Some men are very sensitive to finasteride especially in the crown as shown in this man
This is an interesting approach to making topical finasteride by using minoxidil to essentially dissolve it into solution as discussed here: https://www.getfreshman.com/learn/can-you-make-your-own-topical-finasteride/
I have no experience with this and do not know if it will work so I can’t give an opinion on it. This link seems to be passing from person to person on the internet. Anyone with experience with it, please contact me.
The traditional compounding pharmacies do not approach it this way. They often create a liposomal formulation which keeps the drug at the skin level and doesn’t let it go into the body. I know that minoxidil is often absorbed into the body from skin applications alone, so I would suspect that the same would occur with finasteride dissolved in the minoxidil solution.
Finasteride and minoxidil have been used for 3 months with good results; however, this man has not shown comparable photos so it makes the case less compelling
Would you extract hair outside the safe zone, right at the lowest point of the nap if the patient said he knew it may not last but wanted a more even looking donor area, post-extraction?
I would argue with the patient in his favor, explaining two elements of using neck hair, (1) neck hair is not permanent and (2) the area scars worse than other parts of the scalp and without hair, the scars will show.
These are very nice results, especially in the crown which is more predictable. The frontal hairline is starting to grow out as well.
I’ve been taking fin since August. Lately I’ve been noticing that I’ve been experiencing memory loss… Like if a prof tells the class something important, I might not recall what it was if I don’t take any notes. I also feel as if words come slower to me. I’ll lose my train of thought so easily!
I could just be crazy. Or I could be sleep deprived. Stressed. Idk. I’m in grad school and I read a lot…like I’m able to complete my assignments well, but I feel like I just lose my train of thought sometimes and words come slowly sometimes. Also I’ll forget certain things that people say.
Maybe I’m crazy! This could just be normal…like people don’t always retain everything they hear, and sometimes people don’t think clearly for whatever reason.
Brain fox is a rare but significant complication of finasteride. You described it perfectly. You should speak with your doctor to find out if you should stay on the drug
I’m going to start the Big 3 to at least TRY for some regrowth. As a 33 year old NW6 I don’t have much to lose. I do have a ton of minituarized hairs on my crown, so it’s worth a shot I suppose. My results over time would be connected with a hair transplant. Unfortunately, topical minoxidil doesn’t work for my lifestyle, so I want to try Oral Minoxidil, and switch to topical down the line. I’ve heard of some potentially dangerous cardiovascular risks associated with oral Minoxidil. I consider myself relatively healthy, with normal BP levels, although I haven’t had a physical in several years. Should I consult with a doctor prior to ordering oral minox? Or would a low dose (0.25-0.50 per day) be OK to start?
Get a good doctor and don’t be your own doctor here.
On a proscar 5mg split into 4 from Walmart pharmacy. This latest drug has got me horny as fuck. Not sure why, but I’m always thinking about sex and my pecker is pointed straight up most of the time. WTF. Can some of y’all pass on your ED pls
I have had this complaint from some of my patients, including one of my sons. He just learned to have more sex.
This is an unusually fast response to finasteride and dutasteride. I suspect that he would have had the same response from either medication alone.
I’ve been following my hairloss for over a year, I first though my hairline was receding. But my hairline itself has stayed in a similar position for over a year. But I’ve been shedding alot over the past few months. In August I hopped on fin. I didn’t know if it was MPB (Diffuse Thinning) or Telogen Effluvium, but I’ve been treating it as MPB incase it is. So I’ve been using fin (1.25mg) everyday and Nizoral weekly. No side effects btw.
I feel like my shedding has slowed, if it was TE, it would be slowing around this time too, but I don’t know if it placebo. But I’m losing hair on the side of my head too, if it was MPB I shouldn’t be losing hair here right?
When I got my prescription for fin, both my derma’s said I wasn’t losing hair (it looked decent then, now my hair loss is more visible). I will go back and ask them again, but wasn’t possibilities of what is causing this, since I had to suggest fin myself.
You should get miniaturization analysis of your donor area (see: https://baldingblog.com/do-i-have-dupa-diffuse-unpatterned-alopecia-photo/ ). You can get this by purchasing this instrument and sending me photos: https://www.amazon.com/Celestron-LCD-Handheld-Digital-Microscope/dp/B004IANQNQ/ref=sr_1_14?keywords=celestron+microscope+camera&qid=1570126460&s=gateway&sr=8-14
You can have a hair cut within 2 weeks of your FUE
I am naturally a Norwood 3-temple recession and minor crown recession as well.
Had a 1200 graft hair transplant last year on my temples, and slightly slowered the hairline. The doc did not put enough grafts in, so I am getting a 2nd HT Nov 20 for an additional 300-500 grafts to fill it in, free of charge (there was sooo much drama surrounding this, see my post history for more info).
My crown was not operated on during my last HT, but since I am already going under the knife, I would really like my crown filled in as well. I’m not sure how to rate my crown loss-I guess a Norwood 2- in that my crown clearly has loss, but it is not unbearable. Sort of like how Norwood 2 on the hairline is noticeable, but a lot of people can still get away with it.
Both my doc and another doc in the office looked at my crown. They both advised against getting grafts on my crown. One of the docs said he never operates on the crown on people under 40 (I am 30) because of potential future loss. They also said I do have significant hair on the crown still (albeit miniaturized) and putting new grafts in could shock loss out these already fragile hairs. Essentially, they are saying that while I clearly have crown loss, it is not bad enough to merit a hair transplant for it.
I was very disappointed these docs advised against operating on the crown. My arguments for getting a crown are, if they do grafts on it and I do have future loss, I am prepared to get a 3rd HT. I am currently taking Dut and using Rogaine on this area, so not sure if I would even have more loss.
The docs recommended SMP as an option for the crown. I actually visited an SMP guy Thursday. It just seems like so much maintenance. The tattoo only lasts 4-6 years, have to put sunscreen on it everyday. Nervous it would look unnatural. So don’t want to do SMP.
Toppik works VERY WELL on the area, but again, it is still a lot of maintenance. And I would rather have the permanent option of a HT. I’m kind of confused as well. I’m sure if I consulted other doctors, or went to Turkey, I could find a reasonable # of doctors who would work on the crown. Not sure why both these docs are advising against it.
My questions are:
-Should I insist my doc operate on my crown?
-Has anyone here had any experience with doctors advising not to get grafts on the crown?
-Would you side with the doctors or me in this situation?
-Any advice on how to deal with crown loss? Toppik works very well, but Id rather have the permanence of a HT.
Transplanting the crown is something that I have been doing for 29 years with no problems. Clearly the issue is skill of the doctor, experience, and proper indications for doing it (never too early if it responds to minoxidil for example). I have had my crown transplanted and it looks great!
I am considering getting a HT but one things that bother me a lot is the scarring in the back of head. I wear my hair very short now (buzzed with zero guard) and I would like to have the option to do in the future as well. how bad is the scarring with FUE this days? I read on some HT clinics websites that with their method there is hardly any scarring at all. is there any truth to those statements? thanks in advance for any help
The question about shaving your head after an FUE is partly about the scar, small scars are better and less visible, but it is also about how many grafts you get harvested as too many will cause a see-through donor area. In addition to focusing on the donor area, you have to focus on the recipient area asking yourself: “What density will I achieve after my FUE?”. The answer to that question is that you will almost unlikely get anywhere close to your original density so if you shave your had and don’t take advantage of hair length, then your density may be thinner than you would like to see, especially when compared to another part of your head where you didn’t lose hair (a stark difference).
My hair stopped shedding about 6 months ago. When I’m in the shower now I get maybe 1-3 hairs on my hands between shampooing and conditioning. However, my hair definitely looks thinner at the crown and temples than it did a year ago.
My question is: Even though I’m not shedding, can the miniaturization process still be occurring and causing me to lose hair?
Here are my stats: -48 years old -noticed thinning at crown about 12 years ago
hair is now visibly thin at crown and temples. You can see scalp through the hair.
started shedding just over a year ago when urologist prescribed a testosterone booster and an AI. I quit taking them about 11 months in when I noticed shedding (10-12 hairs when I shampoo’d). I quit the meds and shedding stopped 4-5 months later.
I eat healthy, take a men’s multi vitamin and shampoo with biotin and nizoral.
I haven’t tried finasteride or min yet because I’m scared of the side effects.
Yes, you can experience miniaturization without shedding.
I took finasteride for a year and developed gyno from it. When i noticed the lump in my left chest i stopped taking it. However, what happened was weird. After stopping finasteride for like more than a month, the hard lump in my left chest disappeared but at the same time a hard lump appeared in my right chest. My left nipple is still swollen and big though. But on pressing it i dont feel a lump.
I want to know whether this gyno will go back on its own or if surgery is must. I never had gyno before and i’m 100% sure its from finasteride.
If the lump remains, you should see a doctor. Breast cancer is very rare in men, but it does happen.