Testosterone Replacement Therapy Trial - Hair Loss

spooon

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My endocrinologist as suggest a short 2 month trial of TRT for low testosterone but has warned it is likely to accelerate hair loss. I am 42 and have thinning in the back and crown. I've tried propecia for all of 2 weeks and my right testicle/groin was in severe pain so had to stop. Sexual function was also generally poorer. Hair loss and low testosterone is a terrible combination! Any one else wrestled with this predicament?
 

Yanmega

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This probably doesn't have much to do with the main point of the thread but I'll just tell you: when I started finasteride I had an extreme testicle pain and a lot of other terrible pains. Actual unbearable pain, but I just kept going with it because I can't deal with not doing something about my hair loss. I drank a lot more water and ate more healthy and hoped for the best. After a month of taking it I was feeling really well like always and now there is no problem at all.
I'm just trying to say that you can consider giving finasteride another try if you are up for it.
 

spooon

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That's an interesting anecdote. I tried 0.25mg EOD for 2 weeks with no pain then increased to 0.50mg EOD and that's when the pain kick in. It's like a groin strain that is so crippling you can hardly walk.

Did you note any changes in libido, erection, ejaculate, penis size?
 

Prada1

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Ive read numerous people state what Yanmega stated. As in having the pain initially but it subsided. Secondly if your endo is giving you an exogenous source of test, then it should be to bring you within a normal endogenous amount of test. So I would not see this as any different for you had you had normal levels of test. Finally Im assuming that your test level are slightly low and will be slightly increased, I don't think that the exogenous source of test will make that big of an impact on your male pattern baldness. Now if you were a body builder taking in 10X the amount of normal test then yes maybe.
 

spooon

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Prada, on what do you base your opinion that male pattern baldness would not be effected? Most advice on the web and indeed the advice i received today points to the contrary. My read of the matter is that if your scalp is sensitive to DHT then more T equals more DHT equals more hairloss. Maybe my hairloss would be worse if my T was normal.
 

Prada1

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I didn't say that it wouldn't be effected, I said it wouldn't have that big of an impact assuming you are slightly increasing test levels. Now if your test were close to zero, lets say, and you were losing hair and now your Doctor was adding test then yes maybe you would have significant hair loss. For instance I know some body builders that double the amount of test and notice little hair loss. However I can attest that as you said, if you increase it 5 fold then yeah many do experience hair loss. IMO if you are really worried about the possible sides, then its best to avoid finasteride, if you don't really mind then naturally I would say take it. I would be very surprised if you go on TRT and all of a sudden you have significant hair loss.
 
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