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Hair Loss/Finasteride and Fertility


Hi Doctor,

I am 27 year old male. My hairs are thinning. More thinning is in the front. I have family history of baldness. My father is bald.
Though i have head full of hair and i can cover my thinning with daily shampoo. But they are thin are now don't grow much in length except in sides and back. I think i am moving to NW2.
I am using Minoxidil 2% for last two years and it helped in checking my hair loss but thinning continues. I am thinking of moving on to Finasteride. But i am worried about that studies showed that it effects semen parameters and can make a man infertile. I will be getting married in a year or two. I want to have kids in future. So i will like to have your advice should i go ahead with finasteride or not.
Or should i get my semen checked before starting medication.
Thanks in advance.

Hello Thomas,

I recently responded to a similar question with the following suggestions and I will repeat these here:   Excessive sweating can contribute to hair loss.  So can medications, especially steroid based ones.  It is important to maintain a healthy diet and regular exercise along with daily vitamins and Supplements, to ensure blood flow to all parts of the body.  Also very important is a thorough regular shampoo (double wash and rinse) with a good cleansing shampoo AND ALL WITH HOT WATER.  Try to massage your scalp twice a day to further ensure healthy blood flow throughout the scalp.
I am NOT a fan of either drug that you mention because of the side effects and the fact that they must be used for life once started.  I urge you to attack the problem on a more "Natural" basis.  Also get a Thyroid check (simple blood test)if you have not already done so.

I hope this helps.

Best Regards.

Hair Loss

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John Nikolaou


Questions Pertaining to Hair Loss; Hair Growth Rates; Unwanted Hair and most Hair related issues, for both men and women. Issues that pertain to causes, possible solutions, etc.


Over 20 years in the Study, Manufacture and Marketing of Non Drug/non medicinal or procedural Solutions to Hair Related issues.

President of Nisim International. Over 2 decades of working with many Top Tier Researchers and Scientists in developing some of the World's most effective and Safe Products for Hair.

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