Is finasteride working?

I have been on finasteride but still encountering recession in my hairline in terms of miniaturization. But i noticed that my hair fall has actually decreased, so is the fin working or…? Was wondering am i really having Androgenetic alopecia

Yes, it is working but possibly not well on your hairline.

Is it true that minoxidil only works on the crown (vertex)? (photo)

This man is showing that minoxidil has worked on his hairline. The reason that most say that it only works on the crown (vertex) is that the FDA only got approved for claims on the crown (Vertex) when the drug got approved. It clearly works sometimes on the hairline as many men will tell you so and it works well in the crown for many men.

Is My Alopecia Areata Returning?

I’m a 17 year old kid who had alopecia areata starting at 15 years old. I shaved my head (all the way to the skin, shaving cream and all) and did this for 2 years. Recently i stopped and my hair has grown again (YAY!) Its back to normal but for the past month, my hair has started falling again. Can alopecia areata come back again? Or is it another problem? and if please what will be a solution for it!

Thank you very much!

There is no cure for alopecia areata, and as such, it can regress and then come right back. If it comes back again, another such experience it is not predicable. Alopecia areata is a lifelong condition. Please the see National Alopecia Areata Foundation site for much, much more information on this condition.


2010-11-04 08:36:06Is My Alopecia Areata Returning?

Is my hairline too straight and harsh? (Photo)

I am a 34 year old male, what do you think of my hairline?

The hairline should be V-Shaped as this is a typical hairline in a Caucasian male whose hairline has matured (bottom photos). Unfortunately, your surgeon gave you a rounded female hairline by shape, The leading edge of the hairline should have a transition zone in front of the two and three hair grafts so that there is no visible hairline present (the three last photos), just a zone from the forehead to the thicker hair. You have no such zone. Compare your hairline on the left with the three photos at the bottom of the window. This is a typical mature male hairline which has a better shape to it. In all of our patients we create a transition zone in the front of the two and three hair grafts as as shown in the three pictures at the bottom which demonstrates a ‘no-hairline hairline’.


2020-07-02 06:39:47Is my hairline too straight and harsh? (Photo)

5mg oral minoxidil vs 2.5mgs

5mg oral minoxidil once a day or 2.5mg oral minoxidil twice a day, which would yield better results?

The issue at hand is not the blood levels achieved. A dose of 5mgs runs heart risks not worth taking for a healthy man. The point is at what level will the hair effect happen. The answer is a 2.5mgs daily, good results are seen and it is safe from severe cardiac side effects which is very rarely reported.

Is Propecia Shrinking My Penis?

Dear Doctors:

Thanks for all your help and responding all the posts in this site that has been so useful to me in the last 2 years.

I am 33 years and since 25 I started to lose my hair and 2 years ago I decided to get a hair transplant in Miami with Dr. Bernard Cohen and it really changed my life for good I had amazing results and at at the same time I started to take Propecia so my results are really amazing and I am very happy. But I am concerned because after 2 years of taking propecia just in the last 3 or 4 months I have noticed my penis to shrink in the flacid state. And the morning erections dispaear since i started but that really was not a problem at all. I read in your archive that some other persons are experiening the same: Is DHT Essential for Genital Function?

I dont have problems getting an erection and I have a very active sexual life no complaints, but it worries me that I have the same simpthoms of this guy in the post and really I did not have any troubles in almost year and a half. I dont want to leave Propecia, but would you recommend to stop for a week and see how it goes?? would that make any damage to my good results over 2 years??

Please advice.

The symptom of a decreased penis size is not a reported side effect of Propecia and I have no experience with it. I’ve certainly never had any patients tell me about this, and frankly, I’ve been taking the medication for years and don’t have that issue. Are you in a colder climate? Feeling a lot of anxiety? See Genital retraction syndrome at Wikipedia for some other possible causes for your thinking.

The lack of morning erections is a known problem with Propecia, but if you are not having erectile dysfunction (ED) problems, then I do not believe that you need to consider stopping the medication, especially if the results from it are good and your goals at stopping the hair loss is working for you.

Is the Alcohol in Rogaine Causing My Irritation?

Dear Mr. Rassman,

Thank you for all the help you are providing the public. I am 23 years old and suffering from thinning hair. Unfortunately, we have limited options in Dubai. We have only one product of minoxidil 5% which is regaine, however, I develop scalp irritation from using it. A dermatologist asked me to try ordering rogaine foam from the US. He believes that the irritation was caused because regaine 5% is an alcoholic solution.

1) Do you think rogaine foam does not have alcohol? If yes, can you recommend any other product that contains minoxidil 5% but is not an alcoholic solution. Minoxidil is my only option and it is very important for me to find a way to avoid irritation.

2) I used the total daily dosage of regaine 5% at once a day, not twice as recommended. Do you think that is the reason for irritation?

3) I want to study whether regaine is effective with a microscope and taking pictures. How can I be sure that I am comparing the same spot with the same amount of zoom. For example, I zoomed a little and found 10 hairs in area A in the first month. I am worried that I might zoom less and find 12 hair counts after six months. Moreover, I might take a snap of another spot (beside the original one) in area A.

Thank you very much in advance.

1. Rogaine Foam does contain alcohol, but it is the propylene glycol that is generally what causes skin irritation in some people. Rogaine Foam doesn’t contain propylene glycol. If it is the alcohol that’s causing your irritation, unfortunately I’m not aware of any particular minoxidil currently sold with zero alcohol content. I have no way to know exactly what is causing your skin irritation, though.

2. Using it only once a day might just not be as effective as the recommended twice daily application, but I doubt the lesser dosage is what is causing your irritation. The irritation is probably from the propylene glycol in the Rogaine liquid, or perhaps an allergy to one of the other ingredients.

3. I suppose you could have a permanent dot the size of a pen mark tattooed on your scalp to be sure you have the exact spot monitored each time, but I think that’s a little overkill. The better way to go about this is to have a professional check the overall hair bulk using the HairCheck instrument, then recheck it again in a year to see if the numbers changed (increased bulk means you’re having more hair growth).


2014-03-11 13:06:09Is the Alcohol in Rogaine Causing My Irritation?