Propecia: The Alternatives
Friday, November 9th, 2007Propecia is the only FDA-approved, non-topical prescription treatment for androgenetic alopecia, or male pattern baldness, and it has been demonstrated to stop hair loss and regrow hair in 67% of users. However, Propecia does have side effects, ranging from allergic reactions to sexual dysfunctions, such as inadequate ejaculation and loss of libido. However, these side effects are very minimal, appearing in 2% of initial users and fading to .03% at the end of a five-year regimen of treatment. The benefits of Propecia greatly outweigh the probability of side effects.
Well, guys, consider the alternatives: you could (and most likely will) go bald, use Minoxidil, get a hair transplant, use herbal treatments, try massage, or wear a hat the rest of your life. You could, in fact, try a number of remedies other than Propecia. Let us explore those remedies.
Balding occurs in almost 80% of men in the Western world. Civilization is adapting, and some women think bald men are sexy. However, the men themselves feel like second-class citizens for the most part; balding is shown to have definite psychological impacts, from loss of self-esteem to anxiety and depression, and can even lead to thoughts of suicide. How sexy is that?
Minoxidil, a topical treatment for balding, has less than a 50% effectiveness rating (compared to Propecia’s almost 70%). It can also cause severe rashes, and it cannot be used in specific cases of heart disease or hypertension. You cannot use it for 24 hours after you dye your hair. Even after 24 hours, it may cause scalp swelling and irritation. You cannot use it if your scalp is wet, and you cannot shampoo for another 4 hours. You have to wash your hands thoroughly after application and prevent contaminating anything you touch while using it (especially your wife or significant other). You cannot use a hairdryer. You may stain your clothing. You could develop burning scalp, increased hair loss, an inflamed scalp, even acne. Your face may swell. None of these problems or symptoms occurs with Propecia.
How about hair transplants? Well, in the old days, they used to cut out little plugs of good hair from the back of your head, leaving the “harvested” area to heal by itself. Eventually, the plugs were taken out in rows and the edges sewn together. Afterwards, surgeons started using multi-bladed scalpels to remove strips. This did not work well; the excised strips had non-viable follicles, and therefore, the transplant was as much skin as hair. Now they use follicular transplantation. Implanting is difficult; the grafts are smaller and the skill required to plant them requires steady hands and a good eye. This translates into megabucks. As for the question of whether it hurts, the answer is that they use a local anesthetic. Propecia is painless, even to the wallet. At about $50 a month, Propecia costs less than you spend at Starbucks.
Let’s discuss herbal remedies, which are usually more buck than bang. The herbs themselves may not be the problem; it may be the method of preparation, the age of the herbs in question, the length of time they have sat on the shelf, or your body’s ability to metabolize them. Whatever the case, most herbs are only about 30% effective, compared to Propecia’s 70% effectiveness rating.
Are you thinking about trying massage? This particular therapy will improve blood flow to your scalp and feel great in the process, but will do nothing to block the testosterone conversion process which causes hair loss. On the other hand, Propecia blocks the conversion that causes you to lose your hair. Wearing a hat will only increase hair loss – friction damages the hair shaft, dried sweat plugs the follicles, and lack of oxygen causes follicular stress. Propecia does none of these, and it looks better on you, too.