You rarely need more than 40% of the original hair density to get good coverage. It depends upon your hair thickness (each shaft) and the color / contrast between your hair and skin color.
The post he commented on is the following: https://newhair.com/baldingblog/new-report-that-finasteride-does-not-cause-sexual-side-effects/
Comment: This survey method is so flawed that its ‘findings’ are not just unhelpful, but actually misleading. It’s really quite simple actually.
They just surveyed a bunch of guys who had been taking Propecia for hair loss and compared it to presumably random guys who were not on Propecia. If you develop side effects from Propecia, which often happens fairly early on, you are going to stop the drug quickly. 85% of the guys surveyed had taken Propecia > 12 months so you can be sure they didn’t have side effects. Even the other 15% would have likely filtered out most of the guys with side effects.
That’s why the authors erroneously conclude finasteride use resulted in no connection to sexual dysfunction. Their own data doesn’t even show that. Their data shows the finasteride group had a lower incidence of sexual dysfunction but that is only after you naturally exclude people who quit due to side effects. To say this study is controversial would be to give it way too much credit. It’s just flawed.
The theory is that tight scalps cause hair loss. There is no evidence whatsoever that this is true. The goal of this video is to sell you a device to loosen up your scalp. I don’t believe any of this but still will present it to you for the purposes of always presenting contrary opinions.
Does finasteride cause hair shedding? I’m just starting on fin, I’m 22 and have long hair and I don’t know how bad any potential shedding will be? Like are we talking clumps of hair where it looks like I have bald spots or just excess hair shedding, if fin does cause hair shedding?
I have heard that finasteride can rarely cause shedding in the first couple of months, then it stops. Any shedding that lasts more than 3 months is possibly due to the genetic hair loss you are treating.
This woman had hair loss and went to a surgeon a few years earlier who recommended surgery. Her condition is a clear diagnosis to a doctor with experience, a disease called Fibrosing Frontal Alopecia, which will cause any hair transplant to fail. Although this occurs more in women then men, it does occur in men and an astute doctor who is knowledgeable is critical before you get a hair transplant that will fail if you have this condition.
when the T increase as we know is it possible to trigger hairloss more ???
Finasteride does not trigger hair loss under any circumstance that I know of.
This patient had a hair transplant many years before. The surgeon clearly didn’t understand the hairline or the balding potential for this poor man. He is now stuck with a terrible frontal hairline presentation and an isolated hair transplant in the front and top surrounded by his balding scalp. He needs to have a real expert manage his problem today and it will not be inexpensive.
How does one know if a follicle has gone dormant, and can produce a new hair or is dead?
There is no way to tell other than the timing of its disappearance. Recent hair loss often has some active stem cells trying to find the ‘missing link’ to grow out a hair follicle. After years, these stem cells are thought to be inactive or possibly dead, but nobody knows for sure because we can get them to wake up so we assume the worst. If there is anything there, a small miniaturized hair left, medications might reverse it. Some people feel that microneedling might induce the recently hair that disappeared to come back. This is a microwounding process that causes the release of many kinases that can cause hair regeneration. When adding minoxidil to the process, results are even better. I referenced a review of mixroneedling here: https://newhair.com/baldingblog/review-of-microneedling-extensive-thorough-from-reddit/
If you use a Macro-lens on your cell phone (easily available on Amazon for under $30), you can take a look at your donor area and calculate your donor density and your total available grafts or hairs for hair transplants for your lifetime. I have counted the hairs in such a field for you. Each number reflects the hair count per follicular unit (or graft).
In this example, the total count is 140 hairs found in 56 Follicular units (or grafts) which means that this person averages 2.5 hairs/follicular unit (or graft). As the average Caucasian hair count is 2.1 hairs/follicular unit, this man has 20% more hair in his donor area than an average man. This will translate into more than 20% more grafts (logic will be presented another time). This means that this man probably has significantly more hair per graft which will translate into more donor grafts for his lifetime and a fuller hair transplant as each graft will have more hair. You need to do this calculation for your donor hair. If your donor area has 1.7. hairs per follicular unit (or graft) as shown in the second snapshot, then it would mean that your donor supply is not capable of producing a lot of grafts for treating an advanced balding pattern. A competent doctor will put this into perspective for your Personalized Master Plan for your hair loss. Every balding man thinking that some day they may get a hair transplant must understand how to do this very simple calculation.
So basically what I learned is that people who don’t recover from sides after quitting fin are bound to get them regardless, propecia just accelerated the what will happen to them. Because of that how tf do I know if I’m getting ED or whatever in the future ? The doctor said that people who have low testosterone or diabeties have that chance but I have no idea if I have low t levels. I mean I have lots of body hair and some facial hair and I’m south Asian sooo
I don’t know if your doctor knows what he/she is talking about. There is no association between diabetes and PFS. I don’t believe that anyone knows what causes it, but I know that we don’t see it in our practices because we don’t maintain young men on finasteride who have ED, especially if it doesn’t respond to time and/or a reduced dosage.
Is this a common symptom because of finasteride? It also aches a lot when I lift heavy in the gym, especially when doing squats. My left testicle also got bigger than my right testicle, is this normal? My right testicle doesn’t ache at all, only left.
Pain in a testicle can be from many causes, and if it is swollen it would worry me even more. You should see a doctor as some of the causes can be threatening to the testicle.
I really don’t want to go on fin because of the sides, but I need another way of getting the DHT off of my scalp. Has anyone ever been successful at scraping it off? Any help is appreciated.
The DHT is in your blood and hair follicles, so it can’t be taken off of your scalp.
This is a publication from the Kaiser Wellness Journal written by my son Sean Rassman, an orthopedic surgeon moved by a motivational speaker
Woe is me vs. Wow is me – what’s your take?
Published July 9, 2015
By Sean O. Rassman, MD
Department of Orthopedic Surgery, Fontana
Of all the physician off-sites and speeches I have attended in the last nine years, the personal life story told by my colleague, Dr. Kent Miyamoto, had the greatest impact on me. I am sure each physician who heard him speak that day took away something different. What touched me most about his story was not what one may think — the precariousness of life — but what he felt as a patient. He said that he had tried to thank his doctor for saving his life and his gratitude was met with, “I was just doing my job.” He indicated that he actually felt a bit dismissed and cheated by the response.
This made me rethink all of my patient interactions. What we do is more than just a job to the people we treat. I may see up to 40 or more patients on a clinic day, each scheduled for 15 minutes. In reality, I may have even less time than this, due to my seemingly always overbooked schedule. Many days I go through clinic stressed. I work straight through every lunch and often stay an hour or more after my clinic to finish up and then respond to patient messages. I will admit that I have felt frustration and even anger towards patients who try to extend their 15-minute appointment into 20, 30, or sometimes 45 to 60 minutes. I have thought too many times, “Don’t they know how busy I am and how many other patients are on my schedule?”
There was something about Kent’s story that made me realize, although we may only spend 15 minutes with a patient, that 15 minutes is amplified in so many ways.
Often, patients wait weeks or months to see me and may drive for an hour or more in each direction. They may give up several hours of a day for a 15-minute appointment with me. It is likely that all of their family, friends, and perhaps even coworkers have heard about that upcoming appointment. Many patients have likely spent hours thinking about it, discussing it, trying to anticipate what the doctor will say, and, after the appointment, may spend additional hours trying to make sense and summarize that 15 minutes with all of those in their lives.
I realized I had the choice to see these appointments as something that I needed to get through or 30 to 40 opportunities to make a tremendous impact in people’s lives and the hundreds of friends and family who are impacted by that illness. This is both an honor and a weighty burden.
I asked myself, what would happen if I tried to use the 15 minutes not just to “satisfy” or placate patients, but what if I could use that time to wow or amaze them with by showing them that I not only understand their problems, but that I care about them?
Switching to this attitude resulted in a mental shift and I began to look forward to my clinics more as opportunities to make daily, meaningful impacts and perhaps even amaze a few people.
This mindset is something to which I must frequently rededicate myself, particularly when dealing with difficult patients. Whether they are abusive or manipulative, they can contribute significant stress and one or two difficult patients can ruin a physician’s entire day.
I will probably remember little of our motivational speaker from that meeting last year, aside from the fact he liked to climb mountains, but I will always remember Kent’s story and the impact it had on me.
In the past, I was often guilty of brushing off the compliments of grateful patients, because I knew I had a chance to reduce their 15-minute appointments and use extra minutes on difficult patients.
I used to focus on trying to get out by 5 p.m., but came to realize, if I focus on providing not only excellent orthopedic care, but also emotional and psychological care, even if it means I finish 30 or 60 minutes later, I would leave happier and more satisfied.
Now, I make it a point to try and own the difficult patient, even though I have to accept that I will not be able to positively affect each one. Coming up with ideas for dealing with the difficult patient are the things I struggle with most. Here are some that work for me:
1. Attempt to empathize. It may change your own perspective and reactions.
2. Make sure the patient knows that you are truly listening. Sometimes that is all you can do.
3. Make sure the patient does not feel brushed off; something the patient believes other providers have done.
4. Accept that you may need more time with that patient; that you may leave late and try to somehow see this as a positive challenge.
Sometimes, the angry, difficult patients can become the most grateful and sometimes the challenge and joy can be flipping them from angry to amazed.
Body hair transplants work, but the body hair has a short growth cycle. This means that for every 10 hairs that are transplanted, they will cycle about every 6-8 months meaning that only half of the hairs are growing at any one time as the sleep (telogen cycle) is also long. If you don’t have enough scalp hair, the beard is a better donor source, as its growth cycle is like scalp hair.