I’ve read that you should stop using Finasteride if you’re trying to conceive since there’s a small risk that the baby will be negatively affected by it. However, if you’re not trying to conceive and the woman is using some kind of contraception, like birth control pills or an IUD, is it then safe to have sex without a condom? Can the small amounts of finasteride found in semen be harmful to women’s health in any way in this kind of scenario? Trying to figure out if condom is the only way to go.

The amounts of finasteride found in semen has been reported to be found in very, very small concentrations. The question must be framed in the context of a pregnant woman early in her pregnancy and if the finasteride in such a low dose, would have to cross into the uterus, across the placenta and into the fetus. I don’t know if this has been documented, but it might be best to be extra-cautious using a condemn to avoid the risk. Finasteride itself can not

You need to develop a Personalized Master Plan with a good doctor. That will allow you to try various options short of a hair transplant to see if you can get your hair back such as finasteride, minoxidil and microneedling.  Give this approach a full years.  When all else fails and you are at least 25, them a hair transplant is a reasonable option,  Read this:  https://baldingblog.com/creating-a-personalized-master-plan-for-present-and-future-balding-photos/

I never heard about this but was just thinking about it, shouldn’t it help with hair growth? Minoxidil works because of the improved blood flow in the area so the cupping should work too ?

Blood flow decreases in the scalp as balding progresses, not the other way around. Increasing blood flow will not alter balding, of that I am sure

Hi there if someone take fin and/or dut, given that they respond to it without sides, how viable is a hair transplant over the long term. I see many people with aggressive mbp in the past have gone for HTs and ended up having to shave it all off. Will taking dut, fin, min prevent this outcome for similar candidates?

You must develop a Personalized Master Plan with a good hair restoration surgeon to determine where you are in the process, what you can and can not do and when. A good plan will include good metrics on your hair mass index, donor density and lifetime donor supply tied to your family history with a worst case scenario planned for. Finasteride still can have value at your age.

I don’t know if this is happening to anyone else but on .5 finasteride I have been able to last longer, my penis is harder, and it has gotten a little longer (I was not well endowed before so I can tell). Is this normal I always hear the opposite of this? It’s only been a month and a half. I would like to know why this is happening

One of my son’s had this side effect and an increased sex drive as well. He loved the drug!

Scalp hair is often used as a donor source for beard hair. If you would use black hair as a filler, it would bring the black hair into the beard.  Sooner or later, these black (or brown) hairs may turn gray.  There is no guarantee that your re-transplanted scalp hair in the beard location wouldn’t turn gray again sooner or later.  I believe that your question is academic because no doctor I know, would transplant into a full beard with scalp hair just for color effects.


I am sure that if you breath in the fibers in Toppik or any other concealer that it will potentially lodge in the lungs and can produce a foreign body reaction.  Doing it once by accident shouldn’t be a big deal but repeated such events will cause you harm.

It works well when the areas are relatively targeted. See here: https://baldingblog.com/the-use-of-topical-finasteride-with-minoxidil-produces-remarkable-results-in-a-study-on-300-male-patients-with-genetic-balding/

This young man showed his before and after the use of finasteride for a year. Most articles on this subject suggest that finasteride doesn’t work well on hairlines, but we see exceptions to this rule all of the time.

This 23 year old male who wanted to find out if he was a good candidate for a hair transplant. His present Norwood pattern of hair loss is an early Class 3 pattern.  At 23, I normally would not offer hair transplants to someone of his age because: (1) the balding pattern is not completely defined at this age, see example here: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/), (2) I usually ask myself the questions “can he support a worst case Class 7 balding pattern if it should occur?”, (3) his hair thickness is very coarse (see example here:  https://baldingblog.com/hair-thickness-vs-density/) and (4) his level of maturity in accepting the advice of a doctor like me appears reasonable as we worked on the plan shown here together and he understands that his final balding pattern is poorly defined at this time.  I asked him to map out his head and with a hand microscope purchased from Amazon, he mapped out his head and gave me detailed microscopic views of his hair in different parts of his scalp.  The pictures here show that there is some early miniaturization in the frontal area (first set of photos) and that his donor density when calculated by me, showed that his total hair count (total hairs on the head) is approximately 160,000 hairs (an average Caucasian has 110,000), and that he averages 3.2 hairs/follicular unit (or graft). The average Caucasian has a follicular unit hair count of 2.2 hairs/follicular unit (or graft). His available hair is 50% higher than the average Caucasian. That puts his donor graft supply very high.  In addition, he purchased a micrometer from Amazon (at my suggestion) and measured his donor hair thickness (he cut 6 hairs from area [CD] on the third set of photos). His hair thickness measured 72 microns which means that he has a coarse hair.  From a Personalized Master Plan perspective, if he was to progress even to to a Class 7 pattern (the most advanced hair loss pattern), he would have enough hair to transplant his entire head. His hair has a high hair mass capable of covering a huge area of his head, if he should bald further at sometime in the future which is likely from what I see on the various maps he provided to me. At this time, all of his miniaturization is confined to the frontal area of the scalp and the frontal corner hairline.

scabs should come out by itself, don’t try to remove them on purpose. I can’t tell if they are grafts or scabs from your first pic. I hope they are scabs.. My scabs didn’t come off until day 15th.

This is what I like to see immediately after the surgery and the days following the surgery.  The post operative washing process should produce results without scabs like these:

There is a risk of removing mature scabs prior to the 12th day. I wrote about this in a medical publication here: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf

This is an amazing result from finasteride alone. I don’ believe that I ever saw such remarkable growth in just 9 months.

It’s expensive when compared to the oral pills. Dutasteride is not FDA cleared for hair loss so doctors don’t write the Rx for it very often. Topical finasteride in the liposomal form costs around $70/month. The finasteride pill from Costco costs about $27/year. Big difference

If it is not approved in the US, doctors will not write an Rx for medical-legal reasons. For example, if someone gets post-dutasteride syndrome, then there is no legal protection for the doctor for legal action taken by the patient.

Doctor, if you get a hair transplant, do you have to take fin and minox? Or are you solid to discontinue?

That depends upon how much miniaturized hairs are at risk of shock loss. Finasteride prevent shock loss. Generally, the older you are, the less the risk of shock loss. Some people don’t want to take drugs so that elect to have a hair transplant which doesn’t require drugs of any type but there can be a loss of miniaturized hairs without finasteride which may reduce the value of the hair transplant for some patients.