Ever since week two post op, I’ve been experiencing a lot of stress, anxiety, lack of sleep, and even panic attacks a few times. All of this is due to family issues, losing my job, and an underlying depression. These stressful issues have resulted in a very inflamed scalp. I’m now 2 months post op.  My question is, can any of this, especially the stress/anxiety and inflamed scalp have permanently killed off my grafts?

Please help me. I’m at an all time low. Thank you

No, your hair will grow regardless of the stress you are undergoing.

Article specifically about sexual side effects

Article evaluating the possibility of side effects that continue after quitting

Basically it’s all in my head and I’m really struggling with it. I’ve been on 0.5mg of Finasteride for about 7 months, I have my ups and downs but it’s worked wonders for my hair.

When I started I couldn’t get a hard on during sex, id wake up with morning wood so I know it’s not a physical issue but a mental one. that led me to stop taking fin for about 10 days.

I hopped back on, and I had a great mentality I just took it on got on with my day no sexual problems at all. But then I started to overthink things and my brain got the better off me, now I’m back to square one, I wake up with morning wood, and I even get hard during sex but it can never stay because it’s constantly on my mind during sex I can’t think of anything else apart from if I’m not going to be able to get it up.

Is this anxiety? And has anyone suffered from this?

It’s getting to the point where I’m thinking of coming off Finasteride, but I really like what it’s done for my hair. Any advice would be great.

It sounds like your physiology is working well; however, psychologically, you can talk yourself into anything. I always tell my patients that if I told then that if they breathed the air in my office and I told them that they would be impotent that night, they would be. Young men are easily influenced by much of what is published on these forums and it can be significant enough that they may not be candidates for finasteride.

I’ve been looking into FIN and MIN but the amount of hair left on my head suggests that both of those might not work. I’ve also heard a lot about hair systems but there’s not much information on it on google from what I have searched. Where are you supposed to go for a hair system, barbers? I’m located in the Bay Area and don’t know much about hair systems cause I don’t know anyone who does it or has gotten it before.

Is there anything I can do for this amount of hair left? Seems like there isn’t but I still have hope. Don’t want to completely accept being bald just yet.(pic in comment)

For 19, it looks bad, but hair can be maintained for life with medications and/or hair transplants. You need to be evaluated by an expert who can measure your donor density and then determine a Personalized Master Plan for you. Since you are 19, drugs like finasteride have reversed the balding in some men, but working with a good doctor has no substitute if it is the hair you want to keep. Some men will do Scalp Micropigmentation (SMP) which will give you the look of a shaved head for life (see here: https://scalpmicropigmentation.com/ but be selective on the men you look at on our site).

There is no such things as a little hair transplant. A hair transplant requires local anesthesia which can be the beginning of a cascade of hair loss in a 25-year-old not on finasteride. See this link: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/ as this could be you. Whatever hair you use now should be part of a Personalized Master Plan that will follow your hair loss as it occurs. Even the man in the link, with a Personalized Master Plan, could have hair for his life.

This man(in his mid-twenties has recent hair loss in the past 8 months prior to commencing treatment). He  must have been very sensitive to the results of good DHT blocking with finasteride. Men like him are young and have more recent hair loss than those who do not respond. A great early result that will just get better in time.

I suspect that this man may have had this surgery performed in a less than clean clinic with unskilled people who may not have been doctors and didn’t understand sterility as a concept.  I don’t know the outcome but as a doctor in Europe sent on this photo, I suspect that this man will be treated properly now.  This photo should be a warning to those in my readership who shop for bargain hair transplants in Turkey (there are good doctors in Turkey but they don’t charge $1/graft or less). This, regardless of the price this man paid for his bargain hair transplant, it will be a most expensive hair transplant to get him back to where he needs to be. His looks and his health are on the line.

The red you see is blood draining from green and yellow pus pockets.  This man has many ‘boils’ or infected cysts possibly starting from a hair graft. Each one of these need to have a surgeon drain them.  Once they are all drained and the bacteria cultured, the patient will be put on antibiotics and as new infected cysts appear, they will be drained again. Eventually good surgical draining and antibiotics will calm this down.  He will have some scarring left and most of the hair grafts will probably die.  Once he is recovered, a good surgeon will reassess his donor supply and hopefully he might have enough donor hair to redo the transplant. This process from infection to a new hair transplant could take up to a year.