If I Take Finasteride, Can It Effect My Child’s Growth? – Hair Loss Information by Dr. William Rassman

Dear Doctor

First of I would like to congratulate you on this wicked resourse, I have a buring question wondering you can shed some light on. One of the common side effect of taking Finastride is that it directly effects the sperm making it watery etc. We planning for a baby and I am wondering taking Finasteride will directly effect the child, growth etc? I have not yet seen my GP but everytime I put my hand through my hair I get 2-3 hair that come out, front and crown. but still got a thick head of hair.

Thank doc hope to hear from you soon.

If you are worried about the quality of your semen, then get it check out by your doctor. Finasteride does change the quality of the semen in some men (about 20%), but it has not been reported that it will reduce your chance of getting your lady pregnant or effect the child’s growth. It is normal to lose 100 hairs/day.

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I Want to Take Steroids! – Hair Loss Information by Dr. William Rassman

Hi Doctor,

With all the talk recently about steroids in the news, I’ve made the decision to start taking them. At 30 years old, being 6′5 165lbs is no longer an option, and I’ve tried everything to gain mass. I was wondering what steroids can be taken without having a significant impact on hair growth. I’m pretty sure I have MPB. Some companies offer steroids that “have no DHT conversion”, also this website claims certain steroids are safe for hair: http://www.hairloss-research.org/steroids.html. Any help would be greatly appreciated. Thanks.

I use steroids for therapeutic reasons and I have no experience with them to build body mass. Check with your family doctor for his/her recommendations.

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Can I Shrink My Hair Transplant Donor Scar? – Hair Loss Information by Dr. William Rassman

I look at pictures of other patients that have a strip scar and my seems to stand out a lot more than the ones I see. Even if I shave my head on the longest of length it shows up. Is there anything I can do to make it smaller, like having it redone for a tri-stitch?

Without seeing you it is difficult for me to tell you what to do. There are scar revisions that can be performed with trichophytic closures that might help you. For more on that, see:

The problem is that in some people who stretch scars, the scar tends to return… so that is a risk in undergoing a scar revision surgery.

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Are Laser Treatments Beneficial for Women? – Hair Loss Information by Dr. William Rassman

I read your blog daily and I know you are very skeptical about laser treatment of hair loss in men/women. However, it benefits us all to know about new stories and developments so I figured I would send this to you and ask your thoughts about it. I saw a laser procedure on the T.V. show “The Doctors” of a woman receiving a procedure and as I could not find it discussed on your
site, here is the link: thedoctorstv.com

Is this basically the same thinking behind the Lasercomb and other laser treatments or is this something new? Is this something only to be beneficial to women and not men is this is something worthwhile? I am skeptical about it myself. Thank you for your time!

The machine they showed looks to be the same one I had in my office for some time (and got rid of). Each hair laser maker will tell you their product is best because of various reasons, but you’re good to be skeptical. As soon as the FDA clearance (showing that it is safe, not that is effective) happened for the lasers, the flood gates opened. There are very few options for women with genetic hair loss, so it’s not hard to see why someone might try to market a new hair device towards the female group. Plus, it makes for good television.

I’ve written about the various handheld and full sit-down lasers before. Bottom line — there is no solid scientific evidence that the low level light therapy (laser) will positively impact hair growth.

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Specialist Told Me I’d End Up as Norwood Class 5 – Hair Loss Information – Balding Blog

Hi Dr. Rassman and Staff, thank you for your wonderful site. I am 19 years old and I went to get my scalp mapped out this past summer and the hair specialist told me I am a norwood 3 and probably going to end up a norwood 5. The question I have is, if i am already going bald at 19 how will I not become a norwood 7 and stay at a norwood 5? Could I possibly not become much balder for a while? Thanks

Block Quote

We inherit the pattern that we will evolve into. If your inherited pattern will max out at a Norwood Class 3, then even if you get older, there will be no advancement to a more advanced pattern. The problem is how to guess. At 19 years old, the degree of miniaturization you see is early and it may appear in other parts of the scalp. Possibly by the time you are 25, you might see a miniaturization pattern reflective of your final balding pattern. The reality is that there is no way to be sure, so if you are balding, Propecia (finasteride) is your only way of managing the progression of it.

My Doctor Found Out I Was Taking Propecia at 26 Years Old and Is Quite Concerned – Hair Loss Information by Dr. William Rassman

Hello doctors,

I am 26 years old (male) and have been taking Propecia since age 24 (when I noticed my hairline starting to recede). When I last visited my family doctor (this was the first time he found out I was taking the drug), he was quite concerned that, at my age, I was taking it. He said that the long term effects of Propecia are not known, and that he would advise against me, being only 26, continuing on with the drug.

I have never noticed any negative side affects from the drug yet, but I wanted to get a few more opinions. Do you know of significant endocrine effects?

Thanks.

Propecia can be used safely from the age of 18 and up. If you wait on its use, the balding will progress far too much to have the types of benefits it has when it is started early. Sounds like your doctor needs to be educated. You haven’t seen any side effects, so I’m not sure where your doctor’s concerns are based in.

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List of Hair Loss “Cures” Includes Bending Exercises and Putting Castor Oil on Your Scalp – Balding Blog

Doctor I found a bunch of so called “cures” for hair loss online can you tell me if any of these are true.

(taken from Amazines.com)

“Excess stress, lack of hair care, a dirty scalp, and the lack of nutritious foods can precipitate hair loss. As well, consuming excess amounts of caffeine, sugar, fats and carbonated drinks can cause hair loss.

On the contrary, various forms of exercises that require the body to be bent forwards or backwards will also result in increased blood flow to the scalp, which will promote healthy hair and a healthy scalp. Consuming foods rich with essential nutrients will also promote healthy hair growth.

Home remedies for hair loss are the best options, and they are safe and dirt cheap. They do not have any side effects and don’t cause any damage. And the good news is that there are so many remedies available to stop hair loss, that if one doesn’t work another one might.

One of the methods is to take some fenugreek seeds and soak them in water overnight in a big bowl. Next morning, apply the water to your scalp and wrap the head in a towel.

Let it remain like that for three hours and then shampoo to get rid of the fenugreek smell. Following this routine daily for a month may solve your problem; however, those who catch colds easily shouldn’t try this or stop as soon as they feel that they are about to catch cold.

Another method for hair loss prevention is to apply castor oil to hair roots and scalp before bedtime, yet try to avoid getting castor oil on the rest of your hair. In the morning, shampoo to remove the oil. Continue this process once every week for 7 to 10 weeks. This is one of the many hair loss treatments that may stop hair loss, although it may not work for some people. There is no harm in trying this treatment.”

If none of these are true why are so many people so ignorant on hair loss?

We all look for that miracle cure for hair loss, but it is elusive. I couldn’t begin to guess why people are ignorant about these “treatments”. Perhaps the power of suggestion is at play. Perhaps they are easy to dupe. Perhaps, perhaps, perhaps…

Quite a funny list there, though. Why not apply manure to your head? I mean, fertilizer helps crops grow in the field, so why wouldn’t it work to regrow hair on your scalp? I’m sure if I put a “Rassman’s Own” label on a bag of cow droppings, someone would buy it with the express purpose of applying it to their head. Any takers?

 




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Itch and Inflammation Associated with MPB – Balding Blog

What is the cause of the itch/inflammation associated with Male Pattern Baldness?

I’ve addressed this before on BaldingBlog.com and you said there is no correlation between inflammation of the scalp/hair follicle and Male Pattern Baldness. If you go on to any Hair loss forum you will see that a lot of hair loss sufferers get inflammation in the areas where they are losing hair. I have all the common traits of MPB and get inflammation on my receding hairline and thinning crown. I’ve seen a slight decrease in inflammation on finasteride but had to quit finasteride due to side effects. Since then the inflammation has become worse and it itches throughout the day. My Doctors have no clue about inflammation caused by MPB and don’t have much of a clue about MPB either. Nizoral was reccomended by forum users online and not by my doctors , it has helped a lot. This isn’t right , it is aggravating and worsens MPB. Here is a article on MPB and inflammation: Hairloss-Research.org

I don’t understand why none of my doctors and many other forum user’s doctors know about inflammation and it’s correlation with MPB. I know a lot of MPB sufferers do not get MPB and therefore it seems that is something else. From looking at online forums and MPB sufferer’s stories I have seen that it happens to people with more aggressive Male Pattern Baldness which is mostly younger people. I’m 19 and I find this hard to deal with. I have to figure out about inflammation myself. There is clearly a correlation between the two.

More articles: AndrogeneticAlopecia.com and SearchWarp

I don’t know where to start. You will have to come to grips with your balding. If you can not use Propecia for side effects reasons, you will have a problem in controlling the hair loss. The inflammation that you talk about has been reported to me by some patients and I suspect that the decreased hair bulk make the scalp drier which can produce an itch. Nizoral is a popular antifungal shampoo, so if that is alleviating your itch problem, perhaps you’ve got something going on with your scalp other than just genetic balding.

Your comments above and your insights will be shared through this site. Thank you for telling your story.




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Do I Wait Until I’m Completely Bald Before I Get a Hair Transplant? – Hair Loss Information by Dr. William Rassman

Hi I am wondering when is the best time to get a transplant I am 33 and use HSR to hide my balding on the top of my head the front is not really bad but the top is bad… HSR works great but I am sick of hair spray and not wanting to swim because it might wash out. Should I wait till your hair completly falls out till you try and get a transplant. Will it make my exsisting hair worse? My hair will not stop falling out so I really want a hair transplant and need some guidance.

Hair loss is best treated with transplants when it is early, provided that you are a candidate and over 25 years old (general rule, though I have transplanted younger). Meet with a good doctor — in your area, Dr. Bernstein in NYC is a good choice. He will go over the process with you.

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Do I Need to Wash Toppik Off Before Applying Rogaine? – Hair Loss Information by Dr. William Rassman

I am a 52-year-old woman with diffuse hair loss. I’m using Toppik and thinking about starting Rogaine. My question: do I have to wash the Toppik out of my hair in the evening before I can put the Rogaine on?

The Toppik tends to “clump” on my scalp by the end of the day, so if I don’t wash it out, I’ll be rubbing the Rogaine on top of the Toppik fibers. But having to wash my hair twice a day (morning and evening) seems excessive.

Thanks for any advice.

It is best to use Toppik as the last thing you do. The Rogaine should be applied first and give it some time before the use of Toppik.

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