Finasteride is a widely prescribed medication for male pattern hair loss, and many patients wonder whether they should continue or begin taking it after a hair transplant. The answer largely depends on your individual condition and long-term hair restoration goals.

A hair transplant relocates hair follicles from the donor area (typically resistant to DHT) to balding areas. However, the non-transplanted hair surrounding the grafts remains vulnerable to DHT-related thinning. Finasteride helps by inhibiting DHT, the hormone responsible for miniaturizing hair follicles, thereby preserving existing hair.

Without Finasteride, there’s a risk that native hairs will continue to thin over time, potentially compromising the overall appearance of the transplant as the surrounding hair continues to recede.

Taking Finasteride post-transplant can help:

• Maintain existing hair, particularly in areas not treated during surgery.
• Stabilize hair loss progression, allowing the transplanted hair to blend more naturally.
• Delay or prevent the need for additional surgeries in the future.

Some doctors recommend starting Finasteride a few weeks before or immediately after the transplant, while others may wait until the recovery phase is complete. Your surgeon will advise the ideal timing based on your medical profile and the extent of your hair loss.

While Finasteride is generally well tolerated, some users report side effects such as decreased libido, erectile dysfunction, and mood changes. These effects are rare and often reversible upon discontinuation. It’s essential to discuss these risks with your doctor before beginning the medication.

Not every patient will need Finasteride after a transplant. Those with minimal hair loss, older patients, or those who have already stabilized their condition might manage well without it. Still, for younger men with ongoing hair loss, Finasteride can significantly improve long-term results.