Interrupt minoxidil early because of surgery - more harmful to begin or not?

razelscnhaps

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Hello,

Since mid-December, I know I have a diffuse Androgenetic Alopecia (general thinning) associated with telogen effluvium (40 to 50% telogen hair, I have already lost so much, it's probably mounted at least ... 70%).
I started finasteride (33 days), but for Minoxidil, there is a problem.

I must indeed undergo neurosurgery in march or early april and I first decided to start minoxidil after the operation - good basic sense ... - but I returned last week to the dermatologist for pain scalp and I took the opportunity to ask him if I could start minoxidil immediately to pause it a little before and after surgery - I was expecting him to say no, for 1 or 2 more months you can wait... but he told me that I had most to gain from start immediately than wait (he even said that 1 week off = no issue).
I am so afraid of "wasting time" that I'm tempted every day to start (to repair a huge hair loss since mid-November when no density loss was visible and stop the massive hair loss - I don't kwow yet if finasteride. works on me...) but I don't want to lose a hair cycle or doing more damage compared to doing nothing ... (I still have a lot of hair to fall with 50% telogen on the vertex).
So a few days break after 1 or 2 months of treatment, during the initial shedding phase, can this affect the process?

It's too frustrating, I want my december hairs back.
Is my dermatologist stupid or can he be right in a way?
 

GoldenMane

Senior Member
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Start after the surgery. Minoxidil can cause you to bleed more during surgery and there's no point starting it for such a short time, stopping then restarting. If you're on finasteride then you should have stabilized your hair loss so you stand to gain just as much after the surgery than if you start now, just delayed by a few months.
 
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