December 2020 – Page 6 – WRassman,M.D. BaldingBlog

What happens to sperm count when taking finasteride

Dec 2, 2020/by William Rassman, M.D./0 /Hair Loss Causes

Thanks doctor. What is your opinion on how finasteride effects sperm, that’s really my main concern at the moment, I’ve read people saying their levels dropped to a point they would be considered infertile. Also if I was to start I would like to stay on for 10years max, I’m concerned fertility problems could be permanent after such a long duration.

Sperm counts often drop with finasteride so checking it before and after you are on it for a month or so will tell you how low it will get. My son, on finasteride for 15 years, saw a reduction a sperm count but he fathered two children, the second one was not planned.

Hair makes a difference (transplants 5 months growth – photo)

Dec 2, 2020/by William Rassman, M.D./0 /Hair Loss Causes

There is no doubt that a hair transplant puts hair on the balding head and does it in a timely and predictable manner, in this case in just 5 months. I would expect that more length and possibly more hair is yet to grow in this man. If you are over 25, it is a very good option.

Telemedicine companies overcharging for finasteride, etc..

Dec 1, 2020/by William Rassman, M.D./0 /Hair Loss Causes

Telemedicine, companies in the USA (HIMS, KEEPS, ROMAN) send the 1mg generic to patients who fill out a form and submit it, no consultation with a doctor. They send either a 1 or 3 month supply for $20 to $30/ month. So patients are paying $240 to $360/yr for a product that often doesn’t work.

Group of technicians did this surgery and got necrosis (photo)

Dec 1, 2020/by William Rassman, M.D./0 /Hair Loss Causes

By law, only physicians are performing hair transplant surgery in the US and most European and Asian countries. Necrosis is a terrible complication of a hair transplant and necrosis reflects some lack of understanding of anesthesia and/or technique in the surgery. In the 16,000+ surgeries my group has done over the past 29 years, we never had a case of necrosis

FUE vs FUT confused

Dec 1, 2020/by William Rassman, M.D./0 /Hair Loss Causes

I’m confused why people even consider FUE. FUT has clearly shown to be able to extract more follicles from the safe zone and have a higher survival rate. Our limiting factor is the number of hair follicles we have. So besides an unsightly scar (which we can wear our hair long to hide), why FUE over FUT?

For the men with advanced balding patterns like the Class 5-7 patterns, I personally believe that the strip surgery is better because you don’t develop a see-through donor area as the donor gets depleted with FUE when the number of total grafts extracted exceeds 3500 grafts. This applies to a man with medium weight hair and a normal donor density. Men with coarser hair and higher than normal donor densities can get more than 3500 grafts extracted safely with FUE

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