michaeljames

Hey Mate; It looks like your looking for more info here. Miniaturization is the process in which a hair follicle(s) being adversely effected by DHT produce a hair shaft that becomes finer and finer over a give period of time. That is finer than the normal hair for a particular individual. Eventually the follicle(s) stop producing hair all together. In HT unaffected hair follicles are transplanted to scalp areas that have undergone this process. Hope this helps, all the best, Michael!

Hair Restoration Surgery Paired with Approved Medical Treatments In considering hair restoration to alleviate male hale loss new choices have become preferable in the past several years; hair transplant surgery and medical treatment. Each of these methods enjoys satisfactory level of success for some patients. Los Angeles based Mohebi Medical, US Hair Restorations Center’s medical director Parsa Mohebi, MD reviewsthe tandem use of medical treatment with hair restoration surgery. An ethical hair transplant physician’s strives to make the patient look as good as possible within evaluated expectations. The primary objective is to help restore a person’s self image and thereby improve their quality of life. Having the patient maintain his preexisting hair with medicines is a smart approach in hair restoration. Repeated hair transplants, at some point will exhaust donor hair supply. Using one of the two FDA approved medications may allow the patient to maintain more of their hair and therefore lessen the extensiveness of the hair restoration surgery or future surgeries. Male pattern hair loss typically progresses slowly and that makes determining whether they are effective difficult. A patient may use one of these medicines for at least six months before best determining the effectiveness of it. One may experience some regrowth, or simply not losing as much hair and then judging is easy. At times a patient may have difficulty determining if it is helping, and he should stick with it. If it is obviously ineffective one should consider switching to a different medicine. If he does find a medicine that seems to work for him, he must understand that he cannot discontinue its use. It is a long term commitment because it will only work as long as he uses it. If he stops the medicine, he must expect his hair loss to resume. In fact, some experts feel the hair loss could accelerate and catch back up to where it would have been had he not been on the medicine at all. In regards to regrowth of hair, this typically only occurs on the top or the back of the scalp but not in the front. This actually makes these medicines very complimentary with hair transplants, because I prefer to work on the front of the scalp before I consider working on the back. The tow FDA approved medication such as Rogaine (minoxodil) and Propecia (finasteride). These are the only two that have currently been adequately studied and approved by the F.D.A. (Food and Drug Administration) for hair loss. Minoxidil (Rogaine) Minoxidil (Rogaine) is a medication known for its ability to slow down or prevent hair loss and promote hair regrowth. Rogaine was the first FDA approved medication that was used for hair loss prevention. It is available without prescription (over the counter) for treatment of hair loss in men and women, among some other baldness treatments such as finasteride or hair transplant, but measurable changes disappear within one to two years after discontinuation of treatment. Minoxidil was first used exclusively as an oral drug for treatment of high blood pressure. It was, however, discovered to have the interesting side-effect of hair growth and reversing baldness, and in the 1980s a topical solution of it was produced contained 2% minoxidil to be used to treat baldness and hair loss, under the brand name Rogaine in the United States. Treatments usually include a 5% concentration solution that is designed for men, whereas the 2% concentration solutions are designed for women. In 2007 a new foam-based formulation of 5% minoxidil was shown to be an effective treatment of male pattern baldness without the usual side-effects of the topical solution such as itching and skin irritation. The mechanism by which minodixil promotes hair growth is not fully understood. Minoxidil is a potassium channel agonist. It contains the chemical structure of nitric oxide, a blood vessel dilator, and may be a nitric oxide. Studies show that minoxidil is less effective than finasteride but the combination of the two drugs can be more potent. Side Effects of Minoxidil As a drug to prevent hair loss, the most common side effect is itchy scalp. In some cases minoxidil may initially cause an increase in hair loss within the first few weeks. This is called shedding and is seen as a long-term positive effect during hair loss treatment since the shedded hair strands will regrow within a few months with renewed strength. There have been cases of allergic reactions to minoxidil or some of its non-active ingredients, which is found in some forms of topical Rogaine. Large amounts of minoxidil can lower the blood pressure. If a person uses minoxidil to stop hair loss for a length of time and then stops taking the drug, hair loss will occur again. This phenomenon is called catch up hair loss. Finasteride (Propecia) Finasteride marketedas Proscar, Propecia, Fincar, Finpecia, Finax, Finast, Finara, Finalo,Prosteride, Gefina, Finasterid IVAX) is a medication with antiandrogen which acts by inhibiting type II 5-alpha reductase, the enzyme that converts the male hormone (testosterone to dihydrotestosterone (DHT). This medication is used as a treatment in male patterned hair loss and also in benign prostatic hyperplasia (BPH). Initially approved in 1992 as Proscar, finasteride use was as a treatment for prostate enlargement. A sponsor study demonstrated that 1 mg of finasteride promoted hair growth in male pattern hair loss. On December 22, 1997, the FDA approved finasteride to treat male pattern hair loss. There are several studies on using finasteride for treatment and prevention of hair loss. In a 5-year study of men with mild to moderate hair loss, 48% of those treated with Propecia (finasteride 1mg) experienced some regrowth of hair, and 42% had no further loss. Average hair count in the treatment group remained above baseline, and showed an increasing difference from hair count in the placebo group, for all five years of the study. Propecia is effective only for as long as it is taken; the hair gained or maintained is lost within 6-12 months of ceasing therapy. In clinical studies, Propecia, like minoxidil, was shown to work on both the crown area and the hairline, but is most successful in the crown area. Some hair loss patients who use finasteride, in an effort to save money, buy Proscar instead of Propecia, and split the Proscar pills to approximate the Propecia dosage. Doing so is generally considered unadvisable if women of pregnancy age are in the household; this is because finasteride, even in small concentrations, can cause birth defects in a developing male fetus. The birth defects involve the development of male genitalia. Propecia has been shown to be ineffective for treating hair loss in women. Androgenetic alopecia or male pattern baldness is caused by the effects of the male hormone dihydrotestosterone (DHT) on genetically susceptible hair follicles that are present mainly in the front, top, and crown of the scalp (rather than the back and sides). DHT causes hair loss by shortening the growth, or anagen, phase of the hair cycle, causing miniaturization (decreased size) of the follicles. The effected hair becomes progressively shorter and finer until it eventually disappears. DHT is formed by the action of the enzyme 5-alpha reductase on testosterone. Finasteride is a drug that works by blocking the enzyme 5-alpha reductase Type II that converts testosterone to dihydrotestosterone (DHT) in the hair follicle. Propecia, the brand name for finasteride, is the only FDA approved oral medication for hair loss. Finasteride causes a significant drop in both scalp and blood levels of DHT and its effect is felt to be related to both of these factors. Finasteride 1-mg/day decreases serum DHT levels by almost 70%. As serum testosterone level actually increased by 9%; but this is within the range of normal. Side Effects of Finestaride Side effects from finasteride at the 1-mg dose are uncommon, but reversible. The one- year drug related side effects were 1.5% greater than in the control group. The data showed that 3.8% of men taking finasteride 1mg experienced some form of sexual dysfunction verses 2.1% in men treated with a placebo. The five-year side effects profile included: decreased libido (0.3%), erectile dysfunction (0.3%), and decreased volume of ejaculate (0.0%). Most reported cases of sexual dysfunction occurred soon after starting the medication, but there have been reports of sexual dysfunction that have occurred at later points in time. The sexual side effects were reversed in all men who discontinued therapy, and in 58% of those who continued treatment. After the medication was stopped, side effects generally disappeared within a few weeks. When finasteride is discontinued, only the hair that had been gained or preserved by the medication is lost. In effect, the patient returns to the level of balding where he would have been had he never used the drug in the first place. No drug interactions of clinical importance have been identified. Hair restoration is increasing segment of elective cosmetic surgery because of its natural, proven and permanent results.

Hi Blake, Thanks for reviewing the blog. I thoroughly enjoy preparing articles on behalf of Dr. Mohebi for patient advocacy. His passion is infectious throughout the entire team at Mohebi Medical. Your support, advice and commentary makes it an honour to share knowledge of hair restoration on HTN. Thanks again Mate!

Hey Mate! Your story is what it is all about. It is great to hear feedback about the wonderful HTN surgeons who are really changing peoples lives. It's why many us love to work in the industry. To All Your Continued Success! Michael

Hey Mate, Sorry to hear of your trepidation. Lots of folks feel this way. Put up some good pics. Many of our clients at Mohebi Medical send them all the time. Post them here and I am sure the community will help you out. Also you can get an online evaluation with one of HTN's recommended physicians. All the Best, Michael.

Male Pattern Baldness Baldness implies partial or complete lack of hair and can be understood as part of the wider topic of “hair thinning”. The degree and pattern of baldness can vary greatly, but its most common cause is male and female pattern baldness, also known as androgenic alopecia, alopecia androgenetica or alopecia seborrheica – an alternative term used primarily in Europe. www.wikopedia.com Cause of a Receding Hairline or Baldness 95% of hair loss and receding hair lines in men is caused by androgenic alopecia, known as male pattern baldness. It is so common in men throughout the world and cross ethnic types that it is considered normal. In typical male pattern baldness the hairline moves further back up the brow. Usually at the temples first which creates a tendency form a widow’s peak. An advance thinning out in the front toward the crown takes place. With this type of baldness, some men experience a bald patch on the crown or top of the head, which will eventually reach the sides. Normal male pattern baldness does not involve patches of hair loss, pain, or redness. Such conditions could result from a medical problem. Consulting with a qualified medical doctor in hair restoration is ideal. Los Angeles hair transplant surgeons are some of the leading experts in the world on hair loss. The Hair Transplant Network provides before and after of the classic pattern. Hair transplant surgery was performed by a leading Beverly Hills and Los Angeles expert in hair transplant surgery, Parsa Mohebi, MD. The causes of the maturing hairline are hereditary, genetically linked (possibly) to maternal grandparents. Presently, researchers have not proven with certainty which gene causes male pattern baldness. If you do carry the gene to potentially develop a receding hairline or baldness, it will actually be the formation of a hormone called DHT (dihydrotestosterone), formed from testosterone, which causes the balding to begin. Hair Loss Medications If you discover a receding hairline while still in the early stages of male pattern baldness, certain medications such as Procepia, Finasteride or Rogaine may help you to re-grow your hairline. Hang onto your hairline with the aid of this free video on receding hairlines and baldness. Expert, Parsa Mohebi, MD, works as a hair transplant surgeon while serving as medical director of Mohebi Medical, www.ushairrestoration.com. If you believe you may have a receding hairline, full-onset pattern baldness or just worry about your genetic predisposition for hair loss, you have a variety of options to slow, prevent or restore lost hair. A hair transplant surgeon shares his professional insights with you in this free hair restoration video series. Learn more how you can stop hair loss and began hair restoration by informing yourself on the latest hair transplant technologies in the HTN Forum and Blogs.

Mate! What head of hair. Why the panic...from the photos all looks great. The scalp issue is being addressed by your doctor. Just keep working with him or her to find an answer. All the Best, Michael.

Hey Mate, Thanks for putting up a clear pic. The image does seem to indicate some early stages of thinning hair in the center hairline and crown. There is also that patch right at the front center. Is this where you pulled the hairs out? Also have you had an in-person consult or an online consult with one of the great HTN recommended surgeons like Parsa Mohebi, MD and others recommended on HTN.

Hey Mate; I look forward to the pics. Sounds like you have pulled the hair bulb and all. The bulbous expansion at the proximal end of a hair, in which the hair shaft is generated. I hope that you have not damaged your epidermis in the area you pulled out the hairs. If these hairs and unwanted see an HTN surgical specialist to help you with the pulling and also provide some insight into HT possibilities for you. All the Best, Michael

As the bodies healing integration of the transplanted grafts simply takes time and has a slight variances from person to person. Once your hair grafts have been "transplanted" it will take three to five months for them to produce hair. Immediately following the surgery you will have a number of tiny scabs from the incisions, which make many people uncomfortable going outdoors in the days following the surgery. Most scabs fall away in about seven days. Remember hair only grows approximately 1cm or a little under ? inch per month. After the initial post surgical adjustment period the transplanted hair will grow about the same rate as the donor hair. Initially hair quality is thinner like baby hair. Overtime it begins to take on the characteristics of your non-transplanted mature scalp hair. Sometimes your new hair is curlier, then it straightens in about one year. The color of the initial hair may also be darker and later will be lightened by the sun. Remember, hair grafts have many benefits. They are permanent in nearly all cases, and the actual recovery time from the surgery is quite low as the only post surgery problems are mild soreness and scabbing. However, it will take some patience as you wait for your "new" hair to come in. Hope this helps, All the Best, Michael

Choosing the Best Hair Restoration and Hair Transplant Doctor First and foremost there are basic requirements when selecting a physician for any type of medical treatment. Doctors take an oath to “Do No Harm.” It is reasonable to have some basic expectations. The following are to help you choose the best hair restoration doctor for your hair transplant procedure. The doctor: is caring and compassionate. takes an interest in you as an individual. takes the time to learn about your problem, listens to you and does not lecture you by imposing his/her views upon you. is willing to educate you and bridge the gap between his/her knowledge and yours. is able to help you set expectations that will make you happy has the requisite education and excellent credentials in the specialty field you need. has built a reputation of excellence in the field based on their results, and are recommended by family, friends, patients, or a physician that you trust. Let’s see how these qualities apply when selecting a top hair transplant surgeon in Beverly Hills and Los Angeles. Caring and compassionate- This starts when you first contact the office. How are you treated by the doctor’s staff on the phone? When you come to meet with the doctor, what is your first impression? Is the office clean and the staff friendly and organized? A caring doctor will meet with you and does not send a salesman in to gather information on your needs as his first bonding experience with you is in taking your history and learning about your concerns. The consultation agenda should be set by you with the purpose of establishing a basic patient/physician relationship. Good communication between both parties is critical. Taking interest in you- Does your doctor care about you by showing real concern? Does she/he look into your eyes when speaking with you? Does he treat you with respect? Do you get the opportunity to share who you are and what you do? Does he want to learn about your lifestyle, your family, your culture? Time- The time the doctor schedules for you will tell you much about how he values you as a patient. For all new patients, scheduling a full hour for getting to know you as a person and yur hopes and needs There should be enough time to examine the patient and listen to their concerns. Education The doctor should educate, but not lecture, the patient during the consult once the issues have been presented. The first step in educating the patient is making sure that a detailed history of the patient is taken, understanding what has brought the patient to the office, followed by an examination of the affected areas. Just like a visit to your primary care physician, the examination is crucial. Your doctor should look closely at your hair, use a video magnifier to determine how far the thinning extends and this should lead him to an assessment of the point where the balding is advancing to. Beverly Hills and Los Angeles HTN recommended hair transplant surgeon shares the benefits of hair transplants. Credentials in the field – A heart surgeon should be well trained with years of experience before he works on your heart, just as a hair surgeon should be well trained and have substantial experience in the hair transplant field before they work on your head. What credentials should you look for? There is no Board Certification in hair restoration that is recognized by the American Board of Medical Specialties (ABMS). Only physicians who have met the standards of one of the 24 specialties recognized by the ABMS boards can call themselves “Board Certified”, and you can check on the ABMS website if they are indeed ‘Board Certified’ and in what specialty. You can also check with your state medical board to verify license status and education. Reputation based on results and personal recommendations- Talk to your friends and family to see if they have had any experience with physicians in the specialty that you need. Often there is an internet forum that discusses personal experiences with hair restoration doctors, but you need to be careful that the site treats all posters the same (not just those that discuss advertisers or sponsors). Some forums may allow fake or misleading postings in order to promote particular physicians. Keep in mind that many people only post when they have something negative to say, but a physician that has many negative postings may in fact deserve their reputation. It is often said that a bad heart surgeon buries his bad results, but in the hair transplant field in particular, assessing the skills of a hair surgeon is easier since everything that is done by the surgeon sits on the head of the patient for the world to see. You cannot hide a bad hair transplant. The best way to determine the quality of a surgeon’s work is to meet many of the surgeon’s patients, look carefully at the results from all angles, and ask yourself if those are the type of results you’d want on your head. By meeting patients directly, you can see not only what you are going to get from a hair transplant, but you can speak one–on-one and get the inside scoop on the doctor’s character, integrity, and skills.

Hey Mate; Unfortunately there are far too many myths regarding hair loss. People often confuse hair damage with hair loss. Hair abused from many styling options, excessive high heat, excess use of cosmetic chemicals to colour and treat hair and even excessive styling can cause breakage and severely damage the hair. Sometimes the breakage can be very severe. However hair loss treated medically is specific to hair loss in which the hair shaft is going through miniaturization from the adverse effects of DHT on the hair follicle. The hair shaft can be damages but not the follicle usually from excessive heat. The exception to this is traumatic injury for fire in which the skin or scalp itself is severely damaged. I hope this helps. All the Best, Michael.

Hey Mate, When we have suffered hair loss; we have a heightened senses when it comes to any form of hair loss. However, your multiples surgeries may have contributed to this. This is not unusual. You did the right thing by checking with your surgeon. Give it sometime and see where it leads. I am certain it is not pleasing you now but hang in there. Many have experienced what you have from HT. All the best Michael.

Hey Mate, You make valid points throughout. Cost is a factor in all aspects of life. Surely in this economy allocation of resources is paramount for most people. In our practice we have come up with some innovative ways in which to bring the costs of HT within the range of many people and it keeps our practice thriving. I guess as within anything in life discretionary income ultimately gets spent on what we value most. Family men often put their needs second. There is no easy answer as there is a relationship to quality and costs. Just think an eight hour surgery with a highly skilled medical doctor. That in of itself is a good four figures of the cost at a modest professional hourly rate. Then add five highly trained medical techs on average per surgery that's another four figures there. When you factor overhead and costs, hair transplant in Los Angeles and Beverly Hills are reasonably price. I am not sure elsewhere. We do have a global scale clientele. Innovative payment concepts like being used in many industries will hopefully continue to make HT more affordable to many. All the Best, Michael

Hey Mate, Cool observation. It really comes down to what we inherited. Symmetry of facial features, head shape and skin tone all play a factor into how we look with hair, some hair and no hair. Top HTN hair surgeons like Dr. Mohebi whose patients I advocate for know this and take this into account when styling the hairline. Your point also reminds me of how limited donor hair can effect hair transplant decisions for the surgery. Let's 'literally' face it though most people don't view themselves superior [from top], posterior [from the back.] They see themselves and others view them anterior [from the front] so the hairline design and restoration along with perceived thickness mostly effects how the face is seen. As for symmetry, some folks just pick the right grandparents...eh? A good hairline design can bring about the perception of symmetry. All the Best, Michael

Hey Mate! I'm chiming in too, sort of speak. Look, with the stress and stigma surrounding baldness this is no surprise. Hair loss patients take a long time usually to consider their surgery. In for most man or women there is a great deal of personal investment beyound the dollars in that decision and with hope for the outcome. Breathe easy, their's a lot of people in this forum right along with you. That's one of the best things about HTN; you're in an understanding virtual place. Before and surgery, big exam...life changing decisions...the subconscious helps out by trying to work it out in your dreams. If you are using one of the HTN recommended physicians, thoroughly educated yourself via this forum and of course had the all important consult and complete microscopic evaluation then you should move forward with confidence. Wish you all the Best, Mate! Michael

Hey Mate! It is great that you are being proactive in your decision to resolve your hair loss. I am fortunate enough to advocate in clinics that have clients from all over the world. Definitely money invested in laser treatment is really not the best solution in most cases. There are affordable options out there with the best surgeons out there. HTN recommendations are available through the forum. I have been honored to see folks like yourself and others get great service through advice here; so welcome aboard. You might consider some natural alternatives in conjunction with your medical regimen as long is there is not conflict. Here is a video that could be of interest.

Hey Mate; Shaving is highly recommended by the vast majority of the top HTN recommended surgeons. Particularly when you are having a high number of grafts transplanted. Shaving for even the smallest surgery also is important to fight infection. It's a pretty straight forward not nearly as obtuse as Hamlet...LOL...seriously mate, shaving is the preferred way to go.

Post Hair Transplant Surgery You have made the decision to improve your self esteem and undergo hair restoration surgery for your male pattern baldness [MPB.] It’s an important step in having a positive self image. Understanding what comes next is very important. After discussions of hair transplant surgery; Parsa Mohebi, MD reviewed with us the common expectations that a person may experience after their hair restoration procedure. It’s a good idea to familiarize yourself with these to have a better understanding of the experience and to reduce and stress or worry. Dr. Mohebi is the medical director at Los Angeles based US Hair Restoration centers. Discomfort and Pain There may be some aching on the donor area, which starts within the first few hours after hair transplantation. Pain medicine is generally provided to alleviate the discomfort during the first night. After the first night, pain should be well controlled. Most patients do not need any medications for pain after the first night, but if there is any remaining pain during the second day, mild pain medications such as Tylenol, in most cases, is enough to bring more comfortable results. Swelling After Hair Transplant The first four days after hair restoration surgery there will be some swelling around the recipient (transplant) area. This swelling is due to the process of healing and may range from very little or none to severe. Though not often an individual can experience swelling in which the subcutaneous fluid descends from the forehead area to around eyes. The maximum swelling is generally seen in days 3 and 4 after a hair restoration surgery. Some doctors recommend and will prescribe a patient steroids to prevent or reduce swelling after their hair transplant. It is recommended to sleep in semi-sitting position and keep the upper body elevated which will tends to reduce the swelling, or shorten its duration. Post Surgical Bruising Bruising or discoloration of skin around the transplanted area might be present for the first few days after hair restoration surgery. This may involve the recipient area, and at times, may extend to the forehead. A cap can be worn providing it is clean. Some surgeons will provide a baseball style cap to cover the transplanted area. Patients with enough existing hair can use it to cover the bruised areas. Scabbing Scabbing is common during this time period. They should flake off within one week if patient properly wash the transplanted areas. We generally bring patients back for the first day after hair transplantation to give them a hair wash and teach them how to wash their head for the first few days. Special shampoo and sponge will be provided as well. We recommend washing transplanted areas twice a day for the first 4 days. Patients can go back to their routine hair wash after that time unless they continue to have scabbing. They need to continue washing their head twice a day, as long as they still have scabbing in the area. Itching Itching is a common symptom after any type of wound healing. Hair transplantation is not an exception to that reality. Patients may feel itching on transplanted and donor areas for the first few days. This may extend to the second week after hair transplant, but should be mild and does not require any treatment for most patients. If itching was significant, a prescription of a mild steroid cream might help. Michael James is a patient advocate working with Dr. Mohebi is the medical director of Los Angeles hair restoration centers with locations throughout Los Angeles County and Southern California. Their newest offices in Bakersfield, California will open in March 2012.

Hey Mate, This is phenomenon that should be of concern to you. I certainly think you should be consulting with the physician who performed your HT. I know this is sort of my pet peeve at times when I am commenting. However, forum advice is not substitute for follow up with your HT recommended physician or at least I sure hope you used one. You are well beyound the initial shedding period and in fact should be experience some good regrowth of transplanted hair. Photos are not going to help us advise you with what you are describing. I urge you to consult with your surgeon. If you did not use an HT recommended physician than I would encourage you to do so. Our offices provide online consults to people globally as do other physicians here on HT Forum. If you can see someone sooner rather than later that is good idea. All the Best, Michael

Hey Mate, that's a great idea. At US Hair Restoration where I am a patient advocate we do a considerable amount hair transplant repair. A good part of the repair has to do with the fact that great innovations of today were not available just ten years ago. So you are spot on in initiating the idea of hair transplant repair discussion on the forum here. One of the most common types of repairs patients seek is correction of 'old plug' style procedures which yielded a very artificial look. Dr. Mohebi's ( A Recommended Physician on HTN) blog talks about the options available for people who would like to repair this type of outdated hair restoration. We've been getting great results.

Hey Mate; I work with another surgeon; but I can tell you without shaving the recipient area, the team cannot hygienically perform the surgery not be able to make the appropriate site incisions and finally be able to see to appropriately place grafts. Hope this helps and all the best on your journey to a new you. Michael

Hey Mate; It is great you are proactive about your hair restoration. Medical treatments are advancing and maybe you won't get the side effects. Consulting with a doctor and seeing if they recommend a trial might be a way to go. Most people who experience a medication side effect do not experience with the cessation of the medicine. So consulting with one of the recommended physicians here would be great. Regarding your cost and savings some center like the one in which I am a patient advocate for make this procedure very affordable at all times. Most of all stay proactive mate and consider a consult in person or online with an HTN recommended hair restoration surgeon. All the Best, Michael:o

Hey Mates, I am looking for someone who has experience with African American type of hair that is wiry and very tightly curled. A fellow friend in silver screen business was asking which procedure was best for him. I know in our firm we perform FUE's successfully on this type of hair. I told him about the forum but his question led me to think how great it would be to hear of patients and other physicians experience with this particular ethnic group and hair type. So please any stories share would be helpful to all. Thanks, Michael.

Hey Mate; Your post brings up some concerns. Lower T, is a known side effect of Finasteride. If you have a prescribed Low T cream therapy as well, then your question should have been answered by the physician who gave you the prescription. This is why physicians usually require a patient to disclose all medications on a medical visit. You should consult directly with the doctor or doctors who provided you the prescription for either Finasteride or the Low T cream. Hope this helps. All the Best, Michael.