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My first question is a bit strange. I’ve been on Propecia for about 3 weeks now. And I believe I am have a side effect, though it’s not what I was expecting. I don’t even know how this is possible, but my Libido has become aggressively, distractedly active, to the point it’s almost detrimental. I can’t even focus on basic tasks since starting it because I’m horny like I’m 13 again (I’m 30). I don’t know if this is possible or if anyone else has ever heard of this happening. My semen has also become very watery.

One of my son’s went on Propecia (Finasteride) and found an increased sex drive as you reported. The water semen is common. I think that this side effect (increased sex drive) is more common than most people think; however, we focus more on those individuals who have a reduced sex drive and this is the complaint we hear about.

This shows rapid progress after the use of minoxidil and finasteride in a young man in just 3 months. Imagine who will happen in another 3-4 months.

Amazingly sensitive young man who had unusually fast response to microneedling plus finasteride and minoxidil. Over time it will get better and better

I am a cosmetologist and have been so for over 25 years. I’ve been doing extensive research on hair loss for several years. Recently I’ve been experiencing hair loss myself. I have rosacea, the kind that results in acne like bumps. It creeps into my scalp also. After finding out that I have an inflammatory condition found in my lungs, it’s all starting to make sense. My pulmonologist is drawing lines connecting imflamation in my skin and scalp to this. Many people who have acne or other inflammatory conditions also experience hair loss. This is believed to stem from inflammation brought in by either infection, autoimmune disease or allergic response. I have rosacea and hairloss. I’ve not taken any oral antibiotic for this although it has been prescribed (minocyline) . This drug is used to treat inflammation, not so much as an antibiotic. I’ve used metrocream on my face with no great results. My dermatologist switched me to soolantra andnit and is working wonders on my breakouts and redness. She says this cream works to fight against the allergic response to skin mites. So interesting that the inflammation is due to an allergy. It’s probably also in my scalp too. If you have an inflammatory skin condition you most likely also have the same in your scalp. Because the cycle of the hair growth and shedding, you might be experiencing the loss a while after the inflammation began at least 6 months or so. I’m curious how many of you have experienced other inflammatory problems like IBD, joint pain, high blood pressure.

Thank you for writing. There has been microscopic evidence that some inflammatory process is present in female hair loss. We also have seen many autoimmune conditions such as FFA, LLP, Alopecia aerata, etc. that are known inflammatory autoimmune diseases that attack the hair. I would not be surprised that the presence of other inflammatory conditions could overlap to the hair follicles. Unfortunately, our clinical science is not there yet.

The changes you are seeing may be more styling and product application than reality; however, there is a suggestion of new hair growth seen in the photos. Good luck and I look forward to seeing your photos in about 6 months.

There is a link between finasteride or dutasteride and insulin sensitivity as shown in this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207930/

The conclusion of the article states: Dual inhibition of 5?Rs, but not inhibition of 5?R2 alone, modulates insulin sensitivity in human peripheral tissues rather than liver. This may have important implications for patients prescribed dutasteride for prostatic disease.

Assuming that all of the grafts grew, your may have fine or very fine thickness hair. The total hair bulk needed to cover these areas are probably insufficient to get the density you want with the length of hair showing. Alternatively, if your hair is medium weight or thicker, it is likely that many of the grafts just didn’t grow. To get a fuller look, (1) longer hair will give you more hair bulk if your hair is fine, (2) more hair grafts will help for fine hair, or (3) if the hair transplant failed to grow all of the grafts, then another hair transplant would be a good idea, possibly with another surgeon, and (4) Scalp Micropigmentation can make the hair look fuller. You didn’t show the hairline so I can’t comment on that.