I am male and in my late 20’s and starting to see that my hair is thinning. I was on propecia for a very short time and had to stop do to side effects(breast pain and ed). I tried cutting down the dose (without stopping) but the side affects continued. I’ve read on a few sites including wikipedia that Sweden claims finasteride has permanent sexual side effects. Has anyone found something to take with propecia to eliminate or block side effects? If you think I should give it another chance how would you suggest I go about it? I don’t want to take minoxidil because how it works is fairly unknown. If topical Spironolactone works for acnea doesn’t that mean it does absorb into the skin enough to compete with dht receptors? Topical spironolactone inhibits dihydrotestosterone receptors in human sebaceous glands: an autoradiographic study in subjects with acne vulgaris.
If I decide to try topical spiro, is it something my gp can prescribe? if not could you varify if the much talked about Dr. Richard Lee is credible (or atleast not another scam). I’m not opposed to a hair procedure but because I’m just starting to thin I’m not sure how and how often it would be done and the cost. I know this was lengthy but it’s much appreciated
I do not know of anything that will block the possible breast and erectile side effects of finasteride that a tiny percentage of men will see. If you experience erection issues, Viagra or Cialis will likely solve that. For my patients that might see a side effect (real or otherwise), cutting the dosage is better than stopping it completely. In other words, some finasteride is better than no finasteride if you want to treat your hair loss. Most men will choose the hair transplant approach if the side effects are a problem, but the risk of shock loss in young men with transplants is the other side of that coin.
Spironolactone is a prescription medication, so while your doctor could prescribe it to you, he/she might not be willing to do so. That article you referenced is over 20 years old, and spironolactone is still not a popular hair loss treatment for men… so that should tell you something about it’s effectiveness. And as for Dr. Richard Lee, he has a number of customized minoxidil and finasteride treatments for sale via his website, one of which I have written about before.