My Doctor Was Vague About Using Minoxidil and Propecia Together

Hello Dr. Rassman,

My question concerns the reintroduction of minoxidil into hair loss management. I have been assessed as a norwood 3/3a by my hair restoration doctor in NYC — I’m 24, I noticed thinning at 19, and began using minoxidil 5% immediately. I used it for 4 years, maintaining most of my hairline, although losing some density, and about a year ago started taking Propecia. Unfortunately, around the time I started using Propecia, I lost some resolve, and stopped using the minoxidil. I noticed a dramatic change in my hair, with rapid receding near the temples. The Propecia seemed to be thicking the vertex, but not doing much for the hairline. 6 weeks ago, I had a 1900 graft procedure done (1300 to the frontal area, 600 between frontal and vertex area) and now I’m wondering if I should reintroduce the minoxidil along with Propecia? I’ve been using Propecia alone for 1 year, and my hairloss seems to have stabilized (i see very little hair on the pillow or in the shower). Is it worth it? What are the up/down sides? My doctor gave me a very vague response — something along the lines of “Sure, why not, it’s up to you.” I’m curious what your thoughts are on this situation?

Thanks!

Relationship between you and your doctor should be a partnership and if you feel there is “vagueness” in his answer or you do not understand something you should approach him and ask your questions. When dealing with your doctor, be direct about not only the question of substance you are asking, but it you feel that he/she is evasive, say that and do not beat around the bush. Please remember you are the client and he/she is your hired agent and you can expect to hold your doctor to standards of communication so tell him/her that.

BaldingBlog is not meant to be a substitute for medical advice or second opinions. That being said, if topical minoxidil has worked for you in the past and you desire to start using it again I think it is your choice. I do not think it will negatively affect your hair transplants as long as it is after one week post surgery. It is my personal opinion that you should continue using Propecia. Minoxidil is not a substitute for Propecia, but it can be a good adjunct to it.