What Can Be Done? I’m Likely a Future Norwood 7 with the Family History I Have.

I’ve been told by several doctors that Fin isn’t a good idea because I have IBS (Irritable Bowel Syndrome).

Finasteride should not impact Irritable Bowl Syndrome. It might be worth a try. There is a balance between benefits and risks which only you can assess.


2018-06-22 09:04:09What Can Be Done? I’m Likely a Future Norwood 7 with the Family History I Have.

My Girlfriend Is 5 Months Pregnant, Any Problems With Birth Defects With Me on Finasteride?

I understand you probably get plenty of messages so thanks for taking time to read this. My girlfriend is 5 months pregnant and Ive been on Finasteride for 7 months. I’m just wondering if I can contribute to take Finasteride whilst she is pregnant and also continue to have sex with her without the use of a condom. Will this lead to birth defects?

There are no problems with birth defects caused by you being on finasteride.


2020-01-13 09:45:40My Girlfriend Is 5 Months Pregnant, Any Problems With Birth Defects With Me on Finasteride?

Can finasteride cause hair loss?

because i always see posts on hear of people saying they loss density on fin cuz of the shed and it didnt get better is this possible because im worried that may happen, Ive seen other ppl say its impossible to lose hair on it.

In my practice, I have never seen finasteride cause hair loss but I have seen genetic hair loss move rapidly evolve while a person is on finasteride.

My Hair Is Growing Slower — Is This a Sign of MPB?

Hey Doc,
I’m a 21 year old white male, my father is 42 and has a full head of hair. I know my mom’s father was balding but only met him in his 50’s and didn’t know when it began. I’ve noticed a decline in the thickness of my hair. There’s no balding at the crown but there is thinning and receding at the hairline. I’ve always had a naturally high hairline, but I do notice my hair used to grow quicker and be thicker all around. At my age is this a sure sign of MPB? Or can you experience these effects without having the gene? Thank you

Hair that is miniaturizing grows at a slower rate and the more miniaturized it is, the less it grows… until it eventually just stops growing. For those people who miniaturize all of the hairline, for example, their hair will not grow at all and sometimes it takes up to a year to fall out completely. Some men will change the thickness of their hair as they go from childhood into adulthood. The way you tell the difference between changes in hair thickness and miniaturization as an early sign of balding is to:

  1. Use a micrometer to measure the thickness of your hair in the back of your head and at different areas in the front and top.
  2. Have your hair mapped out for miniaturization to see if there are differences between the hairs in any one area which reflect miniaturization.

This way you will know what is happening.


2008-03-26 14:56:45My Hair Is Growing Slower — Is This a Sign of MPB?

Can Folliculitis Cause Hair Loss?

Hello Doctor!

I have a question about hair loss. I have been diagnosed with “folliculitis”. I’ve seen several dermatologists, and none has helped. Moreover, I am losing my hair. Can folliculitis cause hair loss? Is there any drug that can help me?

Thank you very much.

Folliculitis is an infection of your hair follicles. It can clear up on its own or your dermatologist can prescribe you medications to treat it. You shouldn’t lose hair from folliculitis unless it is chronically infected. Keep in mind though, the most common cause of hair loss in men is genetic hair loss.


2008-06-23 15:00:10Can Folliculitis Cause Hair Loss?

My Hair Loss Started at 16, but Has Progressed Extremely Slow

Extending on a point you made answering a recent question, about a man who believed his hairloss would progress to a norwood 6/7 because he began showing signs at the age of 19, how accurate would this be as a way of estimating? For example, if I am actually experiencing male pattern baldness, then I have had this same hairline since I was at least 16 (no accurate pictures before) which includes no more than a little lobsided recession.

My progression has been extremely slow, even at a young age when people believe hair loss is much more aggressive. Is it possible that, even past the mature hairline point, a sufferer of hairloss can just stop at any point, say a norwood 3, or just a little overall thinning, and keep what they have left for the rest of their lives?

Hair loss can be aggressive and then stop forever if that is your genetically determined pattern. You need to see a doctor to get that diagnosis done. The doctor can check your miniaturization (if it is present) and your hair bulk, and between the two of those you can get an idea if you are balding. At 16 years old, I do not believe that you can predict a Norwood class 6/7 pattern, nor have I seen that pattern in a 16 year old.

I think a lot of times people write wanting comfort in knowing that simple math will tell them how much time they have to enjoy their hair. Unfortunately, there’s no chart to refer to and I can’t even give an estimate of that time table without an examination of some sort. There’s no way to predict your final hair loss pattern just based on when you started losing hair.

Can I have my hair transplant under General Anesthesia?

The use of general anesthesia for a hair transplant is not a good idea because a hair transplant takes many hours and general anesthesia risks go up the longer you are under it, plus the costs would be very, very high. The use of local anesthesia like you dentist uses, is the only way to do this. Pain should not be a problem as most people feel nothing once the local anesthetic has been administered.

My Hair Transplant Made My Skin Cobblestoned!

Ive had a transplant 6 mnths ago.The hair that has been transplanted on the front top of my head has made the skin look bumpy cobble stoned appearance. I want to shave my hair short to blade 0 and not have the bumpy look. What procedures can be carried out to solve my problem. I do not wish to have another transplant so im looking on ways to make my linear scar fade away to. Is laser treatment good for the scar.

Of course, I will start by saying I want to see what your hair looks like and if you can visit California (we have two offices here) it would be best to let us examine you directly. The second option (and probably most convenient if you’re not local) is to send me good photographs of what you are referring to with good lighting. Be sure to include photos of the scar where the hair was taken from.

Cobble-stoning is usually the result of the larger grafts which have a reasonably sized skin disk with it. The skin from the graft does not align with the scalp skin around it so that it appears bumpy. If that is what you have, your doctor used an obsolete technique and these just can not be fixed by shaving down the scalp skin with dermabrasion, which only makes the visibility worse with depigmentation of the scalp skin. The only solution is to put more hair around these bumps to hide it in the ‘forest’ of normal hair (more hair transplants, but this time by a well skilled doctor using modern techniques). Laser treatments do not work either and the linear scars from the donor area can be difficult to fix, but again, I would need to see it to understand the problem.

Can I do another FUE [I had 3500 FUE grafts 3 months ago] (photo)?

Your donor supply looks pushed. If you harvest more grafts in this areas where it was harvested before, you may deplete the donor area and become bald there. There is a limit to how many hairs can be supplied by the donor area. The safe area for harvesting I defined by the lines I drew (the safe area is between the lines) on the photo but as you can see, some of the grafts were taken from the non-permanent zone. I would not rush to get another hair transplant as the donor area will become more of a problem than the area where you are moving the grafts to fix. You might want to find a doctor who can do a strip surgery for more grafts as the depletion will be less in the areas shown.


2020-01-25 09:26:22Can I do another FUE [I had 3500 FUE grafts 3 months ago] (photo)?

My Husband Hit His Head on a Concrete Floor and Now Has a Bald Spot

In mid-feb, my husband was wrestling with a friend in our living room. His friend picked him up and accidently slammed him on the concete floor. My husband’s head hit the floor and he had a huge bump on his head. The swealling went down but he still has a bald spot there. Will his hair ever grow back?

I would expect that the hair will grow back within 6 months (or less) from time of the injury.


2008-05-13 13:34:00My Husband Hit His Head on a Concrete Floor and Now Has a Bald Spot