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Hello. I am 27 years old and from London. I have been browsing this site and forum for a while now as I have myself experienced male-pattern baldness over the last couple of years or so.

 

My hair loss has occured between the partings and noticeably at the front close to the temples. I have a double crown as well so the reduction of hair in that area makes styling whats left a bit tricky. I started out by looking in the Yellow Pages for trichologists and came across a Peter Bannister who using a method called biosthetics - http://www.trichology.uk.com - and was prescribed certain shampoos to begin with and more recently have moved on to use an application called 'Bio Fanelan Regenerante' which is applied to the head before sleeping and I am told contains the Alpha-5 reductor so as to reduce the effect of DHT.

 

So far it would appear at first glance to maybe have stablized the hair that is remaining, although its not completely clear as I am not certain of the rate of hair loss anyway, but the shampoo does actually do a fairly good job of making the hair left look a bit thicker although its quite tangly.

 

I also had a consultation with a medical doctor called Dr. Fenton - he recommended, as does most of the info on this site and medical conventions - Propecia. I am wary of taking a pill that can effect the level of testosterone in the body due to the potential side effects that may come about, and if you search the net you will of course see some of the horror stories. I know that these side effects apparently subside once you stop taking the pills but what are the chances of some long term damage? I.e. - http://www.propeciasideeffects.com

 

I have been looking into transplantation. If its the case that the hair I have left is stable, can I have new follicles implanted in the areas of loss as it is, even though where the hair is reduced there is still some 'peach fuzz' [does that mean the follicle is still alive to some extent] and also - looking through the site am I right to think that the New York surgeon is the one most users here recommend and is there not much choice of UK hair transplant doctors with successful results?

 

I put my picture up to show the degree of loss, and welcome any info you can provide.

Thanks

 

Overhead

 

post-1284-1186306085_thumb.jpg

 

 

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Propeciasideeffects.com is not a reliable source of impartial advice - many of the stories on there are frankly ludicrous. It seems like scare-mongering to me. But hey, everyone has the right of free speech.

 

Like any drug Propecia can cause side effects, but at the normal prescribed doses (i.e. not the massive doses given to rodents in some studies cited on Propeciasideeffects.com) it is a safe drug. Only about 2 in 100 men experience side effects, which tend to be mild and reversible if you discontinue the therapy. Propecia has a short half-life (a few hours) and the enzyme it binds with regenerates quickly. This is why you have to take one pill a day rather than one per week. Also remember that finasteride (the active ingredient in Propecia) has been in medical use for 15 years and counting - this is a tried and tested drug.Check out the table below with the side effect results from the clinical trial.

 

IPB Image

 

You have to use treatments which interfere with hormones in order to halt male pattern baldness, since the problem is in large measure a hormonal one! Balding men produce more dihydrotestosterone (DHT) in their vertex/frontal hair follicles than other men do, and/or these follicles have more androgen receptors than other men's follicles do. When DHT binds to the receptors it sends signals to the hair to grow less, so the follicles are progressively miniaturised until they eventually seem to disappear completely.

 

DHT itself is not needed for muscle or sex drive or bone mineral density after the age of 18 or maybe earlier. There are men who are naturally deficient in the 5AR2 enzyme blocked by finasteride, and hence have very low levels of DHT throughout life. These individuals do not experience male pattern baldness, benign prostatic hyperplasia (BPH) or prostate cancer. Long-term use of Propecia may in fact prevent you from developing BPH and cut your risk of prostate cancer quite significantly, so there are good reasons to take the drug quite apart from its beneficial effect on hair.

 

In the world of male pattern hair loss, there are effective, proven treatments - finasteride (Propecia / Proscar and generic versions), dutasteride (Avodart and generics) and minoxidil (Rogaine / Regaine and generics) - and there is a whole bunch of other stuff. This "other stuff" can generally be summed up in three words - it doesn't work. The only real exception to that is the anti-fungal agent ketoconazole, found in Nizoral shampoo, Nizoral cream and Revita shampoo. This seems to be a weak anti-androgen, but it won't do much good on its own.

 

If I were you I'd get on a regimen of finasteride (daily), minoxidil (twice daily) and Nizoral shampoo 2-3 times per week- i.e. the "Big 3". For more information about Propecia and a low cost supply, get in touch with Spex's GP:

 

Dr John Ashcroft

 

Tel: 07971472823

 

email: jsashcroft@doctors.org.uk

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Thanks a lot for that info Pondle. I am aware that Propecia side-effects only a minority of users but you can't help but wonder if you could be in that minority! In any case I am generally not keen on drug-taking and never have been, but if its the only thing that properly helps, then, I might have to consider it.

 

I was wondering whether Propecia actually can re-grow the lost hair at the partings, or does it just keep whats left? I have looked at the ********* Trichology site and they seem to recommend this combo of Propecia and Regaine.

 

Any help on the transplantation? I am not sure about the usual success rates for the transporting of follicles at the base of the neck to the top of the head, especially not for the UK anyway. Are good transplants hard to come by? Is there any chance of the brain being effected?

 

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Thanks a lot for that info Pondle. I am aware that Propecia side-effects only a minority of users but you can't help but wonder if you could be in that minority! In any case I am generally not keen on drug-taking and never have been, but if its the only thing that properly helps, then, I might have to consider it.

 

I was wondering whether Propecia actually can re-grow the lost hair at the partings, or does it just keep whats left? I have looked at the ********* Trichology site and they seem to recommend this combo of Propecia and Regaine.

 

Any help on the transplantation? I am not sure about the usual success rates for the transporting of follicles at the base of the neck to the top of the head, especially not for the UK anyway. Are good transplants hard to come by? Is there any chance of the brain being effected?

 

A 2% chance of mild side effects seems like a pretty reasonable deal to me. If you get sides, they might right themselves as your body's hormonal balance adjusts... if not, just stop taking the drug. You never know until you try, right?

 

Lifestyle drugs are the wave of the future - Rogaine, Viagra, Propecia, Xenical for weight loss, now the "smart drugs" or "nootropics" - and this is only the beginning! It's really no big deal taking a drug; after all, if (like me) you have hay fever or another type of allergy, you'll take anti-histamines, right? In the US even sunscreens, of all things, are considered OTC drugs.

 

Propecia is better at maintenance than regrowth (see the chart below). To get the best regrowth from an oral drug, you'd have to take 5 Avodart softgels a day for six months. This would be extremely expensive and very likely to result in side effects.

 

IPB Image

 

Rogaine is better at regrowth - it can regrow about 1/6 of your original density - but cosmetically noticeable results are only achieved by 50% or so of men. What's more, it's a pain to apply twice a day and doesn't affect the underlying balding process. Without Propecia to back it up, Rogaine is overwhelmed in about 5 years.

 

As far as HTs are concerned, results vary enormously depending on the skill of the surgeon and the extent of your donor supply (which can be expanded if you have a body hair transplant, but this has its own limitations). Guys on here will tell you that most UK surgeons are crap. US/Canadian physicians - Feller, Armani, Rassman, Hasson & Wong - are rated much more highly. Whatever you decide to do it's very expensive, involves a degree of trauma, risk of infection (as with any surgery) and a long-ish period of healing. You're best off posting in the HT threads to get the veterans there to give you their feedback.

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