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Dr Rassman,

I am on Minoxidil 5% topical for more than 8 months now, and beginning to see modest yet much appreciated results. I love massages. I remember reading years ago that scalp massages can damage hair in early anagen phase. Would I be putting my newly growing hair at risk if I indulge? For the purposes of your answer, please assume a massage once a month by a skilled masseur applying reasonable amount of pressure.

Where did you read that scalp massage can damage anagen hairs? The only thing I remember writing was a quip about a very vigorous head massage that could potentially cause hair loss in miniaturized hairs — but not damage hairs that are in anagen (growth).

If you must indulge in scalp massage, go for it! If you are scared you’ll lose the hair, then don’t get the scalp massage.

No. Telogen Effluvium is a temporary problem that resolves over time; however, some people find as they age that their hair gets finer.

Toppik works well after a hair transplant while it is growing in. It should never be used while the crusts are still on the recipient site, which usually takes 1-3 weeks to be washed off, depending how aggressively you wash your hair.

Using Toppik 3 months after my Hair Transplant? from tressless

I am balding for the last few years. I am NW 4 now. Went to the dermatologist today, and the Doc suggested transplant in bald areas + PRP injection with dermroller for receding hair line. I insisted I wanted to start with medication and see how I progress. So the doc prescribed the following, Finasteride 1 mg every night before sleep Biotin every morning Minoxidil gel apply few hrs before sleep in balding areas Ciclopirox 1% shampoo 3 times a week. The prescription is for coming 3 months. Have to visit once a month to see the progress. Doc insisted that the medication must be taken religiously to see the results. What do you think of this prescription?

This is a reasonable plan. This should go a full year to see if there is the full benefits. Then a decision can be make for a next step.

FDA says there is little evidence testosterone treatment works.

The NBC Nightly News (9/3, story 6, 0:30, Williams) reported in its broadcast that the FDA “says there’s little evidence that testosterone boosting drugs taken by millions of American men are actually effective.” NBC notes that the agency also pointed out that it’s not convinced they carry serious risk either. “The condition has been marketed as low ‘T’ and the medications are offered to help with low sex drive and fatigue among some men,” notes NBC.

The FDA’s comments come ahead of a public meeting “to discuss the benefits and risks of treatments that raise levels of the male hormone” on Sept. 17, according to the AP (9/4, Perrone). The meeting comes after two federally funded studies “found links between testosterone therapy and heart problems in men.” The AP also testosterone boosting treatments have come under the spotlight “amid an industry marketing blitz for new pills, patches and formulations that has transformed testosterone a multibillion-dollar market.”

I would want to know your age, your family history and what you have done so far to treat it. You need a doctor. I make myself available on-line here: https://newhair.com/doctors/rassman/