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    6 months microneedling, minoxidil and finasteride

    Apr 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    The after photos is a bit dark but I can make out that new hair is growing where it did not 6 months earlier. Hair length may also be a factor in what we see.  I expect that over the next few months, if this is all new hair we will see a dramatic change.

    Finasteride impacting beard growth

    Apr 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Here to ask a question I’ve never seen asked, or at least never answered on this subreddit or anywhere else on the internet despite my effortful and differently-worded google searches.

    I’m 20. I started balding at 14, and I started fin at 17. Switched to dut at 19. Now I’m 20, and I still don’t have beard growth despite having the genetics for insanely aggressive baldness and insane beard density. This makes total sense because I’m taking a DHT blocker but my question is- will I never be able to grow a beard if I continue with my DHT blocking regimen? Am I blocking myself from ever being able to grow a beard, or am I just blocking it for the time being while I’m taking the DHT blockers? The idea of never being able to grow a beard terrifies me and I think I’d rather go bald and have a beard than never ever have facial hair as an option, but if I can wait until I’m 25-30 and then grow a beard after ceasing dut/fin, I’d rather do that. Thanks for any and all responses this gets.

    Dr. Robert Bernstein answered this question as follows:
    As you suggest, it would be reasonable to assume that since DHT stimulates beard growth, blocking DHT (with finasteride) would tend to inhibit its growth. In practice, this does not seem to be the case, i.e. we don’t find that Propecia has any effect on facial hair. The reason is not clear.
    It is interesting to note that testosterone stimulates growth of axillary and pubic hair, but not scalp hair. Scalp hair growth is not androgen dependent, only scalp hair loss is.
    DHT stimulates terminal hair growth of the beard, trunk and limbs, external ears and nostrils. Of course, it also is responsible for the bitemporal reshaping of hairline as one passes into adulthood and causes male patterned baldness (androgenetic alopecia).

    Hair loss from weight loss, will it come back?

    Apr 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Probably yes, assuming that the hair is not those hairs with the genes for hair loss.  Sometimes rapid weight loss accelerates the genetic patterns you inherit

    Class 4 pattern of hair loss in 18 year old (photo)

    Apr 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    For 18 years of age, you already have an advanced Class 4 pattern of balding and based upon your family history, you may lose all of your hair. I would want to know who you take after in your family.  You appear blonde (that is good) but you are a person who needs to see a doctor and develop a Master Plan because it looks like you are likely to lose all of your hair other than the permanent rim of hair around the back and sides of your head. There is no substitute for a one-on-one with a good doctor who specializes in genetic hair loss in men.

    Does a man become resistant to finasteride over time?

    Apr 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I am a 23 year old man who recently received a scalp miniaturization test at a hair loss clinic. I was told the hairs on the top of my head are about 85% the density they should be.  If I’ve learned anything from tressless, it’s that prevention is key. My only fear about starting FIN or DUT is that my body will build up a tolerance to them. I want to take these drugs my entire life, but I’m worried that if I start before I actually begin showing symptoms, they’ll lose effectiveness by the time I really need them.  I see a lot of posts about people thinking they’re building up a tolerance to FIN after 6 or 7 years, but that might just be that their hair follicles are becoming more sensitive to DHT.  Does the drug itself build a tolerance in your body? If so, should I start with FIN and switch to DUT when I need it? Or will a tolerance to FIN also give me a tolerance to DUT?

    No concern. These drugs block the DHT at the hormone receptor and they continue to work for years. This is the critical time for you if you want to see benefit from finasteride as the older you get, the less the benefit you will see when it comes to reversal rather than just slowing or stopping the process.

    Zinc and Argenine for AGA and TE

    Apr 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    https://pubmed.ncbi.nlm.nih.gov/33878855/

    Conclusions: Based on our results, the combination of arginine and zinc tested in our study could represent a good therapeutic option for the treatment of AGA and TE and it might represent a valid alternative to finasteride.

    Should I worry about PFS if I have no side effects for 3 years

    Apr 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I’ve been taking finasteride for 3 years without any side effects but started reading about post finasteride syndrome (PFS). Is It real? Should i worry about It?

    If you are not having side effects of a sexual nature, there is nothing to worry about.

    Is it safe or proper to get a hair transplant at 25?

    Apr 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I’m turning 23 next year april. I’m on treatment and aren’t shedding hair any more. However I absolutely hate my hairline and am definitely going to get a hair transplant. Is the age of 25 when it can actually be measured which NW you’re gonna end up at? Or how aggressive your hairloss is gonna be in the future?. I’ve been to several clinics and they all advised that I wait until I’m 25 to get a hair transplant

    For me, 25 is the youngest I generally consider for a hair transplant but that depends upon the person and the consultation where I determine a Master Plan.  There is no simple answer, just get a good doctor. Read this post: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/

    4 months microneedling and minoxidil (photo)

    Apr 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    An article reviews treatments of alopecia

    Apr 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    https://www.karger.com/Article/FullText/492035

    This article seems to cover many of my posts on baldingblog.com

    Microneedling with finasteride & Minoxidil

    Apr 23, 2021/by William Rassman, M.D./0 /Hair Loss Causes
    I would like your after picture to have better lighting. Even without the best lighting, the results look dramatic. The microneedling went on for 6 months.

    Will finasteride drop my high sex drive?

    Apr 22, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I have sex multiple times a day, 2-3 days a week, and masturbate quite regularly. How would this impact me while on fin?

    The frequency of masturbating or sex, should have no impact of your hair loss. Some men have an increased sex drive when taking finasteride while more report going the other way.

    I’m 22, taking creatine and worry about hair loss

    Apr 22, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Multiple articles suggests that creatine does contribute to hair loss: see here: https://www.ncbi.nlm.nih.gov/m/pubmed/19741313/

    Hair transplant without finasteride?

    Apr 21, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    So, personally, I straight up just don’t want to use finasteride and don’t want to be on a pill that regulates my hormones for the rest of my life. If you have a good donor region, like 8000 potential grafts, can you forgo finasteride and still get a good hair result just from a transplant(s)?

    Men under 30 have a higher risk of losing native or miniaturized hairs with a hair transplant. The older you get, the less the risk. Finasteride prevents the loss of these miniaturized hairs, but as you point out, if you are willing to spend the money and your have 8000 lifetime grafts, you can do a hair transplant without finasteride.

    Have taken SSRI and Finasteride and now have mild ED

    Apr 21, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I’ve been on finasteride for over 2 years with good results. But now I’m experiencing some erection issues. The sex drive is there, but the erections are very weak and generally need manual stimulation. In your experience how long does it take for this to go away once stopping the medication? I was also on an SSRI, so it’s hard to say which medication is actually causing these issues. I’ve been off the SSRI for almost two months, and my sex drive came back quite quickly, probably within two weeks of stopping. I’ve been off of finasteride for two weeks now and haven’t really noticed any difference, so I’m getting a little nervous. Anyway, hope to hear from you and have a great holiday!

    Give it time and then you will know. Some men have ED problems just as they get older and that is why Viagra and Cialis have done so well as a drug for treating ED. Heavily focusing on sexual performance often leads to some ED, a psychological effect but if your ED is caused by finasteride, then speak with your doctor about finasteride and your ED.

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    This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.

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