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Go more bald first or go for the transplant?

H

Heartbeat

member
I'm on TRT which is a testosterone replacement therapy. So as I take testosterone the usual sides is hairloss.

I've thinned quite abit from top of my head, front and back but I have hair floating about. That's because as I'm on my trt I am taking finasteride and minoxidil. To maintain the hair I've already got.

So my colunderam is. Would it be better if I stopped taking the hairloss meds and waited for more hair to fall out (faster due to my TRT). THEN go for my HT .

Or continue taking minox and finasteride and maintain the thinned hair and just go for the HT sooner?

Which is better in the long run. I'm in my last 30s.
 
HairDr Clinic

HairDr Clinic

Valued member
Hello @Heartbeat, there cannot be any definitive answer here as there are many aspects to consider that may require medical advice from your practitioner. Aspects such as the dosage of TRT longevity of treatment to be sustained, current hair growth stages must be considered. It would be advised to find a reputable hair restoration specialist and in conjunction with your medical practitioner evaluate all aspects of your treatment, current hair loss stage and potential future treatment. For example is there a contraindication to you using TRT and finasteride together, not only for your hair treatment but generally.

If hair loss is obviously active a hair transplant can be a risk and you can find yourself chasing further hair loss even before the hair transplant has grown out. This may depend on the current hair loss pattern and the plan to restore your hair loss areas and blending into your existing hair. For example, if a lower NW stage say NW2 or even 3 preserving your existing hair and waiting may be more prudent. A higher NW stage, maybe NW5 for example the hair loss pattern is more mature and planning in some ways is easier. But there are always your overall goals and expectations from hair restoration to be considered as well.
 
H

Heartbeat

member
Thanks so much. Tbh my hair has been managed. I don't lose too much as I'm taking minoxidil and finasteride. However I am willing to drop the TRT for my HT for a year or so. It won't impact me too much in terms of health.

Obviousily if I increase my TRT dosage for a let's say for 5 to 6 months and loose more hair. I am willing to do that. If it makes it better timing for me to get a HT down the line. More testosterone = more DHT which means more hairloss. ... That's my idea.

When I go for the HT I'd stay off TRT for a year or 2. Which I'm okay to do.
 
HairDr Clinic

HairDr Clinic

Valued member
@Heartbeat, it sounds like you have a decent understanding of your situation. Whether to use meds or not is generally a personal decision. As a clinic we will suggest the use, especially if you have a lot of hair to maintain and there is a risk of future hair loss. Planning your hair restoration needs to include the use or not of treatment. Along with your hair loss pattern now and in the future and whether your hair characterics can sustain a natural hair restoration. Hope your research goes well and good luck.
 
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