This question, asked by a member of our Hair Restoration Social Community and Discussion Forums, was answered by recommended hair transplant surgeon Dr. Michael Beehner:
I am having my hair transplant procedure in 3 weeks and my doctor has recommended stabilizing my hair loss medically with Rogaine and/or Propecia. Should I choose one over the other or should I use both? I don’t like the idea of taking a pill that may have side effects. Something topical like Rogaine, since it’s external, may not have the side effects but I don’t know if it will work as well. What do you recommend?
Having said that, when I get a young, 19-year-old man who is balding and wants to do everything possible to treat his hair loss, I strongly recommend using BOTH drugs. Rogaine and Propecia are synergistic (the sum result is greater than the parts) and I have been very impressed with this approach in these younger patients, especially since I can’t offer such a young man hair restoration surgery.
I find that the middle aged and older men in my practice just don’t stay with the Rogaine routine. They don’t like the greasiness, the mess, etc. and only a small percentage of them follow the treatment instructions on a month in and month out basis.
Sexual side effects with finasteride treatment are very rare in my practice for men in their 20’s and 30’s. I have read on the Internet of a patient or two who have claimed permanent sexual side effects from finasteride and all I can say is that neither I nor my colleagues with whom I communicate on a regular basis have ever witnessed this, despite having prescribed it to tens of thousands of patients.
Mike Beehner, M.D.
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David – aka TakingThePlunge
Assistant Publisher and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
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Technorati Tags: hair transplant, Propecia, finasteride, Rogaine, minoxidil, hair loss, balding, hair restoration
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