Posts Tagged: Propecia

Can Finasteride Hair Loss Medication Cause Sexual Side Effects?

July 21st, 2008

Q: I’ve now been taking finasteride for just over 5 months. I have noticed that my semen quality has changed just in the last 3 months, and it seems now much less in quantity and is quite watery and clear in color. I think the current problems are due to the finasteride, what do you think?

A: Finasteride, the active drug in Propecia, can change the quality of the semen, since it is decreasing the component of seminal fluid that is secreted by the prostate.

You may want to consider having your sperm counts checked, although a decreased sperm count is rare with finasteride. If the symptoms are not bothering you and the sperm counts are normal, it should be OK to continue the medication.


Posted by Robert M. Bernstein M.D. at 7:39 am

After Hair Transplant, Use Propecia Hair Loss Medication Without Rogaine, or Use Both?

July 8th, 2008

Q: I recently had a hair transplant about a month ago. Currently I’m on Propecia and I am a stickler to taking it at the same time every day. I don’t, however, use Rogaine namely because I fear the irritation it can possibly cause will halt graft growth and because I’ve heard that the grafts and post surgical shock loss hair will return without its use. Is it ok to use only Propecia post-surgically? Or would adding Rogaine be of any significant benefit?

A: I would definitely stay on Propecia and, if you like, you can add Rogaine – it may have a little additional benefit. The new 5% foam formulation is less irritating and can be started a week after the hair transplant.

The only problem with Rogaine is compliance. If you think that you will use it long-term, it is worth using. If, however, you think that you will get tired of it and stop, then it is not worth starting.

Any shedding with either medication is temporary and usually indicates that the drug is working.


Posted by Robert M. Bernstein M.D. at 7:04 am

Is Hair Transplant or Treatment with Hair Loss Medication Preferred for People in Their 20’s?

May 12th, 2008

Q: I am 25 year old who just started going bald. My doctor confirmed it’s pattern baldness and put me on Propecia and Rogaine. I don’t want to go bald at any age. So, instead of prolonging the process for 5-10 years and then having a HT, isn’t it easier to let the hair loss continue and then have a HT, so, that I can save the money on drugs for years.

A: It is far better to keep your own hair. Keeping your own hair will generally look fuller than a hair transplant, since a hair transplant just re-distributes existing hair (until hair cloning techniques are available).

The medications (i.e. finasteride and minoxidil) are relatively cheap if you get the generic forms.


Posted by Robert M. Bernstein M.D. at 7:35 am

What Hair Loss Medications are Effective DHT Blockers and are they Sold Over the Counter?

April 21st, 2008

Q: Are there DHT blockers that are sold in the pharmacy over the counter?

A: The only effective DHT blockers are finasteride (Propecia, Proscar) and dutasteride (Avodart).

These medications require a doctor’s prescription and are not sold OTC. Nizoral is a topical shampoo for seborrhea (a type of dandruff) that is sold over the counter, but it is not effective in treating hair loss.


Posted by Robert M. Bernstein M.D. at 6:49 am

Can Hair Loss be Caused by Weight Lifting and Increase in Testosterone Levels?

April 7th, 2008

Q: My son, 25 years old, is seeing hair loss around the hairline. According to your website, he is probably a stage II. He may have a little hair loss at the vertex; right now it is hard to tell. He is very muscular and loves weight lifting, but no drug enhancement. Is there a relationship between weight lifting and hair loss, since I have read that weight lifting increases testosterone levels?

A: Yes, weight lifting does increase testosterone, which in turn increases DHT. This can accelerate hair loss, although the effect is generally very slight.

Rather than modify his exercise program, your son may want to consider taking finasteride (Propecia). This requires a doctor’s prescription.


Posted by Robert M. Bernstein M.D. at 8:36 am



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