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Doctors confuse dosing of finasteride

I am a 21 year old male from India and I have been using the generic Finasteride 1mg for the last 1 year. I have had good results and almost no thinning in the past year. I have been to 3 dermatologists and they want me to discontinue Finasteride even though I have zero side effects. Upon asking the need to discontinue the drug, one said Finasteride should not be taken long term. Another doctor said once hair grows back on should stop taking it. Another doctor said, Fin has to be used 6 months ON and OFF. I am really worried about this sort of treatment protocol. They say side effects occur later if not now. How many doctors can I visit? Will it not be considered doctor shopping? It will be rude to ask a doctor to prescribe certain medication. On the other hand I definitely want to continue taking this medication since I am too afraid of losing my hair after such good results. Help me! Should I switch doctor?

Finasteride, when taken, should be taken every day and an on and off routine makes no sense to me. I think you are correct and if you feel it is working without side effects, stay on it.


2020-04-28 16:35:38Doctors confuse dosing of finasteride

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Doctors can be ignorant about balding and its treatment

My uncles and father are doctors. Every one tells me that taking Finasteride is idiotic. They believe this because the drug ‘messes’ with hormones without very good reason. They believe that the only doctors that seem to think it’s “safe” are the doctors that stand to gain from prescribing it. What do I do?

Love to hear this. If you are old enough to make your own decisions, than do what your research tells you. Ignorance can’t be excused by education so even doctors don’t really understand the pain of balding and the value of both the drug and surgery treatments for balding.

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Some doctor will not prescribe finsateride, why is that and will you prescribe it.

Many doctors are afraid of prescribing it because patients who might claim that they are sexually impacted might sue them. I am more concerned about patient welfare and not concerned about law suits. I also have the patient sign a waiver for the use of finasteride which discusses all known and claimed side effects, prior to my prescribing the drug.


2019-02-01 15:23:54Some doctor will not prescribe finsateride, why is that and will you prescribe it.

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Doctor Warned Me Not to Pop Scalp Pimples After Hair Transplant

hello doctor

i’m three months post a hair transplant operation, i started to note a scalp pimples appeared stating from the second month after the operation, i had told by the doctor who did the operation to me don’t burst these pimples as this could lead to follicular death!, but sometimes i got to burst the white head of the pimples spontaneously. is it true what he told me about damaging the FUE???? this could happen when combing or whatever i do actions to my scalp by mistake.

also i read on the internet that this is normal and a very good sign to hair regrowth underneath the scalp.

another question please, now and after the third month hair density is very thin, is it normal ? and what is going to happen in the next 3 months, can i really got 5 or 6 times the hairs which i got now ? or it depends on something i don’t know it ?

thank you so much

Many of your questions should be asked of your surgeon. I do not know enough about your case to address most of your questions. Some people do develop cysts after surgery and they tend to ‘pop’ by themselves with warm compress soaks. If you develop folliculitis, then you could lose a graft under the skin, but folliculitis needs to be treated, again by your doctor, not me over the internet.


2008-03-14 09:57:45Doctor Warned Me Not to Pop Scalp Pimples After Hair Transplant

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Doctor Told Me to Use Protopic for My Alopecia

Hello, I have alopecia and i lose my hair and eyebrows. Also I am losing my body hair. My dermatologist told me to try protopic once a day. Some scattered white hair in my head is growing. Also told me to take rogaine pills. I didn’t start this yet. What do you suggest for me. I really need your advice.

Protopic is a prescription medication which you can read about at Drugs.com. This medication can be dangerous and must be prescribed by doctors who are experienced in its use. Some cancers can be induced at the skin level by this drug. For our readers, you should know that this is not a medication to get for treating hair loss.

I believe you’re describing alopecia totalis (see NAAF), but it is not really clear where you are in the disease progression. Also, your doctor likely mentioned Rogaine (minoxidil) topical — not pills. Do not take minoxidil pills to treat hair loss.

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Doctor told me I wouldn’t lose more hair

So I saw one of the best docs in the business a couple of years ago. I’m probably a NW2-ish but I have temple recession. 2 years ago my hair was in way better shape. Now, this past summer I basically lost my temple points and have some diffuse thinning up top. So much more apparent on one side of my head though, and as a result I can’t part my hair effectively on that side. I remember at the time of my consult, this doc kept saying how I was the perfect candidate because I already have good hair. So if I wanted to go aggressive, I could because he thought I had a low chance of losing more hair. He knew my family history (my dad had decent hair into his 30s but then he kept losing it and he’s now a NW7). Looking back on my consult, I’m really disappointed that the doctor was so confident about my hair. It’s not realistic. It felt like he just wanted more money. I ended up not getting the transplant.

Hair loss is ALWAYS progressive by its nature. Your doctor either didn’t know what he was talking about or was out to sell you his services at your expense (wanted to get into your wallet).


2020-03-17 08:43:46Doctor told me I wouldn’t lose more hair

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Doctor Told His Patient that Finasteride Increased Prostate Cancer Risk

NEJMAs I’ve written in the past, I’m involved in an email group with some of the industry’s top surgeons. One of the topics that was recently brought up was a case where a patient was told, emphatically, not to take finasteride due to an increased cancer risk. Coincidentally, I received an email from a patient not too long ago with a similar concern… so I figured it was time to write about it again.

In a 2013 article published in the New England Journal of Medicine, the long term survival of participants in the prostate cancer prevention trial was discussed. It was reported that there was no increased in risk of death for those on finasteride compared to a placebo group. There was, however, a marked decrease in the overall incidence of prostate cancer in the treated group as compared with the placebo group. This was consistent with the original studies on the reduction of cancer incidence by as much as 25% for those who were treated with finasteride.

There’s a good breakdown of that NEJM article found at Cancer.org.

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My Doctor Told Me I Had Frontal Fibrosing Alopecia and That Is Causing My Hair Loss. What Is It?

Frontal Fibrosing Alopecia is an autoimmune disease found most frequently in women (See here: https://en.wikipedia.org/wiki/Frontal_fibrosing_alopecia)

Another interesting article on this subject discusses medications that may cause it and it can be found here: https://www.ncbi.nlm.nih.gov/pubmed/30259544.


2019-02-14 10:56:47My Doctor Told Me I Had Frontal Fibrosing Alopecia and That Is Causing My Hair Loss. What Is It?

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My Doctor Told Me I Have Extensive Alopecia Areata

I am a 26 year old women with what my doctor called Alopecia Areata and it has left me with many holes on my head. He said it may go away on its own, or it may last years. I want to know if a hair transplant will solve my problem.

Hair Transplants are contraindicated in alopecia areata because any hair that is put into the bare areas, may get rejected by the disease and even cause further hair loss. You can, of course, wear a wig as so many women do with this condition. The winner of the Miss Delaware contest had Alopecia Areata and you can see how she managed her hair HERE and: HERE

Bald is definitely beautiful.


2014-12-10 12:26:34My Doctor Told Me I Have Extensive Alopecia Areata

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Why Did Any Doctor Tell Me He Could Only Lower My Hairline by 1 Inch?

The hairline advancement surgery is limited by the tightness of your scalp and usually an inch is the limit for most people; however, a hairline lowering hair transplant does not have that limitation (see here: https://newhair.com/female-hairline-lowering/). Also, note that the corners in many of these women were receded, and when this happens, a hairline advancement surgery can’t address this like a hair transplant lowering surgery.


2019-01-07 08:53:30Why Did Any Doctor Tell Me He Could Only Lower My Hairline by 1 Inch?