From Reddit: 

Don’t really have access to doctors that take enough interest to give me answers to my questions, ur kindness will be greatly appreciated

I saw your comments popup several places when looking for effects of finasteride on pre exisitng gyno patients. Everywhere you say that it should make no difference, whether u have a pre existing condition or not… I would like to know ur logic behind this, wouldn’t a man more susceptible to hormonal imbalance be worse affected by increased estrogen levels, than others that are not

Male 20, agressive diffuse thinning and receding hairline. Pre existing gyno(at <10yrs old) , started finasteride w/ minox week ago

My gyno started at around 10yrs of age or maybe even before that, I remmebr having a needle like pain in my nipples if pressed, I gained a lot of fat over my teen years which exaggerated the effect

20 yrs old now, recently lost all the fat, still have puffy nipples, but no pain or heightened sensation, maybe lump-ish thing in chest -(not as consistent as fat on my stomach), bilateral. It doesent seem to have progressed in past 5-6 yrs

If you’d be kind enough to answer… What do u think ?

• How did my gyno start so early and never really go away
• How come i only have puffy nipple but no peas behind areola or sensation or pain, (can’t really feel a proper rubber ball either, but it doesent feel exactly like fat, more like how I imagine the brain would feel… texture wise)
• if I’m susceptible to testosterone aromatization, wouldn’t taking fin make it worse.
• if I don’t have any other side effects from fin, like erectile dysfunc, or decreased libido (which I don’t) am I less likely to get gyno from it?
• since I have androgenetic alopecia at such a young age will I need greater dosages of finasteride to keep my hair? What do u recommend?

Thanks for reading, please let me know if u have any answers or suggestions

So far I’ve decided to continue with 1mfin every other day, since hair loss is irreversible, but gyno although expensive can atleast be surgically removed,.and hopefully is no more than a cosmetic concern

I will answer by bullet point in CAPS: How did my gyno start so early and never really go away: ENLARGING BREAST FAT IS COMMON IN PREPUBERTAL AND PUBERTAL BOYS

How come i only have puffy nipple but no peas behind areola or sensation or pain, (can’t really feel a proper rubber ball either, but it doesent feel exactly like fat, more like how I imagine the brain would feel… texture wise) THERE IS INCONSISTENCY IN THE WAY GYNECOMASTIA PRESENT IN YOUNG BOYS. SOMETIMES IT IS JUST ASSYMETRICAL FAT, SOMETIMES ACTUAL GLANDULAR TISSUE.

if I’m susceptible to testosterone aromatization, wouldn’t taking fin make it worse. I THINK THAT ONCE YOU PASS PUBERTY, THE ‘MAN’ STARTS APPEARING. SOME ADOLESCENTS SEE AN ENLARGEMENT OF BREAST TISSUE.

if I don’t have any other side effects from fin, like erectile dysfunction, or decreased libido (which I don’t) am I less likely to get gyno from it? I BELIEVE THAT GYNECOMASTIA COMPLICATIONS WITH FINASTERIDE HAS NOT BEEN COORELATED TO OTHER SIDE EFFECTS.

since I have androgenetic alopecia at such a young age will I need greater dosages of finasteride to keep my hair? What do u recommend? THE STUDIES ON FINASTERIDE SHOW THAT THE 1MG DOSE IS THE IDEAL DOSE REGARDLESS OF AGE AND SEVERITY OF ALOPECIA

Beard hair is a good donor source for hair transplants but the character of the hair is kinky in most men, so a hair transplant using beard hair will produce a kinky appearance in the recipient area and as such, should not be used for the leading edge of the hairline. Neck hair on the back, on the other hand, is not permanent hair so if it is transplant, there is a good change that sometime in the future that hair will be lost

What if it thins out, and it looks like the front part of the hair is forming an island? Not like noticeably, but just slightly looks like that when the light shines from the top and you take a picture? I don’t notice any unusual shedding, and I never find hairs on my pillow. I am blonde though, but I specifically bought dark black pillow cases for this and have been using them for about a year now. I never find any hair. The slight horseshoe/island hair pattern when taking pictures from the top is really the only thing that worries me. Is that just the normal pattern hair grows in, and that’s why I’m noticing it more now that my hair is thinning as normal?

Many men have persistent frontal forelocks (which is an island in the front of the hairline) but bald around it. These forelocks sometimes are family findings and in some men, they can be completely bald and keep these islands of hair (Forelock). When this happens, it can frame the face if the forelock is large enough.  If you are balding and have a good strong forelock, check your family history and see if the forelock lasted the lifetime of your bald dad or grandfather.  This is very important for any balding man, if they are lucky enough to have inherited this.

The Sea Otter has the densest hair of any mammal in the world at 1 million hairs per square inch

I have had FUE procedure 2 months ago and was thinking of having another for my beard. Was curious how long I’d have to wait before another one, and whether the back of my hair could be used again for my beard. I came across some articles that really concerned me, mainly about most people have a limited amount of grafts they could use in their lifetimes, usually around ~4-6k

Some remarks that I’ve read from doctors on this topic:

You can have many FUE procedures over your life time as long as you keep your total donor hair supply in mind. If your donor hair supply is 6000 grafts You can have six 1000 graft surgeries or three 2000 graft surgeries.

I really don’t understand the science of this works. The hair on my donor area is completely full now after 2 months. Is this in spite of some hair follicles permanently removed, and the full hair is due to remaining follicles after 2k grafts taken from there? I was under the impression that what was taken from the back would grow back. Is this not true?

FUE removes grafts from your permanent zone forever. You have a limit of donor graft supply and a good doctor will measure that limit and should quantify what your total available, lifetime graft supply will be.  For many people, large FUE sessions will cause a balding, see-through donor area as shown here: https://baldingblog.com/collection-victim-photos-internet-harvested-depleted-donor-areas/ As you can see, either these men had incompetent operators, or greedy ones who left some of them balding forever in the back of the head. For the advanced balding patterns, strip surgery (called FUT) is a better option as well as for most women expect for those who have very small procedures.

3mo finasteride, minoxidil & microneedling. More info in comments from tressless

Clearly this man has had a nice response to finasteride and microneedling. I am convinced that microneedling has contributed nicely to this response.

Nice return of your more youthful hairline, Congrats