thin and just like it was before propecia and even worse. I went to my doctor and got a script and started again last week. My doctor said it should help again and I should gain back what I lost but he is a regular family doctor, and I want an experts opinion. Will I get the same results again now that I have started taking it again? I hope I get the same hair I had a year ago back. In your opinion from your experience people who have stopped and re started does it work and bring you back to before? or all that beautiful hair I hair on propecia is gone and will only keep what I have now?

I can’s say what will happen in your case. Chances are that there will be some advantages to go back on it, but the full benefit you had will be a touch challenge. This is the reason that having a good doctor and keeping an eye on your repose is so important. You must have had yearly renewal requirements that this would have been saving you all of this grief.