The Ultimate Hair Loss Survival Guide For Men (FAQ)

[LurkoLantern]

2, why?

To be honest, the first surgery didn't cover enough ground. It's very common to have more than one. I'm actually planning a third (next year) to cover my vertex - the previous ones just focused on the crown/hairline. Once that's done, I'll consider the whole matter complete.

[Skirrel]

just remember guys if you're gonna buy nizoral 1% dont get it online. u can get nizoral 1% at walmart or target for 14 or 15 bucks for 200 ml. thats as cheap as it gets.

[WinningBrah]

My problem is that I can't tell if I'm actually in the early stages of balding or if the misc has got me paranoid. So basically, every day when I comb my hair after my morning shower, I notice about 5-ish strands of my hair stuck in the comb. Now I've only had long hair for a couple months so I don't know if this is normal shedding when using a comb or if I should be concerned about that amount coming off my head?

please respond

[xRedStaRx]

Does the Dr. normally do any tests to determine if its actually MPB or do you just say Im balding and he is like ok here is fin prescription? I went to my Dr. for a routine checkup but also told him I was thinning. He was like you can go on fin or get transplant, but the problem with transplant is it doesnt stop thinning so you might need 2-3 costing over 30k. Then he just forgot about it and went back to my check up without giving me prescription.

Currently on Mino and Keto shampoo. Was debating getting s5

That depends if you are asking to check for MPB or not.

Most dermatologists and hair specialists would give you a finasteride prescription just by telling them you are balding. You can still, and should, ask for a miniaturization test to see if you do have AGA or not, assuming you are not entirely sure.

Even with hair transplants, you still need some sort of medication. Doctors will not give you a hair transplant surgery most of the time unless you have been on finasteride for at least a year. It's better to have one or two HTs throughout your life, than 4-5 HTs that look really sparse without medication.

I have a terminal hair down where my juvenile hairline is

literally 1 hair. No vellus anywhere near it

is this a good sign for me? NW2, on .5mg finasteride ed
just noticed this!

Neither good nor bad. It's a good sign in the sense that that specific hair would most likely stay that way, because it seems to be more resilient than all the other hairs around it.

Every follicle has its own unique follicular expression, number and affinity of ARs.

Hopefully you begin to see some vellus hair soon. And then these might turn terminal. But it's a long shot with finasteride alone.

[TheApathy]

Hey guys I need an honest opinion here.

If you have an extremely large forehead (dat dere 5-6 head) and want to do something about it would you get a hair transplant, micropigmentation, or a hair transplant followed by some micropigmentation to rock a more "natural looking" bald look?

[Market_Pantry]

anyone try the latisse thing?

http://en.wikipedia.org/wiki/Prostaglandin_D2

[Impregnator]

31yo with nw1.5-nw2 checking in.
my only concern is hairline receding at the top corners of my forehead. i'd like to bring it back to my juvenile line.

is there a topical cream i can put on those corners? something that wont give me ED or depression? Not looking to go crazy on meds and pills and chit, just looking from a simple cream i can wear through the day

[Market_Pantry]

31yo with nw1.5-nw2 checking in.
my only concern is hairline receding at the top corners of my forehead. i'd like to bring it back to my juvenile line.

is there a topical cream i can put on those corners? something that wont give me ED or depression? Not looking to go crazy on meds and pills and chit, just looking from a simple cream i can wear through the day

if its not male pattern baldness related idk if that will help. people lose their juvenile hairline at like 20 normally. you could try rogaine

[Araj]

I seem to be losing all the hair on the top-right of my head.
Shiet makes no sense.
What kind of balding is this?
Tried rogaine for months..did nothing.

[Quibble]

Awesome thread.

I plan to stay on finateride forever for sure. Feels fine.

Not sure how I should feel about my hair. But as I said in the other thread I'll post 6 months progress in May after finals to show everyone what happens I guess

If being an emasculated little bitch who's androgens can't even properly express themselves 'feels fine' then I've got sum bad newz

[xRedStaRx]

anyone try the latisse thing?

http://en.wikipedia.org/wiki/Prostaglandin_D2

Bimatoprost grows eyelash, eyebrow and scalp hair on humans. It grows fur on animal models.

But prostaglandin analogues like latanoprost and bimatoprost are still being investigated for their hair growth promoting potential in cases of AGA. They might be a good option to use in combination with prostaglandin antagonists. But should not provide significant benefits alone. There aren't enough clinical studies that proves their practical efficacy for treatment on scalps affected by AGA. But they do work nicely for eyelashes and eyebrows.

I seem to be losing all the hair on the top-right of my head.
Shiet makes no sense.
What kind of balding is this?
Tried rogaine for months..did nothing.

The right side of the head tends to go first, followed by the left side, again, I've covered this already. More people should learn to read before asking redundant questions. You should find all the information you may need in the guide or the FAQ.

I'd be happy to try and answer novel ones.

[NasStan]

I will read the OP when I get a chance as I am nearly in the process of getting Rogaine foam and Nizoral shampoo. Need to do something about my poverty hair gentics

[LivinoffBliss]

Pix of any1 wit them surgeries ?

[Tuhks]

in for progress pics a few months from now. (especially Red's, I hope you see some results brah)

srs anyone who is jumping on treatment now because of this thread, take some before pics so you have something to compare to in 3-6-12 months

[BobisMighty]

I've been using Nizoral 1% and Minoxidil 5% to fight my receding hairline. Working pretty well so far. My hairline isn't hat far back though. I figured I should start now before it gets any farther. But I see a lot of hair growing back.

[BlazerXX]

propecia was a horrible mistake dont do it

[tekkenbruh]

OP, can you clarify how often should the derma roller be used? I assume the usage itself is the same principle as with other stuff aka use on thinning spots but what about the frequency and what classifies as the correct way of using it?

[Tuhks]

propecia was a horrible mistake dont do it

strong details/explanation

brb flushing all my propecia

[Confuzzled]

Hey brahs, i was so ready to take finasteride but now im having second thoughts. I was with a girl and i found it difficult to get hard/maintain an erection (virgin). Dont know if it was nerves or performance anxiety or something but after that im worried about the affect finasteride might have on me with regards to its side effects affecting the male genitalia

[C4IMO]

Hey brahs, i was so ready to take finasteride but now im having second thoughts. I was with a girl and i found it difficult to get hard/maintain an erection (virgin). Dont know if it was nerves or performance anxiety or something but after that im worried about the affect finasteride might have on me with regards to its side effects affecting the male genitalia

Went 3 rounds with gf on finasteride last night crew

Probably in your head bro

[Confuzzled]

Went 3 rounds with gf on finasteride last night crew

Probably in your head bro

just to clarify, i havent taken finasteride yet, which is why i was worried since that happened to me before even taking it.

[KGB81]

rogaine seemed to work for me but gave me eye bags of peas.

Best non-chemical / internal treatment I have found so far is the laser comb. Have actually regrown hair on my bald receded temple.

http://bachelortips.net/comb-away-yo...for-bachelors/

[Tuhks]

just to clarify, i havent taken finasteride yet, which is why i was worried since that happened to me before even taking it.

If you're really worried about it, I would just get your chit sorted with the ladies first, make sure you can perform under normal circumstances, then proceed with the fin once you are confident. Anxiety is probably a likely reason, but if it persists then you might see a doctor. I'd hold off on the fin just for your own peace of mind, but I don't see it being an issue.

[Blacklabel3]

Best non-chemical / internal treatment I have found so far is the laser comb. Have actually regrown hair on my bald receded temple.

Yeah, I'm pretty sure that doesn't actually do anything. I did in-salon treatments for a while and never made any gains.

[whitepaper]

Good read.

From what you read, are the rates of AA higher now than before?

What about AA occurrences at earlier years compared to previous rates. If there is a significant difference, what do you feel may be possible reasons for the differences in rates?

[ragingcrayon]

I jumped on propecia in like 2006 and had no idea about any side effects (stupidly jumped in blind). I was doing 1mg/ED

I started noticing my pecker wasn't getting as hard and propecia was literally the only thing I was taking so I figure I'd better start.

ever since then I figured I must be one of the % of people who are effected by it. if .2mg/ed is nearly as effective for hair loss treatment, would that amount be as bad for my pecker?

or could I potentially avoid the adverse sex effect with the.2mg dose?

thoughts?

motherfukker?

[xRedStaRx]

propecia was a horrible mistake dont do it

Stories?

OP, can you clarify how often should the derma dermaroller be used? I assume the usage itself is the same principle as with other stuff aka use on thinning spots but what about the frequency and what classifies as the correct way of using it?

The study I posted and it's results used 1.5mm once a week. According to the study, that specific needle length in healthy scalps increased pathways that promoted hair growth. Generally, the transition of telogen follicles into anagen is mediated through the activation of wnt/beta-catenin/lef1, shh, and STS3 pathways. In people with AGA, DHT enters the follicle through the dermal papilla capillaries and binds to the androgen receptor within the dermal papilla cells, suppressing stimulatory pathways that I mentioned above and, at the same time, up-regulating suppressing pathways (dkk1, BMP 4) which promote premature transition of hair follicles from anagen phase to telogen phase and follicular miniaturization.

Although I'm guessing that should not be necessary, 0.5mm-1.0mm should be fine. The shorter the needles, the more frequently you can, and should use it.

Something in the context of 0.5mm EOD or 3x/week, they should not be used before applying topicals directly, DR mornings and topicals at night would be preferable, since you do not want systemic absorption to occur.

Hey brahs, i was so ready to take finasteride but now im having second thoughts. I was with a girl and i found it difficult to get hard/maintain an erection (virgin). Dont know if it was nerves or performance anxiety or something but after that im worried about the affect finasteride might have on me with regards to its side effects affecting the male genitalia

If you are scared from getting 'side effects', then you most probably will get 'side effects'. The nocebo effect is far more powerful than any effects finasteride might have.

METHODS:
One hundred twenty patients with a clinical diagnosis of benign prostatic hyperplasia (BPH), sexually active and with an International Index of Erectile Function-erectile function (IIEF-EF) domain >/=25 were randomized to receive finasteride 5 mg concealed as an "X compound of proven efficacy for the treatment of BPH" for 1 year with (group 2) or without (group 1) counseling on the drug sexual side effect. The phrase used to inform group 2 patients was "it may cause erectile dysfunction, decreased libido, problems of ejaculation but these are uncommon".

MAIN OUTCOME MEASURES:
The estimation of side effect was conducted at 6 and 12 months using the male sexual function-4 (MSF-4 item) questionnaire and a self-administered questionnaire.

RESULTS:
One hundred seven patients completed the study. Group 2 patients (N = 55) reported a significant higher proportion of one or more sexual side effects as compared to group 1 (N = 52) (43.6% vs. 15.3%) (P = 0.03). The incidence of ED, decreased libido, and ejaculation disorders were 9.6, 7.7, and 5.7% for group 1, and 30.9, 23.6, and 16.3% for group 2, respectively (P = 0.02, P = 0.04, and P = 0.06).

CONCLUSION:
In the current study, blinded administration of finasteride was associated with a significantly higher proportion of sexual dysfunction in patients informed on sexual side effects (group 2) as compared to those in which the same information was omitted (group 1) (P = 0.03). A scenario similar to group 2 of the current study is likely to occur in clinical practice, where the patient is counseled by the physician and has access to the drug information sheet. The burden of this nocebo effect (an adverse side effect that is not a direct result of the specific pharmacological action of the drug) has to be taken into account when managing finasteride sexual side effects.

[whitepaper]

Good read.

From what you read, are the rates of AA higher now than before?

What about AA occurrences at earlier years compared to previous rates. If there is a significant difference, what do you feel may be possible reasons for the differences in rates?

Why you ignoring me, breh?


Feelsbatman.jpg

[xRedStaRx]

Good read.

From what you read, are the rates of AA higher now than before?

What about AA occurrences at earlier years compared to previous rates. If there is a significant difference, what do you feel may be possible reasons for the differences in rates?

Not really no. AA, like AGA, is a genetic defect that got passed on. Generally because it was nothing more than a cosmetic issue, and it non-life threatening in any way.

But still, also like AGA, rates in late 20th and early 21st century have been slightly higher and occur earlier than the past. A big part of these hair diseases is genetics, but the environment can have a hand in it as well. Assuming you are genetically susceptible to hair loss from either condition, environmental factors can trigger them at a higher magnitude and earlier than normal, assuming normal is completely healthy. Stress, diet and lifestyle cannot be overruled. They will not trigger hair loss by themselves if you are not prone to them in the first place however, they only hasten and aggravate tissue expression for hair loss. But the environmental effects are marginal at best for the average person, and is safe to disregard.

I jumped on propecia in like 2006 and had no idea about any side effects (stupidly jumped in blind). I was doing 1mg/ED

I started noticing my pecker wasn't getting as hard and propecia was literally the only thing I was taking so I figure I'd better start.

ever since then I figured I must be one of the % of people who are effected by it. if .2mg/ed is nearly as effective for hair loss treatment, would that amount be as bad for my pecker?

or could I potentially avoid the adverse sex effect with the.2mg dose?

thoughts?

motherfukker?

Side effects are not strongly correlated with dose. Meaning that getting side effects at 100 mg/d will still give you side effects at 0.2mg/d. Finasteride is extremely potent in microdoses, and again, the amount of dose you take is generally irrelevant on a broad scale.

However, I've seen too many anecdotal evidence of people dropping down the dose from 1 mg to 0.5 mg and having their 'side effects' disappear. I'd personally suggest that this was either nothing more than a nocebo effect, and they never had side effects to begin with. Or they were reduced to a point where it was not possible to measure.

In any case, pharmacology is more complex than doses and frequencies, the extreme inter-variability between subjects makes it impossible to predict nor conclude how each will react. We all have different metabolism breakdown, BMIs, amounts of adipose tissue, HPTA feedbacks, androgen sensitivities, mechanisms of homeostasis, polymorphisms of enzymes. If I were to take half a mg, it might very well give stronger therapeutic effects than a 6'2 225lbs 20% male taking 1.25 mg. So with that said, there is no harm in restarting at lower doses, there are too many stories around for reducing sides from cutting down. At any rate, 0.5 mg is almost as effective as 1 mg.

Why you ignoring me, breh?

Feelsbatman.jpg

I'm not trying to ignore you. You need to understand that I cannot answer every question in one sitting, let alone the ones getting thrown in my inbox.

I will however, attempt to get back to any unanswered ones sooner or later.

[Market_Pantry]

Bimatoprost grows eyelash, eyebrow and scalp hair on humans. It grows fur on animal models.

But prostaglandin analogues like latanoprost and bimatoprost are still being investigated for their hair growth promoting potential in cases of AGA. They might be a good option to use in combination with prostaglandin antagonists. But should not provide significant benefits alone. There aren't enough clinical studies that proves their practical efficacy for treatment on scalps affected by AGA. But they do work nicely for eyelashes and eyebrows.



The right side of the head tends to go first, followed by the left side, again, I've covered this already. More people should learn to read before asking redundant questions. You should find all the information you may need in the guide or the FAQ.

I'd be happy to try and answer novel ones.

im going to be using it on my temples (the hardest part to regrow) with rogaine foam