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I and hundreds of thousands of young men like me got PFS from a single pill, doctor – from the first pill. How would your self-rationalization deal with that inconveninient truth? Oh, I know how:

Denial.

If that is true, I can’t understand the physiology of it. If there were hundreds of thousands of men suffering from PFS from a single pill, I would have seen it in my practice. A single pill? What is the mechanism for it? I am a clinical scientist and I look to science for answers to questions.

A physician wrote: “I have personally been taking finasteride for 14 years and will be taking it for the rest of my life. I have never had a patient in my practice have long term side effects from finasteride [he has prescribed it to thousands of men]. I have only seen a positive psychological influence on my patients’ lives since they realize they are slowing a progressive aging process. I would bet my retirement that there is a lowering depression/suicide rate for patients on finasteride compared to their peer group not on finasteride with similar Norwood pattern hair loss (if this study could ever be performed since there are so many confounding variables).”

All the doctors in my field are struggling with the PFS problem as you told us here. In my practice I have not seen PFS in my patients except one man who reported impotence within 2 hours of taking the first dose and I told him to stop it. Like the doctor I quoted above, I too have been taking finasteride for years with no ED or libido problems. What is in it for me to prescribe it if it didn’t help my patient?

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We have treated many women such as you with scalp micropigmentation and they have generally been thrilled with the results: (see here:https://scalpmicropigmentation.com/smp-for-women/ )

I m 30 years old male with a complete Class 6 pattern of balding and I have had two FUE transplants with little to show for it. I want to try Propecia to revive the dead hair making i alive again. is that possible?

The drug finasteride does not bring back the dead hairs that you used to have. Photos would help me help you. The best approach is either to complete the transplant with a doctor who will give you a realistic expectation or get Scalpmicropigmentation to create the look of a full head of shaved hair, see: https://scalpmicropigmentation.com/bold-shaved-look/

 

Yes, the bonding process between the hair system and scalp causes hair loss. It will accelerate the hair loss you already have. This is why many men choose hair transplants to solve the problem.

Hair system for early loss question from tressless

Close to making a decision about a transplant, just unsure about whether my donor area might be too thin. I have always had messy/forward hair and would like to keep this style, is this possible with a HT? In most results I’ve seen, the hair seems to be placed facing upwards.

See the photo below. Left Box has 33 hairs and 16 hair groups = 2.1 hairs per Follicular Unit. The Right box has 38 hairs and 18 groups = 2.1 hairs per Follicular Unit. Both of these man have an average hair count reflecting about 110,000 total head hairs and a donor supply equal to about 6-7000 grafts in their lifetime. I purchased this from Amazon to do this photography: Xenvo Pro Lens Kit for iPhone, Samsung……….

 

Just out of curiosity, has some experiment been done to move a few miniaturizing grafts over from the top of the head, to the safe zone? To prove that the hair is the issue, not the scalp. I know that hairs from the safe zone can survive on the balding area, so technically the scalp should not be the issue. But who knows, maybe those miniaturizing hairs will survive just fine in the safe zone.

Imagine moving miniaturizing hairs down to the side and moving hair in the safe zone up. Don’t think it would be too difficult test.Just out of curiosity, has some experiment been done to move a few miniaturizing grafts over from the top of the head, to the safe zone? To prove that the hair is the issue, not the scalp. I know that hairs from the safe zone can survive on the balding area, so technically the scalp should not be the issue. But who knows, maybe those miniaturizing hairs will survive just fine in the safe zone.

Imagine moving miniaturizing hairs down to the side and moving hair in the safe zone up. Don’t think it would be too difficult test.

I don’t think that you understand that it is the hair follicles that carry the genetics, not the area where they are placed. I often tell my patients that if you put a donor hair on the end of your nose, it would grow to pony tail length. So using your example, take a miniaturized hair and place it either on the end of the nose or in the donor area, it will still die out according to its genetic clock.

Dutasteride has a long tissue fixation period lasting a good month, so missing a dose for 5 days is not an issue. Also note that the blood half life for dutasteride is 6 days, which means that half of it was in your blood when you stopped taking it. For the few men when I prescribed dutasteride, I advise taking it just twice a week because the half life is so long.