Hello doctor Rassman I have some questions about the use of minoxidil and derma rolling I have a 1.5mm derma roller and use minoxidil foam is 1.5mm too long? You can’t really find a definite answer on the internet how often should I derma roll on my scalp with a 1.5mm derma roller and how long should I wait before applying minoxidil after?
Frequency should be once a week and when you apply minoxidil. It should be rubbed into the open holes so it should be shortly after using the derma roller
Hello, my name is Ali. I wonder if you have any advice for me. I am 25 years old and took 1mg of propecia 5 and a half years ago (one tablet( because I was losing my hair. After taking the tablet I suffered side effects straight away, I developed gyno and have had persistent side effects ever since. The side effects include erectyle dysfunction, premature ejaculation and my semen is watery too compared to before. Over the course of 5 years my condition has improved slightly but the ED continues to persist. I have seen a doctor who sent me for a full blood and hormone check and everything came back normal. I am stuck to be honest, do you have any advice?
This is the first time I heard of this happening. I don’t know how to help you or what to make of your story
Dr do you know if finasteride sheds or shrinks some hair during the 2 months stage after a hair transplant?
No, the shed if it comes from finasteride is a sign that it is working. Possibly you are shedding some miniaturized hairs that will regrow in a few months, just a guess. I hope you were on finasteride when you had the hair transplant as that is critical
If you have a hair transplant do you need to take Fin still? Or are the donor hairs usually resistant to hair loss?
You should keep in mind that male patterned hair loss is progressive and finasteride does two things when having a hair transplant: (1) it protects against shock loss from the transplant (the loss of most of the miniaturized hairs present at the time of the transplant and (2) it slows down the progressive nature of the hair loss better than any other drug.
I’ve never really had hair problems, my parents have full heads of hair and barely anyone in my family has hair problems of any type. Last year I went through some very rough months which have left me with some anxiety and other problems and during those months I noticed a very drastic decline in my hair. Basically from full density, can’t see the scalp, to very dry, thin and low density hair. All my blood work is always fine, my testosterone levels are fine my vitamins are fine (got tested for vitamin d levels). Has anyone here experienced that?
In my 32 years practicing hair related conditions, I see stress as a major accelerator for genetic hair loss. It even hits people without genetic hair loss in presentations such as Telogen Effluvium which can reverse in time as stress reduces
Hi Dr Rassman, is your opinion still that one month should be adequate time to come off of Finasteride without risk of conception being more difficult or risk of fin in the semen causing deformities?
That is an educated guess! If we are talking about finasteride in the semen, then knowing that the blood half life is 4-6 hours (say 6 hours), the body fluids should have gotten rid of the finasteride within a week, so by saying a month, that should be a reasonable time frame.
I’ve been having hair loss and thinning for the past three years. I’ve taken minoxidil for a year and it didn’t really work. Some 4 months ago I got some blood work done and my vitamin D levels were low as well as my iron levels were too high. I was prescribed 50,000 IU vitamin D pill to take once a week for two months. I had amazing results in about 2 to 3 weeks. By the end of the two months, my hair was a lot fuller. Unfortunately once I was off those pills my hair started to thin and fall out. Not at the rate as before (hair on the pillow while I was sleeping, etc.) but 10-15 stands of hair while I wash my hair. I’m pretty bummed out about this. The doctor did tell me to maintain it with 1000 IU. But it hasn’t been helping. So I up my dosage to a higher safe level dosage of 4000 IU. It’s been about two weeks since I’ve been off of the 50,000 IU. At this rate, I’m not sure if it was the vitamin D level being the underlying issue of my hair thinning.
I have little doubt that many men or Vitamin D deficient makes hair loss worse. It is easy to take a Vitamin D capsule once a day to solve the problem. 50,000 IUs are a bit too high. Try to take 5000 every other day and that should build up your Vitamin D levels. Keep on that routine for life. I take 5000 IU every other day.
https://www.prnewswire.com/news-releases/amplifica-completes-11-8-million-series-a-financing-to-enable-clinical-development-of-lead-products-to-treat-androgenic-alopecia-301657072.html
I’m 42 years of age. Haven’t tried anything yet.
Your combing style is covering any recession that you have. Fine hair is always a challenge. Is the hair fine in the back of your head as well?
This is a big breakthrough because now with this technique, we can study drugs and their impact on hair cycling. Hopefully, we can grow genetically impacted hairs for balding and see what it takes to reverse the balding process with greater ease
I have been on finasteride but still encountering recession in my hairline in terms of miniaturization. But i noticed that my hair fall has actually decreased, so is the fin working or…? Was wondering am i really having Androgenetic alopecia
Yes, it is working but possibly not well on your hairline.
I have been on finasteride for 2 years but today suddenly in the shower my hair started coming out in clumps. I’ve lost so much density, I bet more than 1000 hair went down the drain and additional hundred more when I was drying it. This includes the back and the sides of my head. I am panicking so much because when I started I only had mild temple recession with no hair loss anywhere else , and now this happened.
How old are you? If you are young, maybe you started to accelerate your balding genetics. This can happen if you are unusually stressed. Does that apply to you? if you are very worried, see a dermatologist of a hair specialist like me if yu in Southern California.
This is a nice increase in fullness and more to come in time. Stick to it.
