Category: Uncategorized

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I Had an Increased Libido from Propecia and Then Months Later I No Longer Have Morning Wood

Hello doctor,
I’m 23 years old, I started losing my hair at 22, became very depressed and immediately sought out a transplant. I’ve seen a dermatologist in my area who is qualified for transplants and tells me I’m too young and my hair thinning is not so bad to even consider surgery. I was prescribed Propecia 1mg daily, and like some of the previous questions I’ve read, I’ve experienced an increase in libido for a short period of time. Its now month 9 on propecia and I no longer have the ‘morning wood’ and am experiencing decreased sexual appetite and desire. I am going off of propecia immediately, is there anything you can recommend for my situation?

Propecia can cause sexual side effects in 1 to 2% of the men that take the drug. If you are one of them, you need to inform your doctor and consider your options (including stopping the medication, which I guess you already did). It’s interesting that you had an increase in libido followed by a completely opposite effect months later. Did you notice any hair regrowth while you were on the medication? Have you talked with your prescribing doctor for a follow-up lately?

Besides Propecia, the only other FDA approved medication I recommend is Rogaine (minoxidil), but I really cannot give you an specific recommendations since I do not know you and I have not examined you in person. I can only give you general factual information. Whether you’re a candidate for surgery is also something I can’t tell you without an examination and more information about your hair loss. At 23 years old with early loss, I would usually recommend trying medications before opting for a surgery.

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Would My Body Adjust Quickly If I Increased My Finasteride Dosage?

If one were to up their daily dosage of proscar could side effects like loss of libido, morning erections, and loss of sex drive happen right away and then quickly go back to normal a few days later. In other words, can the body adjust to the increased dosage of the drug in a matter of days and all the things I mentioned above return to normal?

In general, higher doses of medication can cause an increase in side effects. I usually do not endorse higher than the recommended dose of finasteride for treating hair loss, which is 1mg a day. A higher dose does not equate to better results.

If you’re taking Proscar, that is already a 5mg tablet, so I am hoping you’re taking a split pill, otherwise you’re already getting way more medication daily than necessary. Propecia is 1mg finasteride (for hair loss), Proscar is 5mg finasteride (for prostate). In any case, talk to your prescribing doctor about any changes in dosing.

With respect to your body adjusting for changes in dosage, it is not so specific and everyone’s response is different. I have no way to know how your body will respond to a medication increase.


2014-01-21 12:48:19Would My Body Adjust Quickly If I Increased My Finasteride Dosage?

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I Have a Lot of Scabbing a Week After My FUE Procedure (with Photo)

Hi Doc,

I had a FUE done with 3000 grafts exactly 8 days ago (photo attached).

My concern is that there seems to have been a lot of scabbing or crusting (what is the difference between the two anyway?).

The scabbing/crusting started coming off in places near the restored hairline and it now looks like a river delta (i.e. lines where there is no hair/crusting/scabbing with pockets of crust/scab/hair).

Is this normal? Or is it due to trauma (e.g. scratching) or bad surgery? I know when I am awake, I do not touch the area (I have worn a bandana lightly from the day after the surgery, but only for a few days and first 2 nights). Sometimes at night, I inadvertently brush my hand against the recipient area and wake up.

My doctor advised me to start washing once a day from Day 2 onwards with a spray bottle with a mixture of baby shampoo and water (and rinsing with plain water from the spray bottle) which I have done.

Should I be trying to get rid of the scabs/crusts with light finger pressure when shampooing or should I wait for the 10th day before trying any of this? It is difficult to see the hair due to the black scabs/crusts, but the transplanted hair is there.

Thanks!

 

The crusting is very bad, which means that your management of your scabs was not good. We rarely, if ever, see this degree of crusting. How is the scabbing in the donor area at the back of your scalp?

Be very careful not to rush to take these crusts off. Use a shampoo and leave it on for 10 minutes and then gently, very gently rub in the shampoo. The crusts will slowly loosen and eventually they will come off. Give it another 10 days and hopefully the problem will be gone.

The scabbing/crusting (interchangeable words) is pretty intense, but hopefully there is no problem with the grafts because of it. Of course, follow up with your surgeon if you are concerned.

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Young Girl with Hair Loss

I’m 15 and I have all the same problems. My hair has been thick all my life, up until this year. I have lost a significant amount of hair, and it is noticeable when I look back at pictures. It has been falling out in large clumps when I shower, brush, or straighten it (which I don’t do very often due to damage). I went to the doctor and he says it is normal and that it will pass, but I feel like it won’t stop. I use castor oil on my roots. I feel like I take very good care of my hair because my mom is a hair dresser and she has taught me about hair care. So, I don’t know what is wrong.

If you are not happy with the doctor you visited, see another doctor. There is no reason to live like this.

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I have Hashimoto Disease, Can I have a hair transplant?

If you disease is under control and you understand the risks associated with having a hair transplant, then the answer is yes. There could be an increased risk of hair rejection if the autoimmune disease impacts the skin which can happen anytime after the surgery, even years out


2020-12-04 11:29:53I have Hashimoto Disease, Can I have a hair transplant?

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Youthful Hairlines

I am 34 and in the music business. Like the email from your model, I am in a position where I wish to look like I’m in my late 20 for a few more years-Its more business then vanity. My hair looks how it should for 34 (I am a type two), never the less, I wish to have the sides of the front filled in a bit (as well as the hariline reconstructed).

Everything I read implies that this is a bad idea, because my hairline will look too low when I am 45. If I brought my hairline back down to where it was 5 years ago, would it look stupid in 15 years?

Clearly, you understand this subject, so I will not repeat much of what I have said in previous blog entries. First, Bill Clinton has the same hairline today that he had when he was 12 years old. His hairline does not look weird to me. It just reflects a small number of Caucasians who keep their juvenile hairlines into adulthood. IF you are not balding and you’re examined throughout each area of your scalp, looking for miniaturization and none is found, then it is not unreasonable to assume that you would be in the 55% of the population that does not bald at all. Putting back the frontal hairline will just make you look like Bill Clinton, Ronald Reagan, actor Andy Garcia, and many others like them. They looked good with their low hairlines. On the other hand, if you should start to bald, a discussion with your doctor needs to lay out a worst case scenario for you to consider along with the statistical possibility that this might happen.

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I have scalp pain and crown thinning, is this normal?

Just turned 18 and having a lot of receding in the hairline and some thinning on the crown. All the males on my dads side of the family are bald and most the males on my moms side are bald also so i feel like MPB is inevitable just sucks that it started this early! But i am experiencing scalp pain on my crown just wondering if its normal or not

Scalp pain does not come from male patterned balding. Psychological pain is different


2019-04-08 12:58:49I have scalp pain and crown thinning, is this normal?