Fantastic Results from Finasteride and Minoxidil over 2.5 years (from Reddit)

There is no substitute for dedication and persistence as this young man shows. His results are better than a hair transplant at almost no cost. Although this man did not state his age, I suspect that he was significantly under the age of 25 as the younger you are, the better changes are that finasteride will reverse his hair loss. Congrats!

*Finasteride journey updated (added minox.) from tressless

Shock loss from another hair transplant

After experiencing shock loss so dramatically from my first hair transplant, would another hair transplant in the next two years cause more shock loss to happen of my current native hairs too?

Usually not. The shock loss knocked out the miniaturized hairs that were the cause of the shock loss.

Fear of Finasteride and Fear of Losing Hair

Hi doctor, I’ve sent you a message on Reddit and you told me to send you an mail.
I’ll try to be as brief, as hard as it is, about my situation is this:
I’ve basically had really good hair all my life, at least till I turned 18. I want to say I have a good hairline, and a fairly good crown. My hairline hasn’t receeded much, if at all, for the past few years. My main problem is that my hair is thinning in in a very unusual pattern. Since I had long hair, in most of my teenage-hood, it was hard for me to even notice it was thinning – the long hair usually masked it. I found out when I got drafted ~9-10 months ago and had to get a buzzcut – that’s when I noticed some spots on my head are significantly thinner than the rest of the head. Especially at the middle-front of my head, there’s practically a hole of seriously thin hair. However, growing my hair to 4-5cm in length is enough to mask it. The thing about my thin hair is that I don’t notice any shedding, and a year a go it seemed perfectly normal. If I run my hand through my hair it will usually take out 0-3 hairs. Same in the shower. I even remembered worrying about my thin hair before I got drafted because it used to look really bad when it was wet, but when I googled it people said it’s perfectly normal.
Basically, I want to get on Propecia, but I am terrified of the side effects, especially since it will be harder to monitor while I’m in the army, which is for at least a couple more years, but I don’t want to wait until then.
The reason I’m so confused is because:
1. The hair is thinning out in a very strange fashion.
2. The thinning doesn’t seem very aggressive – my hair is maybe slightly thinner than it was a year ago.
3. I remember noticing the back of my head was fairly thin, but this was 3+ years a go. It’s as if my hair is thinning in episodes, I don’t even know anymore.
4. I have or had lots of bad skin conditions, like acne, inflamed pores on my face, and the most dominant is seborrheic dermatitis, characterized by red, flaky patches on my entire face and scalp. I used to treat it with Ketozol.
Would love to hear what you have to say, really, any honest opinion would help me so much as this thinning has been wrecking my mental health as of late. I don’t know what to do anymore. I would really appreciate your help.
Thanks ahead,
The chance of sexual side effects are only 4% at most; however, you can talk yourself into these sexual side effects all too easily, then it would be 100%. It is tied to your attitude. Most of my patients take the drug when I recommend it and very few get sexual side effects (about 2-4%). Statistics are what they are, and they are reliable. Most men take their daily pill and don’t notice anything. Nonetheless, reading the many negative posts certainly doesn’t help, but the statistics should help you put the sexual concerns into perspective.


2018-06-22 13:30:12Fear of Finasteride and Fear of Losing Hair

Should I Be Proactive?

Dr. Rassman,
I have been figting the good fight (against Hair Loss) for years. I first noticed thinning temples, and a “thin-spot” on the front middle section of my head, around the age of 19. I saw this as a warning sign(since my father is very bald)and began using propecia when I turned 20. I know that this led to a thickening of the ‘thin-spot” and a slow down of thinning. I managed to maintain my hair between a norwood II and III throughout my twenties. After many years of peace I am noticing a renewal of the “thin-spot” and new thinning in scattered areas like the temples and sides of my head. Some of these areas were not a an issue before. I find myself stressed out by styling and seeking new hair products. I worry that I could quickly become a Norwood III – IV if I don’t take action as I did when I turned 20. I would like to explore all options and I am very interested in Dutasteride. I like having hair… although I don’t look like I did when I was twenty anymore, I would like to keep/possibly thicken what I still have. Should I visit you at NHI? I would rather visit proactively than for a transplant later.

Thanks

I have an office in San Jose (where noted as your location) and would be happy to map your scalp for miniaturization and make a diagnosis. I would not rush off to non-approved drugs for genetic hair loss if that is what you have. Let’s get a diagnosis first and go from there. Proactive is good. If you would like to setup an appointment, you can call 800-NEW-HAIR or visit my Request Info page.


2006-05-24 08:52:54Should I Be Proactive?

Female Hair Loss After Haircut — Should I Stop Blowdrying Every Day?

I am seriously and desperately begging for a solution to my hair problems at the moment. I am only 19.

About 7 months ago, (in Decemeber), i had a haircut where the hairdresser trimmed by hair by thinning it as she felt it was “too thick” where in reality it wasn’t even thick. She thinned it
alot and this occured in Singapore (where i am from and was visiting for three months) and in singapore even after she thinned it, it didnt look too bad. But after i came back to america…
It looks horribly thin! I never had such thin hair in my life.

It currently looks so thin and with no volume. I do blowdry my hair from the roots everyday. DO you think i should stop doing that?

Please get back to me. I am sure i can get my hair back. Please…
Thank You.

I do not know what is exactly involved with a hair dresser “thinning” your hair other than cutting your hair in layers. If this is the case, then your hair will naturally grow back. Blow drying your hair should not make your hair fall out or damage your hair unless you have it at an unusually high temperature setting. Use your judgment.


2007-08-02 11:33:04Female Hair Loss After Haircut — Should I Stop Blowdrying Every Day?

Female Hair Thinning

Hello sir,
I am an Asian female and I am 24 years old.About 3 years ago, I noticed that my hair had started thinning. That was a period of time when I was under a lot of stress and used to hav a bad diet as well. So I thougt that was the reason for my hairloss and also thought it would come back in time. I have lost hair mostly from the front region of my head.But am not loosing much hair now.My hairloss kind of reduced on its own about few months ago and I also see few hair coming.

So does that mean that I am gonna get back my lost hair? Was the damage irreparable? Should I take treatement?

My mom had lost a lot of hair at a young age,my dad is 60 years old ,but still not bald. Could you please let me know more about my hairloss and whether it will come bacK or not.I would be extremely grateful sir.I am undergoing a lot of pain because of my hair.

You are not alone. Since I started this blog, I have gotten quite a few questions from women about their hair loss problems. Here is a link to the similar questions and answers. The first thing you need to do is to see a physician who can examine you and order tests to make sure that there are no underlying medical reasons for your hair loss. Some of the reasons for female hair loss are: anemia, thyroid disease, connective tissue disease, and various gynecological conditions. These laboratory tests may be useful if underlying medical problems are suspected: CBC, Chem Screen, ANA, T4, TSH, STS, Androstenedione, DHEA-Sulfate, Total and Free Testosterone.

If it is determined that there are no medical reasons for your hair loss, I would suggest that you visit a hair loss specialist. Since you are in New Jersey, I can highly recommend Dr. Robert Bernstein in Fort Lee- his phone number is 866-576-2400.

Should my boyfriend go back on fin? Will he get sexual sides if he didn’t get them before?

Posting for my ‘off-the-grid’ boyfriend. He took fin in his mid twenties. It worked great, and he had no sexual sides. He stopped cause he was afraid of cancer. Now that the 2018 follow up study came out, he’s thinking about going back on. Do you think he has less risk of developing sexual sides cause he didn’t before? If he goes on it and has sides, will they disappear when he goes off? Should he go on it?
If he didn’t get sexual side effects before, he will not now.


2019-06-17 10:05:39Should my boyfriend go back on fin? Will he get sexual sides if he didn’t get them before?

Female Started Losing Her Hair at 13

i am a 17 year old (almost 18) female and have been experiencing hair loss since i was about 13. i used to have thick curly hair and now its very thin, i have to wear it half up in a clip to keep the thinning spots hidden (even though my whole head is thinning). my father is going bald and his brother and father are completely bald. i do not have any thyroid or hormone problems nor do i have any iron problems. i have been to dermitologists and they perscribed me monoxidil which i used when i was approx. 14 and stopped after about a half a year to a year because i hated using it and my hair loss was not completely noticble. now at 17 its pretty bad and i began using the monoxidil again, i started about a month ago. no one can explain my hair thinning and why a lot of it falls out after i shower and brush it. at first when i was 13-14 i didnt care because it was not noticable, but now i cant take it, im in high school almost uniiveristy and i dont know what to do! its been happening for 5 years without slowing or stopping..is there anything you can offer that will help me? pleasee im desperate, all my friends have thick hair and i hate the fact that i dont and mine falls out and is noticibly thin.

You have done your research concerning female hair loss. Have the dermatologist biopsy your scalp to see if you have an inflammatory process occuring which cause your hair loss. Find out if there are there any miniaturized hairs in the donor area, which is in the back of your head, and how much miniaturization you have everwhere else on your scalp. Are there any noticeble spots on your head? Has your hair loss been stabilized or has it become more progressive? I am limited to what I can do over the internet. Be sure to get a good, caring doctor to help guide you through what you are now experiencing.


2006-04-21 08:29:10Female Started Losing Her Hair at 13

Signs of DUPA?

Hi Dr Rassman,

Ive been reading your blog daily for a short while now, and im curious, if you were to look at someone how would you know if they had dupa, what are the symptoms that you would be able to diagnose that with?

Thank you.

Diffuse unpatterned alopecia (DUPA) is a condition where miniaturization is present all over the head, even in the areas that hair transplant surgeons think is sacred (the back and sides of the head). Thinning in the donor area where there was no thinning before, would make me suspicious of DUPA. You should get your hair mapped out for miniaturization and that would clearly give you the diagnosis.