Excellent article on microneedling

This article discusses microneedling and shows many photos of men before and after its use

https://www.hairliciously.com/blogs/news/the-best-before-after-microneedling-and-derma-roller-results-for-hair-growth

 

Sex Drive and Erections

I am a 36 year-old male. I have been taking 1/5 of a finasteride (Proscar) pill daily for about 6-7 years. I have heard that Proscar can have harmful effects on male sex drive and erections — my question is, when this does happen, can it happen gradually or does it happen in the immediate days/weeks/months after starting the drug?

I ask because there has been a noticeable decline in my sex drive as well as the frequency and quality of erections over the years, and I don’t know if it’s normal for my age, or possibly due to the drug. I’m still quite functional sexually if I pick my spots, but those spots seem to be less and less frequent, and when I do get involved I’m prone to lose it unless I take Viagra beforehand (1/4 of a pill seems to work very well for me).

Please help! Would greatly appreciate any insight you can offer on my situation. I’m not sure but I think 36 is too young for this stuff.

Every man over 25 knows that their penis does not behave like it did when we were 15. There is an interconnection between our erections and our sex drive. If our erection is not strong enough, if we do not last long enough, or recover fast enough, then what we may call erection problems (Erectile Dysfunction / ED) may become a matter of our focus. From the impromptu polls I have done in my mostly male practice, many men in their 30s find that Viagra improves their erections. Question: Does it improve from a 15 year old vantage point or a 36 year old vantage point?

Your “sexual problem” (I only used quotes because I am not sure to what extent there is a problem) may be ED or it may be caused by Propecia (but that usually comes within the first month of taking the medication, not after years necessarily). If you stop the Propecia for a few weeks, and the ED and sex drive goes away, then you can assume it was Propecia induced. You can check your testosterone levels; hopefully they will be normal. If you have some aging effect and you are satisfied with Viagra, then use it. There are doctors that specialize in ED, so if all alse fails, you can see one of them so if you go this route, you are best starting off with your family doctor. If you decide to stop the Propecia for 2-3 weeks, the drug will be out of your system in a couple of days and within a week you should see some benefit if it is Propecia related.

EXT From Hair Club

I currently use the EXT product line from hair club. Are there any other products comparable to EXT?

You should dissect each element of their EXT approach:

  • Cleansers on the scalp do not do much
  • Lasers, in my opinion do not work
  • Lotions that contain minoxidil work just like minoxidil without the packaging
  • Scalp massage feels good but doesn’t grow hair
  • Finasteride works well
  • Vitamins have limited value in a person who is not vitamin deficient
  • Miniaturization studies tell you where your hair is going and how fast
  • Hair transplants work very well with the right Master Plan

I do not offer many of these elements because they may not work, take too much time, and will raise the costs for most people.

Shedding Different Hair Lengths, Scalp Pimples

I have about 2 1/2 inches of hair, im a 21 male and when i shed, i see short hairs and long hairs, is this normal? and also get about 5 to 10 new pimples every other week or so on my scalp, they are tiny and usually filled with white pus. i wash my hair everyday before i goto work, in the mornings and sometimes at night. could the pimples be causing the different length of hair to be shedding, and do pimples cause damage or hair loss? thanks to whomever read this, would really be appreciated

If you are experiencing folliculitis (pimples filled with pus) then it could be causing your hair shedding. You need to be examined by a good dermatologist and I am certain that once that doctor examines you, he/she will know what is wrong and how to treat it. I can not do this over the internet.

Facial Hair Doesn’t Fall Out Like Scalp Hair Does?

I have been told, by a colleague, that under normal circumstances, facial hair does not ‘fall out’ as does hair on your head.

Can you tell me if this is true or false?

Facial hair is different than scalp hair, but ALL hairs go through the growth cycle, resting cycle, and shedding (falling out) cycle.

I am not clear what you are asking. Do you have loss of facial hair or are you asking an academic question? The most common cause of scalp hair loss in men is due to genetic causes, and it is often referred to as androgenic alopecia (AGA), male pattern baldness (MPB), or just genetic balding. About 50% or so of the male population will have some degree of genetic balding at some point in their lifetime. Keep in mind that this does not mean 50% of men will go bald. Facial balding patches may not be genetic and you need to see a dermatologist.


2008-04-24 09:27:39Facial Hair Doesn’t Fall Out Like Scalp Hair Does?

Shedding vs. Thinning, Which is Worse? (from Reddit)

Yes, there is a difference in what you see. Both thinning and shedding of hair are manifestations of hair loss. Sometimes one will shed hair, other times one does not shed and just recedes in the hairline. Sometimes, you see thinning from shedding. All of these are ways to identify that you have a hair loss problem which should be evaluated by a good doctor.

Balding Via Sheeding Vs Via Hair Thinning? Is There A Difference? from tressless


2018-06-19 09:32:24Shedding vs. Thinning, Which is Worse? (from Reddit)

Fat Burners Constrict Blood Vessels — Would That Lead to Hair Loss?

Hey Doc Rassman, great site. I’ve been hooked onto it since I started losing some hair myself- and of course, the fact that you’re called one of the pioneers of hair surgery just increases the blogs credibility.

I’m an 18 year old male, and I’m a serious teen bodybuilder. I’ve been competing, and recently, I’ve started using a fat burner (Nutrex Lipo 6) which contains a lot of caffeine, synephrine, yohimbe and some other stuff to get into my final competition stage. Now regardless of these ingredients, what concerns me is that all fat burners constrict blood vessels to increase blood pressure, and in turn increase metabolism to burn calories faster. That’s alright, fine with me. But it’s the hair loss I’ve been experiencing since I’ve started using this product that’s causing concern!

Just taking a shot in the air, would you say that the fat burner is causing poor blood circulation due to the high BP (a case associated with cigarettes too as I’ve read), and in turn causing this balding? Would this then mean that people with high blood pressure (something I have a family history of) have poorer quality of hair?What are your views,doc?

I can’t really comment on a specific fat burner as the cause your hair loss. Many medications report hair loss as a side effect, so even this ‘substance’ may have similar side effects. If you have hair loss it is most likely related to genetic male pattern baldness (MPB), otherwise known as androgenic alopecia (AGA)… particularly in a young man of your age. You may consider an examination by a doctor and possibly starting finasteride as a treatment option.

With regard to any connection between blood supply as a cause of hair loss, it is not ABSOLUTELY the cause of hair loss. The fat burner you are talking about can not possibly reduce the blood supply by constricting scalp blood vessels. There is also no connection between high blood pressure and hair loss either.

Shock Loss in the Recipient Area

HI DR… I would like to know if there is shock loss after hair surgery what is your policy in solving the problem. thanks

I properly inform my patients of the risk, try to mitigate that risk, and am very supportive if it happens. I can not guarantee what will happen to the native hair that is there and which may react poorly to a hair transplant by undergoing shock loss. I have not had a case of shock loss for more than a year. I suspect it is because I prescribe finasteride on all those who are subject to that risk.


2006-11-14 09:20:25Shock Loss in the Recipient Area

I feel more sub-human the more I bald

Balding so young, I feel like genetic trash. People treat me differently too, well they did. I got some regrowth and it’s absolutely disgusting how people treat you better when you improve your looks. Looks are everything. Anyways, I want to be hopeful for the “treatments” of the future, but history tells us a different story of hope then disappointment, as seen by browsing hair loss forums years ago. Everyone at my college has a thick NW1. Not one balding man. It’s rare this young. I have realized I am subhuman trash, I know my place now. If I ever go completely bald (I probably will) it’s game over.

You should see a doctor and you can probably address your problem, one way or the other. There are many good solutions including medications, Scalp Micropigmentation or hair transplantation. If I were to see you, I would work to get you to manage your hair loss in a productive way. My consultations are free and you can contact me over the internet at wrassman@newhair.com and send photos along with the email.

Should I Give Propecia a Try?

Firstly, I’d like to thank you for this site, I’ve gained a lot of information from this site and it has made me feel a lot more positive about my situation. I am 22 year old male and for the past year my hair has been getting thinner and falling out at the front of my head (mid, front) it’s certainly not thinning at the temples, it is completely across the top. My question is, is Propecia right for me? Also, what are my chances? Should I give minoxidil a go too?

Thank you in advance.

You are asking for a personal medical advice which is not appropriate on BaldingBlog. You need to find a doctor for an examination and ask them these questions.

Propecia isn’t for everyone, and without photos or examination (miniaturization study) I couldn’t really begin to tell you if you’re someone that should take Propecia. That is aside from the fact that I’m not your doctor and it is a prescription medication. I’d find a doctor in your area for an exam of your scalp and hair loss. If genetic hair loss is present, Propecia would be a good choice to halt further loss and possibly regrow some of the hair you’ve lost if you have generic hair loss. The drug tends to work best in the crown and top, but it does work in the frontal area as well for many men. Some men choose to take Propecia and use minoxidil at the same time — this is fine, but you will be using both of these medications for the rest of your life, so I like to recommend one at a time, adding the additional one later if the results aren’t what you expected/desired.


2008-07-18 14:57:53Should I Give Propecia a Try?