Are Propecia Side Effects Irreversible?

May 27th, 2011

Q: I heard that the sexual side effects of Propecia are irreversible. Is this true?

A: The sexual side effects of finasteride (Propecia) begin to subside soon after the medication is discontinued. This would make sense since the drug finasteride is a reversible inhibitor of DHT. Although it is possible for side effects to be persistent after stopping the medication, this situation seems to be very uncommon and a cause and effect relationship is still in question.




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Posted by Robert M. Bernstein M.D. at 12:35 pm

CBS Program on Hair Transplantation, Hair Loss Features Interview With Dr. Bernstein

April 20th, 2011

Dr. Bernstein on CBS - Eye on NYDr. Bernstein was interviewed by Dana Tyler, host of the television program “Eye on New York” on CBS, for the show that aired on April 17th. The wide-ranging interview was the feature in a 9-minute segment on hair transplantation and hair loss. Read further for a partial transcript of the interview.




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Posted by Ethan at Bernstein Medical at 3:02 pm

Can Body Hair Transplant be Negatively Affected by Finasteride?

March 4th, 2011

After trading anecdotes with fellow hair loss physicians about how finasteride can reduce body hair in some patients, Dr. Sharon A. Keene asked whether finasteride might have a negative affect on patients who have body hair transplant (BHT) procedures. While the current research is inconclusive, her review sheds light on how to avoid any possible negative impact that finasteride might have on patients who have body hair transplant procedures.




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Posted by Ethan at Bernstein Medical at 6:00 am

Does Sebum Cause Hair Loss By Blocking Pores On Scalp?

November 29th, 2010

Q: I have been on finasteride for about 7 months. After my latest haircut I can see that my scalp is shiny. I read that is from sebum buildup and it can cause a layer that clogs the growth of hair. I was wondering if this is true and, if so, how can it be treated?

A: It is not true. Hair loss is caused by the miniaturizing effects of DHT on the hair follicle, not by blocked pores.

For more on this topic, view our pages on the causes of hair loss in men or the causes of hair loss in women.




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Posted by Robert M. Bernstein M.D. at 9:19 am

Why Am I Losing Hair Despite Taking Avodart For Hair Loss?

September 1st, 2010

Q: I am currently taking Avodart and have done so for around 8 months. Last night I had a significant loss of hair after taking a shower, nothing like I have ever seen before and found it very distressing. Can you tell me if this is hair loss or could it be something known as shedding and could you please tell me what is the difference between hair loss and hair shedding?

A: Hair loss is a very general term that can refer loss of hair for any reason. Genetic hair loss is caused by the effects of DHT on hair follicles that result in miniaturization -– i.e. a slowly progressive change in hair diameter that starts with visible thinning and that may gradually end in complete baldness. Hair shedding is more sudden where hair falls out due to a rapid shift of hair from its growth phase into the resting phase. The medical term for this is telogen effluvium. This process is usually reversible when the offending problem is stopped. It can be due to stress, medication, or other issues. You should see a dermatologist to figure out which process is going on. Dutasteride can cause some shedding when it first starts to work, but it would be unusual to do this after being on treatment for eight months.




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Posted by Robert M. Bernstein M.D. at 9:38 am






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