Hi! I started treatment (1,25mg fin a day) 4 and a half months ago, and my libido skyrocketed, i havent been this horny since 17-18, i am 24 years old currently. Somebody had similar experience with finasteride?
One of my nephews also went on finasteride and his sex drive went through the roof. The drug worked so well, he wouldn’t give it up.
I guess the title says it all but here’s some context: i had to quit finasteride 6+ months ago due to sexual sides. Th past month or 2 i’ve been losing a lot of hair again, and my libido is (at the same rate) slowly coming back fortunately. I was just wondering, is it possible to see if something is new growth or if its miniaturized hair? I’m not on any treatment as for now so i reckon its miniaturization.
The photos are incomplete; however, you have a small widow’s peak and the thinning is appearing in the corner of what seems like a remnant of your juvenile hairline. Better photos would help. Send a frontal view with your hair pulled back and your eyebrows lifted high so that the creases on the forehead show up. This will show me anatomical landmarks to measure where your hairline belongs and more about what the shape should be to williamrassman33@gmail.com and I will give you a free opinion
That’s pretty cool that I have that many grafts available! I assumed it’d be very rare for most people to even have 7,000 grafts available let alone 8,000. Are those numbers affected depending on if I were to choose FUT or FUE (I know I’ve read that FUE effects donor density much more than FUT)? (Previous post: https://baldingblog.com/estimating-lifetime-donor-supply/). Do all good doctors use the same formula as you? Also, just out of interests how are you so accurately able estimate the hair density and # of grafts of the entire donor just from assessing one high-powered, magnified image of small section of the donor area? Is it because the hair (density, caliber etc) is uniform throughout the donor (provided there’s no Dupa or miniaturization present)?
FUT stretches the entire scalp (minus the width of the scar), while FUE doesn’t stretch the scalp. I have had patients who received between 9,000 and 11,000 grafts with strip surgeries in the days before FUE. I have seen some people whose scalp would not stretch, and they end up with more scarring with the strip procedure. Of course, overharvesting is a real problem with FUE. The surgeon must always keep an eye on the ‘residual donor supply’ as he/she continues to harvest more FUE grafts over time.
Most good doctors will take a few views from different parts of the donor area and then average the numbers into a total view of the donor area. As one more laterally, the densities often drop off.
To determine if you are receding in the hairline, you should look at your hair pulled back and your eyebrows lifted high so that the creases on the forehead show up. If I were looking at you, it would show me the anatomical landmarks to measure where your hairline belongs and more about what the shape should be. The mature hairline should be (generally speaking of course) one finger breadth above the highest crease in the furrowed brow with a gentle V-Shape. Without more photos, I can’t answer your question as your corner hair could be falling over the shape of the lateral edges of the hairline.
Is balding at 18 but having no health issues a sign of high testosterone?
Men who have the balding genes seem to start the process at about the age of 18 even though we men have a lot of testosterone when we pass puberty. There are triggers in the body for body hair, muscle mass, height, weight, sex drive, etc… There is a lot going on in the body with hormones from the time we pass puberty until 18 years of age. If you think that you are starting to bald, best to see someone like me. or at least consult with me as I do offer free consultations to help men like you. Write to williamrassman33@gmail.com if you really believe that you started to bald and tell me why.
Hand swelling might indicate you are overdosing on minoxidil. The proper oral dose should start at 1.25mg and possibly go up to 2.5mg, never higher or the risk of swelling around your heart is there if you overdose. 8 or 9mgs could kill you if you develop a cardiac tomponade.
Hair length alone can not produce such a dramatic effect in this 27 year old male. Great result. The frontal hairline is less sensitive to these treatments in this man. You would have to keep up the combined minoxidil and finasteride treatment after the hair transplant to maintain the gains you made in the top and crown of your head. Despite this, you should be congratulated for this spectacular turn around.
I’ve attached a magnified picture of my donor area that I captured; a couple of your posts I saw stated that folks can send you pictures of their donor and you can use your personalized formula to estimate their donor. The caliber of my hair follicles are 55 which I’ve been told is in the middle. Would you mind helping me estimate my donor grafts availability?
There are 29 follicular units I counted (click on the photo below), and I took the total hair count and divided it by the number of follicular units 72/29= 2.5 (rounded). This means that you have a donor density of 2.5 hairs/FU, which is 24% higher than the average Caucasian Donor density. With a hair thickness of 55 microns as measured by your micrometer, I would suspect that you can easily harvest between 8000-9000 grafts in your lifetime. Of course, the type of FUE that picks out all of the high numbers of Follicular Unit hair grafts would reduce this number substantially. That means with proper FUE performed, leaving enough good grafts behind, you can bald to a Class 7 pattern and still get hair.
You have what appears to be diffuse thinning from the view in the photo below, but to make the diagnosis, you need a microscopic examination of the donor area to quantify the degree of miniaturization that is present in the donor area directly at the bottom of the scalp in the back of your head. Drs. Rassman and Bernstein first defined DUPA (Diffuse Unpatterned Alopecia), a rare condition in men, common in women. The only treatment for this is finasteride; it works in less than 50% of men. This diagnosis must be made with a hand microscope measuring the degree of miniaturization in the donor area in the back of the head.
Now about your question. You have a very, very small, and limited donor area based on the photo you sent me. The harvestable hairs, even if you don’t have DUPA (I suspect that a good hand microscope will show DUPA), you wouldn’t have enough hair to signifier impact your appearance. Beware of any doctor, anywhere, who would offer you a hair transplant. The results of a hair transplant will be a disaster for you. A dishonest doctor or ignorant illegal technician who does surgeries at a discounted rate may feel you are a good candidate because of the money they will make from you.
25 year old male has doubled up taking both oral and topical minoxidil. There is NO GOOD REASON to do both, as this increases the incidence of side effects from systemic minoxidil overdosage. The oral alone would have given this man the same effect without topical minoxidil. I just has a patient who got cardiac fluid buildup by doing just what was done here. Risking death to get hair is not a good exchange.
I have being taking finasteride for a year with no side and I think I made some nice progress but 3 month ago I asked my doctor about trying dutasteride since I didn’t have any side with finasteride. My reason was : didn’t get side so might as well get the stronger stuff and also even if my hair got better I still feel like I’m losing 100+ hairs everyday, maybe 120/150 so I was thinking that maybe I wasn’t doing enough. Long story short I started getting some small sides 1month ago with dutasteride feeling really horny, not too bad I guess but mostly I was not as hard/would be difficult to do it twice in a row. So I stopped taking it for around 1month and started finasteride again and it’s back to normal. My question is do you think with the progress I made with finasteride I should be fine for the long run? I feel this is the smart choice but I can’t remove the small voice in my head saying to try to ease back into dutasteride. Thank you.
I take it that your side effects was an increased libido, something I see with some frequency with people starting finasteride. Dutasteride is not FDA cleared so I generally avoid it. Another reason is its long half life (4-6 weeks) when compared with finasteride (4-5 hours). The gain of 15% effectiveness reflects that its blocking impact is 85% at the 5 alpha-reductase level while finasteride is 70% effective. If you have good effects with finasteride, stick to it
You can see the new growth where the arrows are pointing
Hey doc, quick question for you. I tried making a post on the sub, but mods won’t approve it apparently. Have you had patients with blood in their semen with fin or dut? I’ve been on dut for 3+ years now, and I recently noticed blood in my semen. I feel fine, so I wasn’t too worried… But then a few days ago it was BRIGHT red. Scared the shit out of me. I’m not sure it’s the dutasteride causing it (I take it M, W, F), but I’m thinking I should discontinue anyway to be safe.
I would see your doctor. Blood in semen is not normal and I doubt it has anything to do with the drug yo are taking. Things that the doctor will look for include: an infection, such as a urinary tract infection (UTI) or sexually transmitted infection (STI)
I know this and random and you probably won’t see it but I need some help. I’m only 23 and losing my hair pretty rapidly. I want to hop on Finasteride but I’m as poor as can be. What is the absolute best and cheapest way to get Finasteride in the state of Indiana? I just want to get my life back on track and not stress about hair loss anymore. It’s really hit my confidence hard and I just want to be me again.
Costco sell finasteride for $28/year with a prescription
Generally, it usually works within 6 months of starting it assuming that the hair loss started recently (past 2-4 years).