https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746394/
Fantastic restoration of your hair line. Good job!
This man used finasteride, minoxidil and a dermaroller for 6 months to get some mild regrowth. I suspect in time it will get better
“men over 40 often don’t need finasteride with a hair transplant” That is interesting. I had not heard that before. What is the reason for this?
Most men at 40, have lost their miniaturized hairs and are not actively losing hair, so shock loss is unusual in men over 40 unless they are actively losing hair later in life. Ask your surgeon to check out how much of your remaining hair is miniaturized to see if what I said is true in your case.
Dr. Robert Bernstein and I reported a condition called Age Related Thinning. We know with time, normal hair in many people, will thin with age.
Dr. Robert Bernstein wrote this up here: https://www.bernsteinmedical.com/answers/propecia-and-beard-growth/ The answer is that finasteride doesn’t impact beard growth.
Taking testosterone will accelerate genetic hair loss regardless of the medications you are on to stop that from happening
Diffuse Unpatterned Alopecia (DUPA) hits the donor area (back of the head) as it does everywhere else on the head. Men with DUPA should not have a hair transplant. The arrows point to only four normal terminal hairs in this patient’s donor area within the field of view. All of the other hairs are in some degree of miniaturization.
I’m reading on the package of finasteride accord and it says that it lowers the sperm quality and that infertility is a possibility. Would I be risking going infertile if I were to take finasteride for 10 years?
Infertility would be a very remote possibility. I looked into this when my son’s sperm count dropped on finasteride. I found the decreased sperm counts is not uncommon when on finasteride. After that research, my sons wife became pregnant. I have had the opportunity to do sperm counts on some of my younger patients, a lower than average sperm counts have been seen.
I have noticed gains in my moustache and under lip area when applying minoxidil on my head. Are these related?
When minoxidil is applied to the head, sometimes it gets absorbed by the body. I know one female patient of mine who used it on her corner hairline and found a mustache growing on her face. She stopped it immediately. So, I guess the answer is yes
I’m having some trouble cutting these 5 mg Aurobindo finasteride tablets that the pharmacy gave me. They’re film-coated. I think before I had a different brand which was easier to cut into 4 pieces, but the pharmacy says the non-coated tablets are not available anymore. Should I ask for a different brand? Or ask my doctor for a prescription of 1mg tablets, which are about 10 times more expensive, just to be safe? What do you guys use and how do you do it?
Because finasteride is stored in the hair follicle for up to 6 days, you can take one pill every 4 days if you want a quarter of a dose. That is as good as cutting the pills.
Is it the occurrence of shedding all over the top of the scalp? From what I understand there are two major camps of hair loss suffers, the diffusers and the miniaturizers… and sometimes both. But anyways what exactly is diffuse thinning? I get mixed answers all over the place
Thinning comes in two types (1) Diffuse Patterned thinning that fits into confined areas and it is often related to genetic balding and the thinning is a precursor to it, and (2) Diffuse Unpatterned Alopecia (thinning or DUPA) which occurs throughout the entire scalp, even in the back of the head which is usually immune to genetic hair loss. Some women get DUPA when they pass menopause. There is a new term just pioneered by Myself and Dr. Robert Bernstein which is Age Related Thinning (this occurs when the entire population of terminal hairs become uniformly thinner.
I have no preference. Only about 40% of men are minoxidil responders and when they do respond, they respond to both the topical and the oral. The topical keeps it local
I have been thinning slowly on the top of my head for about 7 years or more. I am guessing that the hairs that started to minituarize 7 years ago are too late to reverse and make strong again with finasteride? But the hairs that started to miniaturize say 2 years ago there can be hope to save them?
Perhaps there is no hard truth to this that applies to everyone?
Miniaturization is generally the end stage of hair loss for those particular miniaturized hairs. Miniaturization comes in ‘many flavors’, for example, one could lose 20, 40, 60 80% of the original thickness of the hair shaft and all of these are called miniaturized hairs. When the ,more advanced miniaturized hairs fall out, the longer that they are out, the less chance that these hairs will regrow. Finasteride can move a miniaturized hair from 40% miniaturization to say 20% miniaturization. I have seen miniaturized hairs hang in with 95% of their hair thickness gone. When these fall out, the never return.
I’ve been using dutasteride for more than 4 years with good results initially. My hairline got a bit stabilized after hoping onto dutasteride and minoxidil. Recently, I’m noticing more hair in shower and in room and my hairline is still receding, hair becoming thinner, although slowly. Has anyone else noticed the same? This is fucking frustrating to see the hair loss in 20s even with the best possible treatment available. I guess the hair transplant is the only other option left for me.
As hair is lost more in your younger years, the hairs that you lose when you are older are often less responsive to drugs like finasteride or dutasteride.