A Health Adventure

I started losing my hair at 19 and I had a hair transplant when I was 25.
So technically I look like 5a on the Norwood scale. I Wonder if it is feasible to
have a new hair transplant with good aesthetic results or should I quit since I am 30
and my baldness may progress?

The decision to have a hair transplant as a young man is a complex one.
Once you’ve taken the step, however, it seems an easy decision to try keep your scalp as natural-appearing as possible.This may require additional hair transplant procedure(s). In general more hair mass is better than less hair mass so another important component of your long term plan would be using finasteride (1/4 of a 5mg tablet daily) and
minoxidil 5%. These medicines have a high likelihood of stopping the progression of hair loss and of regrowing hair in over half of us.

(Study periods regarding this have only been for 5 years but informal data on these patients suggests the benefits are still present at 9 years and theoretically the benefits should continue for longer term.)

So in summary, I think you should shift your focus to the long term plan instead of the short term one that may have precipitated your initial decision to have the surgery. This long term perspective would include careful consideration of where to place the limited donor hair that you have remaining in a position that will produce a natural-appearing result if you discover that your balding progresses despite using hair loss medicines. In general this means a higher hairline, few grafts into the crown and the greatest density in the central aspect of the pattern.

Sincerely,

William Reed, MD - Coalition Member

Yes. Sexual dysfunction — including difficulty achieving and sustaining erections (erectile dysfunction) — is more common in men with epilepsy than in the general population. Several factors likely play a role.

Epilepsy itself may cause sexual dysfunction, especially if seizures are poorly controlled. Disruptions in hormone levels and brain activity may impair sexual desire and performance. In many cases, improved seizure control alleviates sexual dysfunction.

Drugs used to treat epilepsy may also cause sexual dysfunction. Anti-seizure medications, such as phenytoin and carbamazepine, can decrease testosterone levels in men, which in turn reduces sexual desire and impairs sexual function. If a specific anti-seizure medication is the likely culprit of erectile dysfunction, your doctor may recommend an alternative medication.

In addition, psychological factors — such as depression, sexual anxiety or stigma associated with epilepsy — can contribute to sexual dysfunction in men with epilepsy.

If you have epilepsy and erectile dysfunction, consult your doctor. Your doctor may refer you to a urologist to make sure that your erectile dysfunction isn't due to an unrelated urological condition. In any case, a careful assessment is needed to determine the cause and best treatment for erectile dysfunction.

Source: Mayoclinic

i am only 25 years of age and I am noticing some hair loss along my hair
lines. This makes me feel very bad about myself anytime i look at myself in
the mirror. I am only a student and do not have money for any hair loss medications.
Please, what should i do to stop the hair loss and regrow back my hair?

I was about 24 when I first started to really notice my hair loss. It really “sucked” and I felt like I was being cheated out of my youth. There really weren’t any decent hair loss treatments at the time either.

The good news is 20 years later there are decent hair loss treatments that actually work like Propecia and Rogaine. I suggest you consult with a doctor and get a prescription for Proscar (which has the same active ingredient “Finasteride” as Propecia but at 1/3 the cost). It shouldn’t cost you more than $20 a month to stop or perhaps even reverse your hair loss. Now that’s good news.

Cheer up and get on Proscar and get on with enjoying being young.

Best wishes,

Pat Publisher of the Hair Transplant Network and the Coalition Hair Loss Learning Center

I’ve recently purchased some 5mg Proscar pills which I’ve been advised to take half a tablet every other day. I’ve read conflicting articles and desperately need the following questions answering.

1. is it ok to take proscar as treatment for hair loss
2. are they any long term fertility effects on my side
3. what do i do if I’m taking proscar and want to start trying for a baby
4. if the answer to the above is come off the proscar whilst i try. How long does it take to completely leave my system so its safe to start trying.

Proscar, like the FDA approved hair loss treatment Propecia, both contain finasteride as their active ingredient. However, Proscar contains a 5 mg dose of Finasteride, while Propecia has only a 1 mg dose.

Proscar has been prescribled and used for years as a treatment for male prostrate issues. However, researchers noticed that Proscar also had the effect of lowering the hormone DHT, which interacts with bald vulnerable hair follicles and causes hair loss. By reducing the DHT in the patients body the finasteride in the Proscar proved to slow and even stop or reverse hair loss in many men.

However, it was determined that only a 1mg daily dose of finasteride was needed to achieve this hair loss reduction effect. The maker of Proscar, Merck, then sought and got FDA approval several years ago for the use of finasteride as a hair loss treatment. This treatment has been marketed as “Propecia”. However, many patients save money by cutting up the much cheaper Proscar into quarters to create doses of finasteride that are approximately equal to Propecia.

Thus if you divide Proscar into quarters containing about 1.25 mgs of finasteride you will get the same benefits of Propecia at about 1/3 rd the cost.

The side effects of Propecia (1mg of finasteride) have been proven to be very small (about 2% incidence of sexual side effects, which go away within days if the drug is discontinued). To learn more visit Merck’s Propecia website.

My understanding is that it is safe for a male to take a 1 mg daily dose of finasteride while conceiving a baby.

Best wishes for new hair and a baby too.

Pat

I am twenty years old and hoping to halt and somewhat reverse my hair loss. My father is bald, my brother is on his way, and I am just starting to show signs. I was interested in getting “the corners” of my hair line filled in and made “sharp” again, while ceasing any current hairloss/thinning. It is nothing major, and it has only happened in the last year and a half, but month by month is getting more severe. Can “catching it early” help with results? Is it possible to get back that “sharp” look I had a year ago.

You ask a hard question to answer: whether you can regain the “sharpness”. There is a possibility that you can by using finasteride tablets orally and minoxidil topically. You might find it very satisfying to know that you have stopped the progression of balding, if not restored your hairline as much as you like, by using these medicines as well.

It is very important to stop the progression of the balding early as it seems that you have the opportunity to do. It is probably not a good idea to do hair transplant surgery to the leading edge of the hairline of a 20 year old. Doing so means placing grafts that are so far forward that it would be hard to be sure that there is enough donor to take care of all the other areas that are at risk of balding over your lifetime. This could result in an embarrassing pattern of hair growth down the road.

Please feel free to ask for further clarification is I am not clear
enough.

Sincerely,

William Reed, MD - Member of the Coalition of Independent Hair Restoration Physicians