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I just never heard of it. Could you fill a bald Norwood 7 head with leg hair like this picture I found on Google? Arms are similar. I assume minoxidil would help it grow longer and thicker

Doc, I am an active, healthy 37 year old. After taking Propecia for 6+ years with little side effects, I started to notice a decreased libido, difficulty maintaining an erection, no morning erections, a smaller penis in the flaccid state and a feeling of “disconnect” (mind from penis). I stopped taking it 6 weeks ago and have not noticed a change, other than my hair loss has increased again. I have read on other sites men complaining of similar symptoms and claiming they are permanent. I have considered getting a testosterone level, A DHT level, FSH/LH, E-2, and Prolactin levels. I haven’t mentioned any of my concerns to my (female) physician. Any suggestions (other than discussing them with her? -which I will).

Decreased libido and difficultly maintaining an erection are reported side effects that occur in 1 to 2% of men taking Propecia, but the same symptoms are prevalent in more than 2% of the men who are NOT taking Propecia. You may have other unrelated health issues (undiagnosed diabetes, blood pressure problems, etc) that can also contribute to this. That is why you are doing the right thing by seeing your primary care physician. See Propecia Gave Me Side Effects — How Can I Get My Sex Drive Back? for more.

As far as the DHT and testosterone or FSH/LH tests, I really don’t have an opinion, as your endocrinologist will be better suited to advise you on whether you need those tests. With respect to a smaller penis size, I highly doubt a drug is shrinking your penis… just as there is no drug that grows your penis size. With respect to a disconnect with your penis, you may want to see a counselor. I highly doubt this problem is from Propecia. I wonder what Sigmund Freud would say…

I‘m from Germany and I suffer from hairloss. I was prescribed fin around 2 years ago. Recently it got worse and I went to a another dermatologist, since I moved places. He told me that he doesnt recommend taking fin and instead take Alfatradiol (apparently it has the same effect as fin but its topical?). Have you heard of this? The product is called Ell-Cranell. I cant seem to find a lot of studies.

Alfatradiol is a weak estrogen and 5-reductase inhibitor medication which is used topically in the treatment of pattern hair loss (androgenic alopecia or pattern baldness) in men and women. You might be better off with topical finasteride plus minoxidil as these are stronger medications.

I’m trying to determine if I lost any grafts after a recent FUE. I was extremely gentle and did not touch the grafts until day 5 when I was instructed to use moderate pressure and rub at the crusts to remove them. Some of the spots, especially near the hairline and temples were still acutely tender. I expected hairs to still be attached to the crusts. Many hairs did fall out with them. I have read your study on how long it takes grafts to anchor. My question is how much bleeding is typically associated with a graft loss? Just a spot? An ooze? A trickle?

Many places say you probably didn’t lose any grafts unless there was pain or bleeding. But they never specify how much bleeding. I am now at day 7. And hairs began falling off at day 5 with the pressure, which worries me that it was too early. Also, can I use lotion or moisturizer on the recipient site? It tends to dry out.

I wrote that paper with Dr. Bernstein on Graft Anchoring (see here: https://baldingblog.com/wp-content/uploads/pdf/mp-2006-graft-anchoring.pdf). As long as there are crusts attached to the grafts, you must not pull them off. This is why I get all of the crusts off on day one. You can use a conditioner after shampoo and moisturize after the crusts are off.

You must be very young. I would guess you are in your early 20s and that is important because the shape of your hairline is a youthful shape as it is rounded. I would need to see pictures of you with your eyebrows lifted high before rending an opinion on your hairline.

I am 23 years old and there is no history of balding in my family.

Your hairline is very low in the mid-line so I would expect that the middle would eventually move up about 3/8th of an inch. This would change what the corner looks like. You could have an early Class 3 balding pattern, but I recommend you get a HAIRCHECK test to see if there is balding present that you can’t see.

I have been losing my hair around the crown and in the front for past three to four years. However, now I am starting to lose hair in the back of my head I have never seen this happen before and I do not know why?? I have a very stressful job but am only 25. Please help!!!

I don’t know what you would like me to do to help you. Losing hair in the back of the head (below the crown) is unusual, and my advice is that if you are concerned about your hair loss and want to be proactive about it, go see your primary care doctor or a hair transplant surgeon (who will not necessarily do a hair transplant) for a good diagnosis of what is going on. There may be treatments (not only surgery, but medications) that may help with your situation.

Looks like you have early growth. If it doesn’t fall out in the next 10 days, you will see hair sooner than most people. This happens in 1″20 men who get a hair transplant and it is great when it happens.