My Loss Started at the Crown and Now the Hairline

I’ve started balding a year ago (when I was 19), since then my crown has become very thin, but now i’m also slowly losing hair in front and top, what kind of Norwood class did I start with because I can’t find any that starts with the vertex while having full hair in front, but slowly thinning on top and front too.

Also, would you advice propecia to a 20 year old?

If you were taking Propecia (finasteride), the hair loss you are experiencing will be slowed, stopped, or reversed (particularly in the crown). The Norwood scale is to define the final stage of balding, not the interim steps you are experiencing. It’s not unusual to have the loss start in the crown.

Get a good doctor who will work with you to build a Master Plan for your short and long term hair loss problem.


2012-04-26 13:24:08My Loss Started at the Crown and Now the Hairline

My liver enzymes are elevated and I am taking finasteride, are these two connected?

I’ve been using topical finasteride (Morr-F) for a period of about 8 months. 2 months ago, I had a blood test for a physical examination. Everything was fine, except that I showed elevated liver enzymes (ALT/AST) and just barely met the criteria for prediabetic fasting blood sugar. I repeated the test last week and my ALT/AST were even worse.

I’m a healthy male who doesn’t drink often at all (sometimes no drinks in a month, never more than 5 in a month). I exercise regularly, have no history of diabetes in my family, and eat an ovo-vegetarian diet with adequate protein for resistance training. I’ve recently found studies indicating that 5-AR inhibitors have been shown to interfere with liver function, elevating liver enzymes and interfering with glucose metabolism.

Don’t be your own doctor and get professional advice as finasteride will not cause liver enzyme elevation.


2019-04-08 13:35:36My liver enzymes are elevated and I am taking finasteride, are these two connected?

My Legs Below the Knees are Bald

Hi Dr. Rassman,

I love reading your blog and after educating myself and talking to my doctor, I am now taking Propecia.

I have an “odd” question for you. I don’t have any hair on the outside of my legs below my knees. It is almost completely bald. Have you heard of this before, or could you offer any advice?

Thanks!

I assume you’re not shaving them in your sleep…

But yes, I have heard of this before (many times). We do not know the causes, but sometimes it comes from rubbing of the outside of the leg on the other leg (crossing them). There is probably a genetic cause of the problem if you can not associate any chronic rubbing that could cause traction to the leg hairs.


2009-12-08 12:34:38My Legs Below the Knees are Bald

My Leg Hair Just Disappeared — My Father Has the Same Condition

Hello there,

I’m a 34 male. I’m a non-smoker, very moderate drinker, healthy in every respect. I have lost almost all hair on both of my calf muscles. I’m not excessively hairy, but I do have a full head of hair. This hair loss is the cause of some embarrassment. Now, interestingly my father (62) has the same condition, though a lot more advanced. His legs are totally almost bald! My younger brother (32) has no signs of such loss. But like my father he has experience a good deal of head hair loss. I’m puzzled. And help that you might be able to offer me, would be enormously appreciated.

Many Thanks.

It seems like you have inherited the same gene from your father. The process of apoptosis (cell death) is genetically programmed in hair follicles. See Wikipedia for more on this.


2008-05-12 10:22:20My Leg Hair Just Disappeared — My Father Has the Same Condition

My Left Eyebrow Hairs Just Fell Out!

(female) Ok first off, I’m almost seventeen. About a month and a half or so ago, most of the hairs on my eyebrow fell out. It’s only my left eyebrow though, which is strange. I haven’t used any sort of cream on my face or taken any medications except for the occasional ibuprofen which I’ve taken before with no problem. I think I have an idea, but I’m not sure. I got bangs before the eyebrow started falling out and when my bangs started to grow out, I just pushed them to the left. So is it possible that my bangs irritated the hairs, causing them to fall out? I’m not really sure. Since I thought of that, I’ve been trying to bobby pin them back lately because it’s summer and I’m home a lot, but take the bobby pin out when I leave the house because it’s embarrasing and my hair covers it. But they’re still not growing back. I don’t know what to do. Any suggestions?

It is very peculiar that only one side of your eyebrow has fallen out. I highly doubt it was due to your bangs brushing up on them. As it has only been a month, high magnification examination would show what stubble is left and what it looks like. I would be curious to know if you have experienced any specific patches of hair loss on your scalp or on your body. There is a relatively rare condition such as alopecia areata that can manifest in the manner that you are describing. You need to see your family doctor to make sure your thyroid is OK. The most common cause of eyebrow hair loss is when a person picks or plucks it. However it is almost impossible to give you a diagnosis without examining you in person. Perhaps you can email me some photos (confidential) of course. Please reference this post when sending. Even better, if you can make a trip to Los Angeles, I can examine you in person.


2007-07-17 14:34:10My Left Eyebrow Hairs Just Fell Out!

My Last Hair Transplant Was Over 2 Years Ago and the Scar is Still Pink

Hi,
I have had 2 successful transplants, the last being about 28 months ago. My scar is still a light pink colour. My scars usually take a long time to fade, so I think this is probably normal for me. Is it possible to use lasers get the scar to fade as I would like to get SMP into the scar. Or alternatively, can you get SMP and then reduce the scar redness with lasers, or would this likely cause the SMP dots to fade too?

Thanks!

If you let your hair grow out to a reasonable length, the pink color of the scar will be covered. That’s the easiest solution, really. Was your scar pink for a long while after your first hair transplant?

You may just have to wait it out. You can try topical hydrocortisone (a small dab spread over the scar) for up to to 7 consecutive days, then pull back for two weeks and try it again. This might work to lessen the pinkness.


2013-02-16 17:48:39My Last Hair Transplant Was Over 2 Years Ago and the Scar is Still Pink

My Iron Levels Are Normal Now, But I’m Still Losing Hair!

A few of months ago I started see that my hair was thinning all through out my head. Then I got scared so I am a 32 year old female and I went to see a doctor for my hair loss. They said I had low ferritan levels. So they gave me iron pills and by my next blood test they said my levels were fine. But now I’m still losing hair and now my scalp itches and burns. I take seizure medication, but I’ve been taking it for a long time and I’ve never had this type of reaction and I’m not pregnant. I don’t have pattern baldness that runs in my family either. I don’t know what to do 🙁 What do you think it is? Is it fixable? Will my hair grow back? Should I do something different? Should I use certain hair products? HELP!!!!!!!!!!!!!

You need a doctor who will take charge of your problem, rule out all of the metabolic causes of hair loss and scalp itching, and give you a diagnosis. Seizure medications can contribute to hair loss, so discuss this with your doctor. Diagnosis comes before treatment, but unfortunately this is not something I can do over the Internet.

My Husband Stopped Propecia So We Can Get Pregnant

My husband has been using propecia with good effect for 10 years. We are now trying to get pregnant and he stopped taking propecia. My question is, 1) how long can he be off the pills before the hair starts to fall out? and 2)does the hair grow back if he starts the pills again?

Thank you for your answer.

Men who stop taking Propecia while they are trying to conceive with their partner usually stop for two to four weeks. This should not have an impact on hair, but if in the worst case scenario there is a negative effect on the hair, the hairs lost will most likely not grow back (even if you start back on Propecia). This phenomenon is often referred to as “catch-up” hair loss. Your husband should discuss this further with his prescribing physician.


2010-12-03 13:22:51My Husband Stopped Propecia So We Can Get Pregnant

My Husband Hit His Head on a Concrete Floor and Now Has a Bald Spot

In mid-feb, my husband was wrestling with a friend in our living room. His friend picked him up and accidently slammed him on the concete floor. My husband’s head hit the floor and he had a huge bump on his head. The swealling went down but he still has a bald spot there. Will his hair ever grow back?

I would expect that the hair will grow back within 6 months (or less) from time of the injury.


2008-05-13 13:34:00My Husband Hit His Head on a Concrete Floor and Now Has a Bald Spot

My Husband Developed Bumps On His Scalp and Ears

Hello Doctors,

My husband (42 y.o.)is bald, and about a year ago he developed some bumps/sores on his head. They started at the top of his head, and worked their way from there to the back left and back right side of his head. They progressed to his ears, eventually on both sides, and came together at his nose. They are quite painful, itchy, and red. Often they develop dry skin patches with them, especially on his ears. They have never pussed up, but will at times open up and then scab over.

He has seen a dermatologist 4 times, and has been on 3 rounds of Monicycline, which seemed to help some. He’s tried creams; has changed to shaving with a straight razor, using a new and clean blade daily; has used Hibicleanse daily for months. He’s been off of the antibiotic for 3-4 weeks and now the bumps on his nose and the back left of his head have returned.

I am concerned that this could be cancer. We do not know what type of doctor to turn to at this point, and would be deeply grateful for your help.

Many thanks

I do not know how much I can be of help if your husband already has seen a doctor. Perhaps he should seek a second opinion from another doctor. Some people suffer from chronic infections of the hair follicles and may need a biopsy.


2012-11-08 09:30:07My Husband Developed Bumps On His Scalp and Ears