You need to see your doctor. Finasteride is known to cause this and stopping the medication should solve the problem but seeing your doctor if it doesn’t is important as there are many causes for this problem, some of them like testicular torsion can cause you to lose a testicle and it is not finasteride related.

Is ball ache from fin gonna stop? (6 days in) from tressless

  1. At the age of 38, you are certainly old enough to get a hair transplant. If you are really a Class 2, then it might mean that you are not balding but have been developing mature hairline. A good picture will go a long way for me to see what is really going on. If you want to send me photos, show me a front and side view with your eyebrows lifted high, so I can see where the hairline belong anatomically. (Send photos to
  2. I think that trying a few hair transplant is nuts. That is like being a little bit pregnant. Once you have an anesthetic for a hair transplant, regardless of size, the transplant will accelerate the hair loss you may be having now. You will not have to shave your head for the hair transplant procedure.
  3. At 38, the use of medications like finasteride (Propecia) is something you would want to speak with your doctor about. People undergoing hair loss at the time of the transplant would be better on finasteride to prevent shock loss from occurring.
  4. Once the transplant is done, it is done. Follow-ups are more for you and your doctor to compare each of your expectations. A well done hair transplant does not require followup unless there are complications.
  5. A hair transplant requires the doctor to start up an operating room, break open supplies and instruments, and mobilize staff. This is the expense, even if I did 10 grafts. That expense is fixed and ties to the length of the surgery after the start-up costs.

Newb here. Thinking of getting a hair transplant and needed advice from tressless

I thought I heard everything before, but this is completely nuts. The scalp can’t smell anything, only our noses can.

The small scar can be treated with Scalp Micropigmentation ( or a hair transplant.  The least cost would be Scalp Micropigmentation

mustached spot

 I have been using Minoxidil since 2006, and I seem to have at least maintained my hair at the crown, although there has been some additional loss. I believe this would be, in some part, age-related. I imagine the situation would be worse had I stopped using Minoxidil. At age 68, I have no real complaints. Here is my question: should I continue using the product, even though it is considered off-brand for someone my age?  Also, I did try Propecia for a while, but it had side effects that I did not like, primarily noticeably reduced ejaculate.

It is ok to take Minoxidil at your age. I suspect that the hair is dependent upon it. The decreased ejaculate is a common side effect of finasteride, but most people don’t mind it.

Finasteride has many systemic effects on hormone metabolism, so I am sure that many of the side effects will also apply to women. With regard to sexuality, it is a complex issue for women so it cannot just labeling finasteride as the cause. Women’s sexuality is not only related to androgens as with men.

I am sorry to tell you, but I think that your hair transplant failed with the exception of the frontal area which clearly has some growth evident. I think that your doctor does not want to tell you the truth. After having 5,000 grafts in a single session, another FUE procedure would make you bald in the donor area. Therefore, you will have to get a strip surgery if you want to repeat the surgery, assuming that you still have enough donor supply left. I recommend you find a doctor who understands the donor area supply issue, which, for another surgery, is critical for your next possible experience. Alternatively, you can shave your head and have Scalp Micropigmentation which can make you look great and does not require more donor hair.

failed TX


Yes, women can use 10% minoxidil provided that they don’t get facial hair, which is a known side effect.

Just saw some ad about Just For Men “revolutionary” product (“Just For Men Control GX Grey Reducing”) which claims to reduce graying gradually. I was wondering if you believe it is safe to use and would not trigger hair loss with all the chemical that the product must have.

I don’t have specific knowledge of the Just for Men product other than to say that any claims made by such a company concerning safety and effectiveness comes under FDA supervision. I recommend looking at the product’s packaging for the FDA certification.

The first step in evaluating hair loss in women, after a detailed history and physical exam, is to rule out any underlying medical causes of hair loss that can be treated. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. Furthermore, over 50% of women going through a change of life or hormone fluctuations (menopause) experience significant hair loss. It is also important to review the use of medications that may cause hair loss, such as (but not limited to) oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin, and prednisone.

The following laboratory tests have been recommended to rule out the aforementioned medical conditions:

  • Sex Hormone tests
  • SHBG (Sex Hormone Binding Globulin) used to test status of male hormones
  • Estradiol is a sex hormone
  • FSH (Follicle Stimulating Hormone) *not hair follicle but follicle in the ovary*
  • LH (Luteinizing Hormone) is a sex hormone
  • Free Testosterone
  • Total Testosterone
  • ANA (Anti Nuclear Antibody) used to test for Lupus or other autoimmune diseases
  • TSH (Thyroid Stimulating Hormone) used to test for hyper or hypo-thyroid disease
  • Test Iron status
  • TIBC (Total Iron Binding Capacity)
  • Ferritin
  • Iron

Neck hair loss is a unique genetic variant. It is resistant to drugs like Finasteride. We have treated such men with Scalp Micropigmentation very nicely. See here:

Could is still be MPB if you are losing from the bottom back of your head? from tressless

I have written extensively on this subject because too many doctors are in it for the money, not to benefit you. Forums like Hairloss Talk, the Bald Truth, and the IAHRS are sites that doctors pay to get on, so they are not objective overviews of quality.

For a better overview, read this summary:

For all of you considering a hair transplant: DO NO MAKE YOUR DECISION BASED ON PROXIMITY OR COST from tressless

Read the article here:

The yellow fluid you are seeing is serum, which normally appears after an FUE or any open wound. The key is to keep it washed so that this yellow fluid doesn’t form scabs (crusts), and by keeping it clean, infection risks are minimized.

Hi, I am 26 year old male and for the last 3 years, my hairline is receding. I am eating healthy, exercising and not smoking, but it doesn’t help much. Could it be my testosterone?

You’re history suggests that you are in the early stages of male pattern balding with a Class 3 pattern of hair loss that is emerging. See a doctor who specializes in hair loss and can offer a diagnosis, then set up a Master Plan with the doctor to cover your future hair loss.