I went to my dermatologist because I’ve also been dealing with diffuse thinning on my scalp. Very aggressively lately. He told me about finasteride and gave me 300 tablets. I’ve been on them for 3 weeks now.  In the first week, my libido went up a lot. From zero to feeling horny almost every single day. Kinda like my old self.

Now, I did some research… and I know this is common for people starting fin. However… I read that this is because fin gives a slight boost to testosterone… resulting in extra sex drive. What I don’t understand is that my testosterone was already pretty high. Almost at the ceiling of the normal range. And yet my sex drive was very bad. Yet this slight testosterone increase from finasteride gives me an enormous libido boost.

Is there an explanation for this? I’m obviously happy about the change, but I’m also not expecting it to last and I’m kinda interested in the science behind it.

I have heard about this many times, but I can’t explain it. Consider it a blessing.

There does appear to be short hairs about an inch long (see arrow) suggesting that these are new hairs brought on by your Finasteride, minoxidil and microneedling approach.

The combination of Dutastereide, minoxidil and microneedling shows that the corner thinning (shown by arrows) has lessened with this treatment. These are early results and further benefit can be expected over more time.

The number of grafts depends upon a variety of factors including (1) The thickness of your hair shaft (to determine your hair mass index), your donor density (to determine your lifetime donor supply of hair which is finite, (3) what areas you need to cover (not clear from the photos) and best covered in a conversation over the phone or an in-person evaluation. I would question if you adequately treated this first on the possibility of reversing the hair loss.

If you leave a hair piece on your head for 6 weeks, the hair will grow under it and the skin sweat will start to stink. These systems must be washed along with your scalp on a regular basis.

I’m already losing hair anyway. I have no issues committing to a hair system for the rest of my life especially with how good they look and how nice it’s been having one

Everyone makes choices. A hair transplant is complete freedom from worrying about your hair or going to the wig salon every two or three weeks for the rest of your life, plus, a hair system in a 7 year period is more expensive than a hair transplant and the costs go on and on. good luck!

You are young enough to get a good response to drugs like finasateride with minoxidil.  Many men young men add microneedling with even better results.