Hi i have Hepatitis B and it is InActive so i would like to know if it is safe for me to use Propecia?
If your hepatitis is inactive and your liver function is normal, then is should be safe to take normal doses of Propecia. Of course, check with your doctor… as I am not your doctor for purposes of medical advice to your situation.
Does hair loss from steroids effect just the back of the head or the front hairline as well? Any idea what steroids are the easiest on the hair?
Steroids are bad news, not only for your hair, but for your body as well. It accelerates genetic balding where ever you are going to lose the hair. Most people lose hair in the front, so steroid acceleration may impact your frontal hair faster. I will not recommend one steroid over another.
Hello
Could volumizing shampoos (increase of hair diameter) decrease the size of the passage down to the root and then make usage of other substances such as minoxidil penetrate less?
I’d say it’s probably not a problem as you’ve outlined it.
Hi Dr. Rassman:
I’m having a 3000-3500 graft strip procedure next Monday. I am an avid runner and long distance walker. I understand I should wait until the staples are removed to resume these activities. Is there any issue with running or walking for exercise in the days immediately before surgery?
Thanks
I don’t believe you can hurt anything by strenuous activities prior to your hair transplant surgery. After the procedure however, you should take it easy for at least a few days. You should completely avoid any activities that can increase the tension on the skin edges for several weeks after your hair transplant surgery. Running does not impact donor wounds, so I generally tell my patients that they can run a marathon after a week if they want. I gave that advice to a man last week and he told me that if his hair transplant allowed him to run a marathon, that was better than he could do prior to getting it. He was not a runner. Ha!
Better check with your doctor, because he/she might not agree with me.
Loose Anagen Syndrome (LAS), also known as loose anagen hair, short anagen syndrome, easily pluckable hair.
Loose anagen syndrome is rather a recently described hair loss disorder affecting predominantly (not exclusively) blond female children. It was first described in 1984. This disorder is characterized by easily and painlessly pluckable anagen hair, which have abnormal morphology. The mechanism of this disorder is not known, but abnormal keratinization of the inner root sheath is suggested. Its incidence is not completely known due to the under-reported cases, but it seems to affect Caucasian people more.
The disorder usually present as general thinning that haircut is never or infrequently needed. Clumps of hair could be removed painlessly during kid playing. This condition is not associated with any nutritional deficiencies and the growth of the affected patients (usually children) is otherwise normal.
In physical examination, sparse growth of thin fine hair may present as diffuse or patchy hair loss. Although hair is not fragile it could be easily and painlessly removed. Hair is usually unkempt and difficult to style. Hair in the other parts of the body is not affected. In microscopic examination the extracted hair are generally in anagen phase. Hair bulb is usually twisted with an acute angle from the shaft. The cuticle has a characteristic of rippled or baggy appearance.
Currently there is no treatment and regrowth is usually spontaneous although hair may never reach its normal length before it is shed.
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References:
Hello Dr,
I understand that you recommend propecia. Just for the debate i wanted to know does propecia regrow more hair or rogaine in those people these drugs work. I found the below article which shows that minoxidil 5% beats propecia in number of hair regrown hands down. Can you comment on it please.
http://www.haarweb.nl/forum/showthread.php?p=61654
Please scroll down in the thread.Thank you for the blog
Thanks for the insightful link. I have been swinging to using a combination of minoxidil 5% and Propecia for men. It does appear that both is better than just one. I like Propecia because it ‘hits’ the underlying DHT component for hair loss in men, but one can not deny the building evidence of the value of higher concentrations of minoxidil. Clearly the use of both medications have issues of compliance. Twice a day use of minoxidil is the right approach, but this alone may be a problem for busy men, while Propecia in the morning is easier to use.
In conclusion, I believe that using both is best.
I started using Rogaine Foam 3 weeks ago and I’m concerned with the amount of shedding I’m experiencing. I’m well aware that shedding is supposed to take place when starting rogaine for 2 weeks to 2 months but it’s hard to look at the sink and instantly see 50 to 75 hairs sitting there each time I use rogaine. Which is twice a day. I have a mature hairline so I’m not really bald. I have always had really fine hair so that’s why I get concerned. I know people lose something like 50 to 150 hairs per day who aren’t having any hair loss issues but I’ll shed 100 to 150 hairs a day from the use of rogaine and that’s not counting the hairs that shed that I don’t see. When I look at my scalp, it don’t feel like it looks any different now with the shedding going on. But maybe that won’t be the case in another month. So I was just wondering if you think I’m shedding TOO much. Thanks
First, I would want to know what you are treating and if it is necessary to use the Rogaine. Minoxidil is reported by users to have a short shedding period that lasts up to a couple of months and it is believed to be the result of an acceleration of the hair cycling process. I can’t help you further without examining you.
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age 27 Male
Hi, i have dandruff and when i go for my jogs my scalp really starts to itch, it gets intense sometimes… so i scratch all around my head really hard and fast which usually relieves the annoying hot itchy sensation. my question is, by scratching hard and vigorously on the irritated sections of the scalp could this cause any sorts of hair loss? right now its the only remedy that works and it feel good too.
Scratching at the same point can produce a form of hair loss called traction alopecia. See a good dermatologist and find out why you are itching soooooo much.
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(female)
I had an endoscopic brow lift approximately 2yrs ago, and now my hair has started to fallout in the area of the endoscopic surgery. I am also experiencing extreme tightness and a burning sensation under the scalp in this area of the surgery with hairloss. What can I do to stop this from occuring? Does this mean that there is nerve damage? Is there medication that I should review with my physcian that could alleviate the painfull sensation under the scalp and hopefully stop the hair from falling out? …Help!
Scarring and hair loss from a brow lift is something I see often. I may see more of this problem, not because it is common, but because I specialize in this problem. Hair loss and detectable scars are amongst the problems I treat. Small nerves are cut with certain types of brow lifts and these small cutaneous nerves which can produce pain usually disappear in less than a year (usually weeks to some months). Minoxidil may help hold the hair that is presently falling out. You might want to see me considering that you are in San Diego and Beverly Hills is only a couple of hours away.
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i notice the left side of my head including facial hair, even my sideburns grows slower than my right side. i shaved and i noticed more hair on the right side and significantly less on the left side… whats going on?
Honestly, I don’t know. It is not unusual for hair to grow at different rates, but… the entire side? Wait out time and see if it is a temporary problem. Quite interesting, and I wish I had more to offer.
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