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How Long Should it Take for My Sperm Count to Go Up After Stopping Propecia?

Dear Doctor Rassman,

Firstly I love your blog. I just read your article regarding the potential affect of Propecia on sperm counts. Myself and my wife are trying for a baby and I want to give myself the best chance possible of conceiving. How long after people who stopped using Propecia see there sperm counts raise, as I am considering stopping the drug during the crucial ovulation period

Thank

There was a study conducted at an infertility clinic (on men with severely low sperm counts to begin with) that I think you’re referencing — Study – Sperm Count and Finasteride.

As it seems that you’ve had a sperm count done, I would expect that an improvement in sperm count should occur within a month after stopping Propecia. I am curious as to how low your sperm count was or what your physician suggested. Most men on Propecia can conceive a baby, but some men have a reduction of total sperm volume even though the sperm count per unit volume remains normal.


2014-06-12 14:55:56How Long Should it Take for My Sperm Count to Go Up After Stopping Propecia?

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How Long Should I Wait to See Benefits from Propecia?

I’ve been on Propecia since April last year. However, my hair loss is continuing at a slow pace. I know that I might’ve been worse off without Propecia, but could it be possible that Propecia only really fully kicks in and loss stopping takes more than a year? Thanks.

My standard answer is to wait at least a year, but some people see benefits of hair loss reduction almost immediately and hair growth in 6 months. Everyone is different, though.


2013-06-14 16:47:37How Long Should I Wait to See Benefits from Propecia?

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How Long Should I Wait Before Considering Filling In My Strip Scar with FUE Grafts?

Thanks very much for the informative blog.

Say a strip patient is about 6 months out from FUT surgery and now has buyers regret (please, no reminder about thinking things through first!), and wants to fill in the scar with FUE/beard hair/etc. Is there any advantage to do it at this time or does one need to wait one year. I wonder if scar is more or less vascular when healing. Thanks.

If the donor scar has healed, you don’t need more surgery, and the scar is narrow, then follicular unit extraction (FUE) to the linear scar is possible. FUE does not fill in wide scars well, though. Scalp MicroPigmentation (SMP), on the other hand, may be a better approach. Explore it all.

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How long should finasteride work, I’m 18?

For how long should a guy under 25 expect fin to work?

Finasteride will work as long as your take it; however, by work I mean slowing the loss down, stopping it or reversing it (usually temporary for months or years).


2021-08-08 20:43:36How long should finasteride work, I’m 18?

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How Long Is The MPB Process?

How long can MPB take?

My hair kind of leapt into a widow’s peak during 2003/04 and is now considerably thinner than it has ever been in my life. So this is about 5 years maximum – i thought MPB took on average 15 years or more?

What happened?

Once you know you have male pattern baldness (MPB), it remains a progressive process until the day you die, but in reality most people slow down the loss in their late 30s or 40s. There are always exceptions to the rule, but most people are destined to develop a pattern and that pattern is not always a class 6 or 7 pattern (see Norwood Chart below). They may stop at a class 3… but of course, each person is different.

 


2008-02-18 10:56:27How Long Is The MPB Process?

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How Long From Healthy Hair to Miniaturization?

Hi Doctor,

I know everyone is genetically different in their balding patterns, speed, etc. but how long does it generally take for miniaturization to turn a healthy hair folicle into one that can’t grow any hair? Weeks? Months? Thanks!

You are right — everyone is different. The hair you see on top of your head reflects about 1/2 inch per month of growth. Miniaturization can take months or possibly even years to appear.

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How long for finasteride results that can be seen?

Been on fin two months. Zero sides so far. Baby hair sprouting out, how long before those hair become thicker.

Hair grows out at about 1/2 inch per month and it often takes a few months for finasteride to kick in. I tell patients to wait a full year to see the value and benefits.

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Will finasteride hold a long time?

In your long experience, have people who responded well to the drug initially maintain their growth over a long period of time, say over 10 years? Thank you

Most people often maintain the effects of the drug if they stay on it, but some lose the full effectiveness if the genetic hair loss accelerates or they stop the drug.


2020-04-19 12:34:29Will finasteride hold a long time?

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How Long Does The Balding Process Take?

I am a 27 year-old male from Toronto, Canada. I have a family history (faternal family and partenal family) of MPB. In the summer of 2005, my stylist informed that I was thinning at the top/front. I was in denial as I have used lots of gel or similar styling products and have been able to see my scalp. I later noticed the front thinning a little, but did not really care as it did not seem to be serious. In late December 2005, my uncle asked me if my hair was thinning (which he has always done b/c of the gel) and my aunt said that my hair was thinning from the crown….my sister said she noticed it as well. The next day I asked my barber not to use styling product and he said that would be good b/c of the thinning on the top (the first time he has mentioned it since the summer!!!). Needless to say I am no longer in denial BUT I WANT TO TAKE ACTION AS QUICK AS POSSIBLE.

I am going to speak with my family doctor about propecia/proscar. I have bought rogaine (2%) but will wait to use it, as I would like to see the doctors say and b/c of your advice to start out with one remedy so that I can know what is effective. I have also bought nizoral (2%). The rogaine seems like a pain to use. I am a very very busy young professional.

I have a few questions:

  1. do you have suggestions for a good doctor in Toronto, Ontario, Canada (preferably downtown core) where I can get miniaturization done?
  2. how long does the balding process take? I am concerned that I will lose a lot more hair before any medication kicks in. I would BE QUITE HAPPY IF I COULD MAINTAIN MY CURRENT HAIR for the next 8 – 10 years as I love my locks.
  3. Is avodart available in Canada?
  4. do you recommend any particular thickening shampoo and styling product? I want to avoid the revivogen and stuff like that.

Thank you for your help.

  1. Check with the ISHRS for a doctor near you by using their physician search.
  2. The balding process varies with each person. The reality is that very bald men are usually on their way to that diagnosis well before their 29th birthday.
  3. If you do have genetic hair loss, Propecia or Proscar (broken down to 4 parts of a tablet) is more appropriate than Avodart at this time. That being said, I do not know of the availability of Avodart in Canada.
  4. I don’t believe that styling shampoos or any topical agents will help.

It sounds like genetic balding is the diagnosis, but I couldn’t properly determine that without an examination. As you know, we tend to follow our family patterns, which also includes the rate of balding. Find out who you take after, and you will have a better idea of what may happen if you do not go on such medications as Propecia.


2006-01-09 09:37:15How Long Does The Balding Process Take?