Smoking, Hair Loss and Attractiveness

Hello, I am smoker of 24 years here. I am 37, and I have quit smoking for one month now. I have noticed that my hair is falling out far less and it is thicker and shiny. My skin is full of color as well. When I go out now, lots of ladies check me out and approach me even though I have a receding hair line. The ladies never approached me when I was smoking, probably because having a fag hanging out of your mouth isn’t very becoming. Anyways, smoking is a waste of time and money, and we don’t have a lot of either these days. Quit smoking and free yourself! Be your best self!

Good for you. You will also probably live longer and better.

Finasteride and hair transplants, is it important to take it?

I get side effects from fin so I can’t take it. I’m 23 and thinking at 25 I’ll get a hair transplant. I was wondering if I’m required to take fin for it to work.

Finasteride protects young men (under 30) from shock loss after a hair transplant. When a young man doesn’t take it, they run a risk if significant shock loss of the native hair. Many surgeons don’t use finasteride with surgery in young men, and these men are writing or calling me all of the time about their shock loss.


2020-07-16 08:27:13Finasteride and hair transplants, is it important to take it?

SMP vs FUE for Donor Area Scars?

Questions: I haven’t quite yet determined what plan I will do yet. In your honest opinion, to best resolve the wide scar issue, is it better to go with SMP, or perhaps a FUE over the scar, or perhaps a combination of both?

Scars treated with FUE or in fact with any form of hair transplant, does not completely cover the scar area because the density needed is too high to achieve in one session or possibly even two sessions. The scars tend to be white, and the whitish color of the scar seems to always dominate whatever transplant was done. It is easy to do FUE from just above and below the scar, but easy does not mean good. I have done many of these FUE scar procedure, and even after a couple of such procedures, they just don’t really hide the scar. When we started doing Scalpmicropigmentation into the scar, it was clear that this is a better way of dealing with the problem.

Scars themselves, have other problems related to them including hypertrophic scarring (elevated scars) or depressed scars that form a gully (like a lengthy divot) which is never addressed with either SMP or FUE alone, so when this occurs we take still another step by treating the hypertrophic scars appropriately and we use dermal fillers to deal with the gulleys (divots) in the scar which gives us great power in dealing with all of the scar issues. Those who offer SMP and are not doctors, or doctors who are not experts in the treatment of hypertrophic scars or dermal fillers, can not address these other problems.

finasteride and risk of pregnancy

I am using finasteride and me and my partner had unprotected sex whilst she was in her infertile stage of the menstrual cycle. This may sound stupid but I am worried that having unprotected sex whilst on finasteride will cause damage to the female’s reproductive ability / any egg cells. Is use of a condom specifically recommended if your partner is pregnant or could get pregnant? We are not looking to have children for another few years at which point I will quit using finasteride but just worrying myself that there will be damage caused by unprotected sex in the present

If you are using any birth control, not a problem. The use of a condom is recommended if she it tying to get pregnant. Timing fertility (the actual point of ovulation by taking body temperatures) is not always accurate unless she is regular on her periods.

Some Food to Decrease My DHT Levels?

My hair density has decreased since I have started this medicine. Even my front hairline started decreasing. I masturbate 2-3 times a week. Is this loss permanent? What should I eat to decrease my DHT level. Suggest me some food not medicine plz. thank you.

Not sure why you would include your masturbatory habits with the hair question. Masturbation does not cause hair loss, regardless of how many times you might’ve heard that myth.

There is no specific diet that decreases DHT levels and high or low DHT levels in the blood stream do not reflect a cause for hair loss. Hair loss is caused by genes that you were born with and the DHT that we are talking about (which is blocked by the drugs like finasteride) are active inside the cells of the hair follicle, not in the blood stream. I would suggest you eat a normal, healthy diet and masturbate all you want.

Does Finasteride Cause Defects in Babies? (from Reddit)

If a woman takes finasteride while she is in the first trimester of pregnancy, finasteride will impact the sexual development of the fetus. There are no documented cases where a man who has taken the drug finasteride has produced a child with sexual defects because the drug does not impact the fetus during intercourse.

Does finasteride lead to birth defects? from tressless


2018-09-14 09:27:36Does Finasteride Cause Defects in Babies? (from Reddit)

Spironolactones and Hair Loss

I posted a question some time ago but didn’t hear back from you so here goes. I am a 33 year old female with hair loss for the past year and 7 months. Started to notice the loss after going off the birth control pills. I went to see a hair loss expert at Duke University who said it was TE. Still hasn’t stopped thinning. I am back on the pill and spironlactone. I also have Hashitmoto’s disease. No family history of female hair loss although my dad has lost his hair. My testosterone levels recently came back at 86 which my doctor thinks is high and probably due to some PCOS. I have several questions. First, could the spiro be making my hair loss worse? What can be done to combat the high testosterone levels? I have a diffuse loss but also hair loss at the sides of my forehead (what I consider the temples) and my hair line has receded (which is what bothers me the most). Thanks for any insight.

The cause of your hair loss seem multifactorial. Birth control pills has been linked to hair loss even if you have stopped taking it. In other words, stopping or starting birth control pills may have ‘triggered’ your hair loss process. Hashimoto’s Thyroiditis is also a reason why you may have hair loss, because of its autoimmune process (your body may be attacking your hair). Polycystic Ovary Syndrome (PCOS) may also be related to hair loss by the virtue of hormone imbalances that this disease produces. Spironolactone, which is a common blood pressure lowering drug, can also be the cause of your hair loss as much as a help for it (now that sounds crazy, but it does say much about its value). Some doctors believe that Spironolactones may also grow hair, because spironolactone works by inhibiting a hormone called aldosterone, which is similar to testosterone (note: this is a very simplistic way of putting it). To my knowledge, there is no reliable scientific evidence of using spironolactone to grow hair. Most importantly spironolactone is not approved by the FDA to treat hair loss. Finally, your high testosterone levels should be addressed by your primary care doctor or a specialist who knows your complete medical history. PCOS can cause virulizing traits, and with high testosterone, that will just accelerate these traits. You may have already guessed, but spironolactone is commonly used to treat PCOS to decrease the androgenic hormone (testosterone) levels.

You seem to be doing the right thing by seeing the appropriate doctors. Unfortunately, sometimes there are no solutions.


2006-03-29 14:23:36Spironolactones and Hair Loss

Finasteride frequently reverses crown loss

In my experience, when I put a man on finasteride, it is not uncommon to reverse this process if they have crown thinning. I have seen this happen as men in their 50-80s, who were put on Proscar (finasteride 5mgs) for their prostate, and they were considering a hair transplant only to come in and show me the of the reversal of their crown thinning from the prostate drug that they were given.