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I was wanting to know if you have any information/clinical observations concerning worsening of side effects for patients who continue to take finasteride? I ask this as I am experiencing watery semen. In addition to this, I have an extremely high libido that’s way too high for my own good. In regards to such, I have a very minimal, almost non-existent refractory period after ejaculation. After having sex the first few times around, my erection quality isn’t quite what was pre-finasteride. But this is a side effect that I can very much live with. In your clinic, what observations have you made concerning patients who have manageable side effects? Do they worsen or get better with time? Or is there a general consensus that they stay the same?

Good questions. When the water semen occurs it seems to stay until you sop the finasteride. Some people report it takes 3 months before the water semen goes away. I have seen an increased sex drive from some of my patients, even my own son experienced it. He loved that side ffect.

Most people find either (1) they get accustomed to the finasteride and the side effects eventually reverse, or (2) the side effects continue or even get worse. For those who have a reduced sexual drive or ED, some doctors, including me, feel that the longer the ED on the drug, the more likely that the irreversible PFS becomes a problem (although still a very small number of people fall into this category). For doctors like me who tell the patients with significant ED that can’t mange it on the drug, I tell my patient to stop taking finasteride. As a result, of the thousands of finasteride men I have given the drug to, I have never seen a case of PFS in my practice as many of my colleagues who have similar approaches to such problems.

I am not surprised about these numbers. Most men deny their balding, and I believe that almost all men care about it and would prefer to have hair. You can see the embarrassment of Donald Trump about the facts that he takes Finasteride, and this is not an unusual issue for being embarrassed. Men, unlike women, don’t like to recognize that they are vain. Accepting that they are going to treat their hair loss makes men uncomfortable. Assuming that these statistics are real (they seem too low to me, but may be correct), the number of men who seek hair transplants is probably 2% of the 5% who actually get proactive. There were ~160,000 hair transplants in the US in 2016. Considering that hair loss is present in 50% of men over 45, and probably 30-40% of men over 25, and considering that the number of men between 25-44 years of age are 49 million, 44-54 years of age are 30 million, and 54+ are about 32 million as of the 2010 census, there are a total of roughly 133 million men in these brackets in the US, half of which have male pattern balding at some level. Considering that there were only about 165,000 hair transplants in the US, that means that only about 0.00124 % of men has had a hair transplant in 2016.

Only 5% of balding men see a doctor about it and a minority of them (28% of the 5%) try to treat it. from tressless

This 23 year old male had taken finasteride and minoxidil for 4 months. This is a remarkable benefit in just 4 months; however, the hair length is clearly longer in the photo on the right.

Can i get a hair transplant and take steroids at the same time while taking medication to prevent further hair loss? This is a subject you must discuss with your hair transplant doctor. Bulking up with steroids just causes more hair loss. Why do a hair transplant and lose hair at the same time?

I have been using Minoxidil AND Finasteride, and I developed pericarditis. The VA did not warn me of these possibilities. Today, I am aware of the Minoxidil connection but not about a Finasteride connection. Is there a clear Finasteride connection I can get data on?

There are reports that this drug (Finasteride) can cause pericarditis (a swelling and inflammation in the sack around the heart).tc

hi doctor im 30 years old and took propecia for 3 years with amazing results. Prior to propecia my hair was horrible, thin, and was losing it. Then I started propecia and after 3 years my hair was amazing, thick, looked like when I was 20 years old again. it looked thick and amazing, it was like a miracle drug. A year ago I stopped it because I didn’t know I had to take it6 everyday forever and stupid me didn’t even consult my doctor. worst mistake I ever made. and my hair loss has picked up and looks thin and just like it was before propecia and even worse. I went to my doctor and got a script and started again last week. My doctor said it should help again and I should gain back what I lost but he is a regular family doctor, and I want an experts opinion. Will I get the same results again now that I have started taking it again? I hope I get the same hair I had a year ago back. In your opinion from your experience people who have stopped and re started does it work and bring you back to before? or all that beautiful hair I hair on propecia is gone and will only keep what I have now?

I can’s say what will happen in your case. Chances are that there will be some advantages to go back on it, but the full benefit you had will be a touch challenge. This is the reason that having a good doctor and keeping an eye on your repose is so important. You must have had yearly renewal requirements that this would have been saving you all of this grief.

I’ve been on the Fin and Minox for about a year and a half now. I wasn’t aware of the brain fog side effect of Fin until a few days ago when I researched it, I’ve been struggling with bad brain fog for the past year. I feel dissociated, tired, weak, and like my brain is working at 50% capacity. I chalked this up to me going through a tough time in my personal life but I’m past all of that and the brain fog is still there. I’ve been taking 1.25 mg and I just recently started cutting those in half, so about .625 mg daily before bed. For those who have/had brain fog what would you recommend here to reduce or get rid of brain fog?

If you are one of the few that get ‘Brain Fog’ from finasteride, then stop the drug. We have known that there are central nervous symptoms caused by finasteride since the original research was done, although it was very infrequent.

My practice has been 100% hair transplants since 1991 (27 years). That is all we do. I built a highly specialized team of people who I have personally trained. Many have been with me for years and once they are there, they don’t leave because the environment is great, the wages are good, the results are great and the patients appreciate everyone who worked on them. Since I only do hair transplants, I never get distracted by patients that come in for other reasons. My staff have been practicing and improving their skills every working day for years. We have no salesmen working for us and we do all of the consultations ourselves, one-on-one with each patient and give about an hour of our time which is free to the patient. Most of our patients do their research before coming to see us, so that they know who we are and why we are so highly rated. I have published almost every advance in the field over the past 27 years, from Follicular Unit Transplants, the Megasession, the FUE and we even invented the hair transplant robot with two patents issued to us and we licensed it to the company that built the ARTAS robot. We hold Open House events every month where you can meet our patients, one-on-one, see a surgery and get a free consultation with the doctor. I have been doing this for 27 years because I am proud of our patients and our work. Doctors who don’t do this full time can’t have the experience we do. We have performed over 16,000 hair transplant procedures since 1991 and the first FUE patients in the world was presented to the world through publications in peer reviewed journals. So, check us out on Realself and Yelp, but better than that, come to one of our Open House events so you can meet and see many patients who are examples of our work.