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You can see the new hair growth in the frontal leading edge of the photos suggesting that this is real results that will only get better.

I have had Chemotherapy and lost my hair. It has been a full year and still only some of the hair has not returned.

So I started Proscar (1.25mg for AGA) in a hope to prevent/slow down any possible hair loss (25 years old male with NW2, only a receded hairline and I have mid-back length of thin curly hair).

After my very first dose, I (after like 17 hours) felt some discomfort in the breasts/chest/upper abdomen, is this even possible? I gave it a try for 4 days and it’s still persisting (it’s not a full blown pain but rather a discomfort), I stopped the drug out of fear of Gyno, was this a sign of Gyno? This is my 3rd day off-drug and the discomfort is still there, what should I do? I really should take Finasteride and I am planning to restart it at 0.5mg once the discomfort resolves, is this the correct action?

If you believe you are having negative side effects, why would you want to continue the medication? The correct action is speaking to you doctor about this.

Anything is possible but it seems improbable. Gynecomastia from Propecia use takes several week if not months of use.

Finally a Norwood 2 is not generally considered balding and Propecia only treats the vertex (crown) area of the scalp – (not the front corners). We routinely offer actual tests to determine if you have genetic pattern balding routinely on every patient coming in to see us who are like you. We don’t want people on drug that do not need them.

?The law in most states forbid a surgeon from a guarantee for any surgery. Think about it, if you had cancer and your surgeon guaranteed that he would cure you, that is impossible and illegal. So a hair transplant is the same thing; however, any good doctor should warrant his work regardless of the fault. If there is some failure of any part of the hair transplant process, or any complication that should arise, I am always good to make it right. I want patient satisfaction 100% of the time

This is a real problem for the few men that have permanent erectile dysfunction claimed from the drug Propecia, made by Merck.

The problem that they will face in court will be two-fold:

1. Can they prove that they have Erectile dysfunction at all and is it related to this drug?
2. There is a normal frequency of Erectile Dysfunction in the normal population.

Quebec court approves class action lawsuit linking erections and hair loss medication from tressless

Last night my father tossed coffee in my face. The coffee was not that hot and did not leave a burn. Could it cause my eyelashes to fall out?

I would doubt it.

I perform HAIRCHECK tests on most patients who want to start finasteride because I want to be able to follow their progress and if the drug is halting or reversing the hair loss., The HAIRCHECK test gives me a metric which allows me and the patient to know with reasonable certainty what is happening to them and with my experience I can often predict long-term hair loss patterns allowing my patients to build a Master Plan for future planning both for financial reasons and for hair growth reasons. If the HAIRCHECK shows no balding, I don’t prescribe finasteride. Also if a patient is depressed and I feel that there will be a link between finasteride and his depression, I might not prescribe it. My assessment of the patient is always one-on-one and then I have the priveledge to prescribe it or not.

In addition, I take a careful history, get to know the patient and try to understand their sexual history and if they may be good a candidate or not go good candidate for this drug. I have turned people down based upon these discussions.

Thank you for posting my comment on your blog this week. I re-read my comment and thought it may have been unclear so I wanted to clarify a point.

Haber’s original data set showed some peculiar results for the finasteride (F) group versus the control (C). It is very widely accepted that finasteride impairs sexual functioning compared to the control but that was not what Haber found in his study due to the research design. I don’t really know how to put it any more nicely unfortunately. According to the ASEX score, (F) had only 24.3% with some sexual dysfunction versus 38.4% for (C). Libido was similar between groups with (F) showing 22.8% with libido loss and (C) at 22.2%. Reduced sexual functioning was much lower for (F) at 17.8% versus 24.2% for (C).

Keep in mind there is a small amount of missing data in the fin group but it shouldn’t matter that much. Because of the way they excluded patients who stopped taking the drug, likely due to side effects, the data appears to show that on average finasteride improves sexual functioning but that isn’t true because the data isn’t properly randomized. Everybody basically knows that finasteride causes sexual side effects and the data is growing ever stronger that a small group gets persistent side effects. When their data showed the opposite effect and they didn’t stop to question why, they decided to completely ignore the data and conclude “there was no difference in loss of libido, reduced sexual performance, or the number of men with an ASEX score indicating sexual dysfunction.” I’m really not sure how this article got published but the authors appeared to have willfully distorted the data and study design to meet their presumed conclusion.

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My experience parallels Dr. Haber’s experience as well as another few dozen doctors with lots of experience. From a first hand perspective, I take it and don’t have ED or libido issue and my son took it and got an increased sexual drive. My patient’s parallel the official reports with about 2-4% ED and libido issues, possibly slightly higher. I have written thousands of prescriptions for finasteride and that makes me more of an authority than those who look in from the sidelines.