Taking Propecia Temporarily to Prevent Shock Loss Before Hair Transplant

Hey doctor, love the site. thank you for your time and effort in maintaing baldingblog and all the help you’ve given to everyone who reads it.

quick question. i’m wondering what your opinion is on patients taking propecia temporarily (immediately before ht and for a certain time after) in order to protect against shockloss from a transplant. Many doctors advise this to patients who refuse to take propecia or cannot from side effects. i wonder if you think this is a good idea, or should patients completely avoid finestaride if they’re not going to continue with it? Thanks.

I generally advise men to take Propecia (finasteride 1mg) before and after a hair transplant surgery indefinitely. If a patient is completely resistant to taking Propecia for long periods, I generally advise them to take it at least one year post surgery. It may aid in preventing shock loss and the patient may even see some benefits from the medication and decide that they will continue taking it.