I really don’t want to go on fin because of the sides, but I need another way of getting the DHT off of my scalp. Has anyone ever been successful at scraping it off? Any help is appreciated.
The DHT is in your blood and hair follicles, so it can’t be taken off of your scalp.
2020-01-08 04:00:152019-11-05 09:51:40Is There Any Way to Scrape the DHT off of Your Scalp?
Dr. Rassman,
I have been impressed by your credentials and history as a leader in hair loss treatment and restoration. I’m a 22-year old who recently graduated from college. I’m engaged to be married on December 30th and, sadly, already experiencing initial stages of receding and thinning. I’m not currently financially able to have surgery and don’t really ever want to, but I’m just wondering if there is ANY possible way to restore hair non-surgically. I know Propecia and Rogaine can prevent/slow hair loss, but I’m interested in more than that – gaining old hair back.
You probably laugh at my ignorance – I’ve just started researching this and don’t know a lot about such things, but I’m curious and thought I’d try to ask around. Thanks for your help!
I like to be scientific and establish solid baselines for planning purposes. Throughout this blog I say over and over (and over) again to get you hair mapped out for miniaturization so that you can help predict what may happen to you. You are correct in your assumption that hair transplants (particularly in the front) is the only way to put hair back. In the back, if the hair loss is recent I would hope that someone of your age may see reversal of some or all of the process. You are educated by schooling, now get yourself educated with regard to your health and your looks and take charge of it once you know it all. My website newhair.com and my book (available by download or free by mail) are places to go to get educated.
Yes, I have done this many times; however, I require a good understanding of how much miniaturization is present to help my patients understand what might happen to them after a hair transplant if anything. The older the man is, the less miniaturization is usually present, but that is not an absolute rule.
I often tell my patients to check their sperm count before they start taking finasteride and then after a few months later if they plan on having children in the future. We know finasteride drops sperm count so it is something that men should know if they take this drug.
2020-04-03 02:05:192020-03-11 12:07:58Is there an impact on my sperm if I take finasteride?
I’ve been on finasteride for 3.5 years. Without it l would be fully bald by now (25) and it’s allowed me to keep a good amount of hair. Generally doesn’t look like l am suffering from hair loss. A bit thinner on the top but decent overall thickness.
I’ve had enough of taking the drug. I have come off it several times during those 3.5 years and l feel remarkably better off it. I feel more significantly more virile and energetic. When l take Fin my libido drops, brain is foggier and l just don’t feel as good. My face is rounder and less defined as well.
Are there alternatives to Fin that work?
Oral minoxidil is an alternative but considering that you have excellent results from finasteride, why mess with the results and risk loss?
Hi Doctors, great blog here! It’s an amazing cross-reference and informative place.
Just wanted to know if there are any signs of a successful FUE transplant? (other than growth of hair at 8-10 months!!).
Can the patient tell within a week, or a month, whether the surgery he had would be, say, at least 80-90% successful? Are there any signs which suggest that yes the transplant was a success, and that the roots did not dry out, and were placed correctly etc.? ( I’m guessing, that if the transplanted hair kept growing till it fell out after 3/4 weeks, that means the roots were alive and firmly in place, and the surgery was good? )
I only ask about FUE, because it seems the more delicate procedure with a higher trans-section rate.
Thank you Doctor.
I know the anxiety you have. Everyone with a hair transplant wants to accelerate the clock, but it makes no real difference if the transplant is FUE or strip. In either case, you will start seeing the results (at least some results) somewhere between 4-6 months, with good growth by the 8th month. At one month, the hair sheds in probably 19 out of 20 people. Just be patient.
Is there any way whatsoever to determine whether a person will at some point in their lives suffer from male pattern baldness, and if so, would this not eliminate the problem of transplanting people too young (say if they have a naturally high/ uneven hairline etc)
There is a test called HairDX that will tell you if you have the gene (70% accurate), but it won’t tell you when that gene will be expressed… or if it will be expressed at all. So on a predictive basis, the answer is unfortunately no. But if you want to know if you are balding (possibly just a little) then you should see a doctor who is experienced in hair analysis for miniaturization and hair bulk, which this will tell you if the balding process has started in you.
Many young men with a balding dad or uncle or brother are expecting hair loss to happen to them, and these are the patients I can help by telling them what, if anything, is going on in their head. If you have an average hair thickness, you might not see thinning until the hair loss is at 50% of the original density. Coarser haired men will often not detect loss even at 60-70% of their original density and blond men may not detect hair loss or thinning to 80-90% of the hair due to the low contrast between hair and skin color.
2011-09-13 14:58:342011-09-11 10:03:01Is There a Way to Determine If You Will Eventually Have MPB at Some Point?
(male)
I want to rule out other possible causes for my hair miniaturization to ensure that it is definitely genetic since I am not aware of any bald men in my family. My iron and thyroid levels are fine. I read that a urine analysis will evaluate my nutritional state. Is there anything else I should get tested? Like hormones for example?
In general, genetic hair loss in men shows up as a specific pattern (hence the name “male pattern baldness”). That is why there are diagrams and pictures (Norwood) to show what these patterns look like. A fairly competent doctor can determine what genetic male balding is by merely looking at the person. If the hair loss is relatively early in the process you can look at the hair under a microscope to see if there is a miniaturization pattern or a bulk measurement that can give tell you if you’re thinning. You don’t need a blood or urine test for this.
Other types of hair loss, such as from low thyroid or anemia, will present as diffuse thinning with no specific pattern. There is a hormone test to check your thyroid levels, but there is no hormone test for genetic male pattern balding. This can be confusing because a hormone called DHT (dihydrotestosterone) is the cause for hair loss in men, but only if they have the genes for MPB. The quantity or levels of DHT will not determine if you will bald since the underlying issue is genes.
There is a genetic test for balding, but it is not a straight forward test to interpret since it only give you a probability score. The easiest way to test for balding is a good old fashioned physical exam. Finally, I must point out that the gene for balding can skip generations and there is no specific rule on how it is passed down.
i’d like to know the possibility of having a transplant if i’m Norwood 6. I’m 21, had a transplant when i was 19 for the hair line of 2000 grafts but my main problem was density all over. i think i have good density. i opted for a hair piece which i’m really satisfied with it, but i know it has a short timeline so i’m considering a transplant again
so my question is.. how many procedures one can have if he is TYPICAL norwood 6?
You may have serious problems if you had a 2000 graft transplant at the age of 19. I generally look at 19 years old (or even 21 in your case) as a person who is not a candidate for a hair transplant. You need a Master Plan by a competent and caring doctor. The doctor you had is suspicious if he is doing 2000 graft cases on 19 year olds. I would guess that the surgery did not work well, so the hair piece addressed that issue.
Your question on how many transplant procedures are needed for a Class 6 balding pattern does not reflect an understanding of supply and demand (please read this post).
There is no good reliable test for determining if you have the balding genes
2021-01-04 03:10:592021-01-04 11:17:09Is there a test to determine genetic balding genetic, like DNA?
