Category: Uncategorized

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female to male transgender with hair loss

I am FtM transgender, and I have noticed a lot of transgender men in their mid-20s tend to get sudden and extreme hair loss due to hormone therapy (testosterone). Right now I’m not really experiencing much hair loss, possibly because I am on low-dose T, but I would like to prevent hair loss before it even starts.

Is there anything I can do to be proactive about hair loss? I currently only shampoo only 2-3 times a week, I condition daily, and I do 5-10 minute scalp massages daily. Are there any products I could incorporate into my hair routine?

Drugs like finasteride are critical but it most likely will not be enough to counter the impact of exogenous testosterone

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Since Hair Cloning Hasn’t Happened By Now, Are Statements Made in Years Past Considered Unethical?

Several years ago, Bosley Medical Director and Aderans Executive Vice President Ken Washenik, M.D. declared with supreme confidence that the Aderans hair- multiplication procedure would be available to the public by 2007. As we know, this has not happened.

Simply put, although I fully appreciate that medical science is far from exact, it seems plain to me that these statements were made with the understanding that the predicted timelines were utter fantasy. Thus, I have little choice but to conclude that the statements were made with an eye toward self-interest, to wit, raising the firm’s profile and ultimately soliciting additional investment capital.

My question is this: If a doctor or a medical practice deliberately or recklessly declares the imminence of a cure when it knows or should know that the statement is materially false, should that be considered a breach of medical ethics?

Come on now, I’m sure that he believed that the solution would be at hand in 5 years or so. If a weather man predicted a sunny day tomorrow, and tomorrow came with heavy rain, would you call that unethical behavior? There are limits as to the predictability of the future. In our capitalistic society, the entrepreneur believes that his inventions will work, will take less time than it really takes to develop a marketable product, and he often puts his hard earned savings into that business. Not all businesses succeed, not all ideas work and when they do not, it is the entrepreneur that usually pays the price for it. I am sure that Dr. Washenik was humbled by his failure to predict the timeline for cloning correctly. I personally commend him and Aderans for their persistence in working on the problem.

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Finasteride 10 months (photo)

This shows some good value with the use of finasteride for 10 months adding a dermaroller the last month.


2020-10-08 07:06:58Finasteride 10 months (photo)

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Sleep Apnea, Milk Thistle, and Hair Loss

What a great web site you have here. I need your help. I’m 41 and have a good amount of hair. My hair is actually a little thinner on the sides and back then the top.(strange) I have been on Propecia with good results. My question is I sometimes wake up in the middle of the night with SEVERE scalp itch on the side and back of my head. I went to a derm and he told me to use Head and shoulders. That really hasn’t helped. I also have sleep apnea I think…(untreated right now). Can this cause hair loss? It is strange that my hair has seemed to thin in the donor area and not as bad on top.

As a side question I have elevated ALT liver test. I want to start taking Milk Thistle. Can this make hair loss worse or could it help? Thanks for all the great information on your site.

I highly doubt sleep apnea causes hair loss.

I’m pretty sure milk thistle will not cause you to lose hair, nor make existing hair loss any better. Milk thistle (also known as Mary thistle, holy thistle, or silymarin) is used by some to treat various liver ailments, but there’s no scientific proof to substantiate that. See National Center for Complementary and Alternative Medicine for more.

I don’t really know the status of your hair loss pattern other than what you describe. Perhaps you don’t have the typical male balding pattern? You mentioned thinning in the donor area (back of the head) — and this is not a typical balding pattern. I would express these concerns to your doctor who is treating your medical conditions. It seems you are trying to connect and associate everything with your hair.


2008-05-21 09:45:42Sleep Apnea, Milk Thistle, and Hair Loss

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Finasteride After 10 Years

Hello dr Rassman, i’m sure you have read the 10 years old finasteride study being conducted on 118 men. It was found that 10 years later 86% of men had the same hair compared to the baseline. Do you believe this is true from your experience?

The uncontrolled study you’re referring to is this — Finasteride, 1 mg daily administration on male androgenetic alopecia in different age groups: 10-year follow-up.

And to answer your question — yes. I don’t know if my percentages would line up exactly since I haven’t done the statistical analysis, but this drug is very effective at stabilizing hair loss as I see it on a daily basis in the patients I’ve been treating (some for over 10 years).


2013-01-07 19:19:57Finasteride After 10 Years

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SMP and worried about turning gray

I’m 28 and have been on fin for just over 2 years. My hairloss was very slow and minor so it’s kept it completely stable. I do however feel my hair whorl is more prominent than it should be though and have been looking into micropigmentation as apparently it’s very good for something incredibly minor like this where a transplant would be ridiculous.

Has anybody had it done when they still have a ton of hair? I know it can look very un natural when it’s done all over on a bald head but I still thankfully have a ton of hair and only want it in a very small area. My concern is if it lasts for 6-7 years I could go grey in that time (only 4-5 grey hairs at the moment) and then the dark shading might shine through my grey hair and look weird. I’ve also heard micropigmentation turns blue or green over time? Lastly, if I ever did need to shave my head (god forbid) in X amount of years it would look super weird then if I had a very small patch of micropigmentation on the back of my head. I heard it can be lasered off quite easily but I presume you wouldn’t want to do that if you still have healthy hair follicles as that could kill them off?

The tattoo inks should be a shade of gray so that they stand up over time to the graying of your hair. That is the way we do it and it has been effective with many happy patients. See our website here: https://scalpmicropigmentation.com/ A special type of laser can remove it, or you can increase its use as your balding progresses. We have had many patient who followed up with hair transplants sometime after they got it.


2020-04-19 09:09:10SMP and worried about turning gray

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Finasteride and libido

Is it normal in the first year on finasteride to have periods of lower libido, or other sexual symptoms, that level out if you give them time? Kinda like a rollercoaster in that sense?

The response to finasteride with regard to libido various in different people. In some men, they find over time things get better, but others may find that it gets no better and maybe worse. When you are having libido problems, you need to see your doctor


2019-03-26 18:17:02Finasteride and libido

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So Does Finasteride Actually Reverse Miniaturization?

My understanding is that for those who suffer MPB, that “miniturazation” is inevitable. Finasteride is used to stop or slow that process. My question is can Finasteride actually reverse “miniturazation” in other words thicken back up the hair shaft as it grows vs. just stop/slowing it? Thanks in advance.

I believe that Propecia can reverse miniaturization in some people and that would easily explain the results we see in young men (in particular) who have increased fullness, not just associated with hair count. The best hair that responds to Propecia are those that are not near the end stage of miniaturization. This does not occur in everyone.

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finasteride and the frontal hairline

If finasteride doesn’t reverse frontal hair loss, will is slow it down or stop it?

I have seen some patients get good results in the frontal area (not common), more are younger (closer to 20 rather than 30 y/o). Yes it often slows or stops the recession.

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Some People Say Hair Loss Occurs Because of Reduced Blood Flow. This Is Incorrect.

When a man loses hair the blood flow to the scalp reduces, not the other way around. Reduced blood flow occurs when the need for oxygen and nutrients goes away with progressive balding. This is because there is less hair growth and the hair is the second highest use of blood flow to the brain.


2019-12-05 13:04:20Some People Say Hair Loss Occurs Because of Reduced Blood Flow. This Is Incorrect.