I always tell my patients that the risk of sexual dysfunction or loss of libido was between 2-4% but this article suggests that these side effects were not seen in their study of over 600 men from all age groups. This suggests a strong psychological impact that could be the cause of the sexual complaints reporting “there is evidence of a nocebo effect (an adverse side-effect that is not a direct result of the specific pharmacological action of the drug)“.  The link below is a copy of the article which should be read by our audience. The main thrust of the article, however, was that “recent research … suggests that men with alopecia may be inherently more susceptible to sexual dysfunction regardless of treatment and that sexual dysfunction is not uncommon in the general population regardless of alopecia status.” I personally know the first author, Dr. Robert Haber and he is an honest and diligent clinician who I trust. 

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jdv.15548?author_access_token=D24c_h79HLymV8uMhMZjRIta6bR2k8jH0KrdpFOxC64P8g8jjA3oxKEtIH6uG2i3wzguPsCnGEXe1jO-tZhF84ZrGEXnIpW-Wt9_oexeaNFlCp1ZbNfymVRdrP5xtRuy&

I would have to (1) know how many grafts you had taken and (2) see your same picture in another 3 months with the same hair cut. That will tell me if it is an over-harvested donor area. I would hope that the redness would be gone in a week or two.

I was told that transplanted hair is placed into a hormone sensitive area (area from hair line over the top of the head till small part at the back).  What are the chances (approx. in percent if possible) of losing the transplanted hair? how many patients are satisfied with the result 5-10 years post FUE transplatation?

I have been doing hair transplants for 27 years and have seen patient I did 25+ years ago with their results as good as it was 25 years ago. A few patients will lose their transplanted hair between 5-30 years later, but that is less than 5% of patients?. I have seen many of my patients 5-20 years from their transplants and their new hair largely remained.

You can reduce the dost a bit, like one pill every other day which will give you 80% the value.

20 months on Fin – half dose time?? from tressless

This is a 44 year old male who had a juvenile hairline in 2010 when he came in as the corners were eroding. He didn’t like that and although I rarely will transplant these corners, I did on him because he was 36 and still had his juvenile hairline. Today he came in with a complaint of some increasing hair loss on his right side just outside the area that was transplanted in 2010 which shows nicely on the first photo.  The left side has held nicely since that 2010 surgery.

I performed a HAIRCHECK test on him which showed that his hair population is now 80% of what it was 8 years ago, so he is losing hair in the first 3 inches of his hairline (what I call the frontal area). He has been on Avodart since 2010 and this recent hairloss, has occurred while he was on this drug. He wants his juvenile hairline back with its tight look. I agreed to do this and also recommended that he address the 20% thinning in the frontal 3 inches with Scalp Micropigmentation. The pictures below show what was done on the day of the surgery.

Hey! I’m (just turning) 20 years old and after lots of deliberation, have decided to start using finasteride. However for my own ease and peace of mind, I’ve decided I want to start by tapering up on finasteride, and track my progress to find the minimum DHT block necessary to maintain my hair (my recession isn’t objectively that bad, but I’ve recently started receding and thinning again, so I want to maintain it here). I’ve noticed that there are more than a few people who’ve decided to dissolve finasteride in alcohol but I’d like to know if there’s any disadvantage to grinding finasteride into fine powder and using empty gelatin capsules to store them and take them?

That makes no sense. If you want to gradually increase the dose, you can start off taking one pill a week, then increase it to two, then three, then four until you get to one a day.  To see value, finasteride takes almost a year for 80% of the results to show up. Doing what you are suggesting may make the medication have no value.

https://www.gq-magazine.co.uk/article/male-hair-transplant-uk-cost