Hairline and Frontal Maintenance Possible???

Bismarck

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Pirate Commander F.B. said:
Bismarck, how so? Could you be more specific about why you don't value this study?

Look at the graphs. The placebo worked great too. :wink:
The graph also tells you that the patients enrolled in the study didn't really have moderate or severe male pattern baldness.
 

Faston

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From the study:

At month 12, 70% of finasteride-treated patients demonstrated no further frontal hair loss by hair count (ie, hair count was either increased or unchanged), whereas 56% of placebo-treated patients continued to lose hair (ie, had a decrease in hair count). The improvement in mean hair count was seen at the first assessment (month 6) and was maintained through 24 months in those men who continued receiving finasteride therapy in the open extension.

The graphs are a little misleading, but they also show that after 1 year, those on finasteride had better maintenance and regrowth than those on placebo.
 

Bismarck

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Faston said:
From the study:

At month 12, 70% of finasteride-treated patients demonstrated no further frontal hair loss by hair count (ie, hair count was either increased or unchanged), whereas 56% of placebo-treated patients continued to lose hair (ie, had a decrease in hair count). The improvement in mean hair count was seen at the first assessment (month 6) and was maintained through 24 months in those men who continued receiving finasteride therapy in the open extension.

The graphs are a little misleading, but they also show that after 1 year, those on finasteride had better maintenance and regrowth than those on placebo.

The point is: 93% of the patients wouldn't have lost hairs even without tretment.
 

Fallout Boy

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hmm i see what youre saying bismark .. now im not sure if i should rely on propecia and nizoral alone to maintain my hairline ... maybe i should throw Rogaine 5% into my regimen and use that on my hairline???

but i've heard people on here complain that rogaine made their hairline worse and didnt help it at all .. is this true?!?

IM JUST CONFUSED!
 

Faston

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Bis,

I must be daft. How did you figure that 93% would have had no more hairloss regardless?
 

Bismarck

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Faston said:
Bis,

I must be daft. How did you figure that 93% would have had no more hairloss regardless?



7% of the placebo group had further loss (slightly decreased) => 93% didn't had any further loss.
It was a double blind study => the Finasteride group would very likely have the same assessment. q.e.d.

bis
 

Bismarck

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fallout boy said:
hmm i see what youre saying bismark .. now im not sure if i should rely on propecia and nizoral alone to maintain my hairline ...

If you are a good responder I think you can maintain with that treatment. My complaint with that study is that it doesn't tell much neither in the positive nor in the negative way.




fallout boy said:
maybe i should throw Rogaine 5% into my regimen and use that on my hairline???
but i've heard people on here complain that rogaine made their hairline worse and didnt help it at all .. is this true?!?

Some say minoxidil has worsened their hairloss especially in the frontal area. There are some recent studies that could support these myths. Personally, I think minoxidil is the way to go for frontal regrowth.

bis
 

Faston

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Bis,

The graph you posted doesn't mean that 93% of the patients in the study wouldn't have lost more hair over that year. That particular graph represents the subjective opinion of independent investigators who were looking at photographs of these people's heads.

In other words, yes, 93% of the people in that study didn't look any worse than they did at the start of the trial. But, 38% of the finasteride group looked better, compared to 7% of the placebo. Keep in mind this data is termed subjective in the study, and therefore carries little weight.

The only data that really proves anything is the quantifiable hair count data. That data says 56% of the placebo group actually, not subjectively, lost more hair over the first year. 70% of the finasteride users maintained or gained.

Bottom line, finasteride maintains in front for the majority of users.
 

ropcat

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fallout boy said:
and Ropcat you wish you would have started a topical right when you started propecia??

Yeah, I wish I would have stuck with spironolactone for the front. Not at the beginning, but added it later (so as to isolate and know what finasteride could do by itself). But not a big deal, maintenance has been okay without it. I'm trying to remember why I wasn't interested in minoxidil; I think it was because studies showed results fading after just two years, so more antiandrogens (like topical spironolactone) seemed like a better route. But don't quote me on that! I can't remember the study too well. I'll take a look for it later.
 

Fallout Boy

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Yea do any of you users recommend spironolactone for the hairline?? if its something that could help me maintain and be applied only once a day i would do it...

i havent really heard about users who say it has helped them maintain so if anyone has any experience with that can you post your story?! thanks.

But about the rogaine ... i think i'll try it out if i see my hairline get any worse around month 7 or 8 .. (middle of month 5 now) do you think this is a good idea/? or should i just wait the full 12 months , regardless of how much worse my hair is getting before i try the minoxidil??

Thanks for all the replies on this post! you guys are helpfull!
 

Norwood2.5

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Bismarck said:
Some say minoxidil has worsened their hairloss especially in the frontal area. There are some recent studies that could support these myths.
Such as? Out of interest and because I've started using that. As well as you mentioning insulin and since there is (mainly age related) diabetes on my mother's side of the family.
 

Bismarck

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Norwood2.5 said:
Bismarck said:
Some say minoxidil has worsened their hairloss especially in the frontal area. There are some recent studies that could support these myths.
Such as? Out of interest and because I've started using that. As well as you mentioning insulin and since there is (mainly age related) diabetes on my mother's side of the family.

Note that I said "could support ...".
Read "minoxidil and Insulin". In the Research section.

bis
 

circusrat

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fallout boy,

You need to calm down man. I understand your hairloss causes you much mental anguish, but i've been watching you post and re-ask the same questions in this forum over and over for weeks.

You keep asking people to tell you the exact thing to do, get some guiding responses, then doubt them and ask some more. No one can exactly tell you the course of action to take, you have to make your own choices based off of the inconveniences of each particular medication.

I know you haven't seen the results you wanted after 5 months on propecia, give it 1 year and don't post anything about it until then. All we will say is keep waiting. If, after 1 year, you see absolutely no improvement... not even maintenance... then maybe its not working for you. (i'd, however, take it anyway).

As far as minoxidil goes... it doesn't worsen your hairline, it can only help your head, the proof is in the numbers. If you don't like the idea of applying it twice a day.... then just use propecia and nizoral. It's honestly that simple.

If you can't wait the year then go ahead and buy some generic minoxidil. If your looking for reassurance that it works, let me give you some. I have been applying it to only my hairline for about 4 months or so. Yes, there was an initial worsening of the area, but I knew from research this was to be expected and stayed the course. I was rewarded with results, which, continue by the day to get better. Hair is growing in thicker and stronger in exactly the places I was losing it. New hairs are sprouting up everywhere on my hairline from the minoxidil. It isn't optimistic outlook, its observable results.

so quit worrying so much, be happy in the fact that your fighting your enemy with proven treatments, and f*** b****s.
 

Norwood2.5

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circusrat said:
Yes, there was an initial worsening of the area, but I knew from research this was to be expected and stayed the course.
How long did the initial worsening last? Just curious.
 

circusrat

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it lasted awhile, and it is still recovering. It kind of looks like for some odd reason I shaved my temple a couple months ago and now the hair is growing back. The area was mostly bald with a few whispy hairs holding on for dear life. Now its covered in 1-2cm long hairs. The bastard thing of it all is the hairs keep falling out. They seem to be growing back a little longer each time though, but it is definitely going to take a lot longer to be able to spike up those suckers with the rest of my hair than I initially thought.

Who cares, my hair doesn't look bad and i'm the only one that notices... the experience robbed me of some confidence when I first noticed it but i've had just as many girls as ever telling me i'm hot and hooking up with me, etc. So that kind of squashed those insecurities. Now I barely think about it anymore.
 
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