Month: January 2023

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Hair Loss After Testosterone Replacement Therapy

I have been on testosterone replacement therapy for 6-12 months, dose recently increased about 4 months ago. I have not noticed any significant change in sex drive (which is low to medium, functioning OK, 44 years old). I have however been experiencing a lot of hair loss and thinning.

This adverse effect is not desirable to me and I plan to stop the testosterone. Will my hair grow back if this is cause? What about hair regrowth if this is also combined with heredity?

Thank You

Testosterone (an androgen) is a known cause of hair loss if you carry the hair loss gene (androgenic alopecia). Much of what you lost, if there is no hair in that portion of the scalp, will not grow back.

Without examining you I can not tell you where your hair loss is in the hair ‘death’ cycle (called apoptosis) that goes with male pattern balding.

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Hair Loss After Scalp Pimple

Hello Dr. Rassman, I hope you can answer my question. I got a small pimple on my scalp a month ago which I left alone. After the pimple disappeared my hair fell out in that area leaving a small circle of a bald spot. Will my hair ever grow back on that spot? If it does how long will it take?

Your hair will likely grow back in a few months. Patience is a virtue. If it does not grow, then you will need to see a dermatologist to look for other causes of hair loss.


2006-02-03 14:25:40Hair Loss After Scalp Pimple

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Hair Loss After Running a High Fever

I came down with high fever last November 2009. For several days, my temp was 105 degrees. After a week, my hair started falling out. the worst affected areas were the crown and the top. My dermatologist said I had a bout with TE. Today, May 2010, six months later, the shedding has significantly lessened and i guess has returned to normal BUT the hairs lost to TE still hasn’t grown back. How long does it take for those hairs to regrow?

I am 45, male and had very thick hair before this nightmare. My two older brothers have genetic balding but one older brother was ‘spared’ and still has thick hair even though he is over 50. My hair is still thick except for the part of the crown where I lost a lot during TE. Will they ever grow back?

Thanks for your attention!

It can take up to one full year to see hair regrowth start. Remember though, when it grows, it grows at a rate of 1/2 inch per month.

If you have genetic balding and the fever precipitated the hair loss it may never come back completely, but if it was just a telogen effluvium like your dermatologist says, that will be known to you by the end of this year.


2010-06-03 11:42:06Hair Loss After Running a High Fever

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Hair Loss After Local Anesthesia?

I had liposuction with local anesthesia about 4 months ago. I seem to be losing a lot of hair. I knew it could happen with surgery but local anesthesia?

Any stress can cause hair loss. I can not give you any other explanation.


2007-08-22 08:32:44Hair Loss After Local Anesthesia?

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Hair Loss After Hysterectomy

I’ve recently had a total hysterectomy at age 24. I’ve noticed that my hair has stopped growing. Is this something permanent or can something be done about it?

Stress and shock loss is something that we have discussed before in many posts in this blog. Almost any kind of stress can precipitate hair loss in some people. Women seem to be more impacted by stressful surgeries like hysterectomies, while men are more stressed by business, financial, or family problems rather than by surgeries. Any major surgery can cause shock loss and it is not limited to the scalp surgery. This is called telogen effluvium and is similar to what women experience after delivery of a baby.


2007-07-31 13:32:47Hair Loss After Hysterectomy

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Hair Loss After Getting IntraUterine Device (IUD)

I am a 23 year old woman and over the past couple of months my hair has become very very thin and I loss alot of it in the shower everyday. I know the hair loss is not due to having a child because my son is already two and I know it isn’t due to my health. I go to the gym anywhere between 3 and 5 days a week, I eat healthy and I even take daily vitamins. About six months ago I got off of the pill and 2 months ago I had a IUD put in. The only thing I could think of is the hair loss is either because I got off the pill or because I got an IUD. I need help. Should I get back on the pill?? Should I use rogaine for woman?? Please help me before I go bald!

Ask your doctor if the IUD has some hormone it is releasing and to do a complete medical work-up for hair loss on you as well. I did notice that Mirena intrauterine contraception releases a hormone (levonorgestrel) that can cause hair loss. I can not tell you what to do, because I would need to know the results of the medical work-up that I suggested you get. The question I would ask is what are you treating? It could be anything from low iron to genetics.


2007-10-19 11:33:14Hair Loss After Getting IntraUterine Device (IUD)

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Hair Loss After Craniotomy

(female)
Previously someone mentioned she had had surgery and was losing hair. The reply was something about stress and medications, and a predispostion to balding. My question is how long does the stress and medications phase last? There does not appear to be a predispostion to balding to any of us in the family. I had a craniotomy 2 months ago and I now have a bald spot in the middle of my head about the size of four quarters. It seems to want to grow and then bends and breaks off. Now what? The reply also stated to see a Dr., but what kind? I have asked my neurologist and my PCP – neither has seen this before and the only response I get is “I think it will grow back.” Not an answer, if they haven’t seen this before. Would a dermatologist work? (I also have what looks like dandruff that attaches itself to the hair. But I can actually hear it when it hits the sink (I take a comb to it occassionally to help remove it.).)

Thank You

Hair loss in random patches about the size of a quarter sounds like alopecia areata that can be precipitated by surgery or stress. Also included in the differential diagnosis is telogen effluvium (see article). Your description and condition sounds a bit more complicated than just that, though. You had a craniotomy and there are other issues (things falling from your scalp that makes a sound when hitting the sink?!). I would definitely see a dermatologist.


2008-09-10 15:29:20Hair Loss After Craniotomy

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Hair Loss After Complications from Stem Cell Transplant

I had an allo stem cell transplant in 2007 for lymphoma and had graft versus host disease(GVHD) of the skin amongst other things. GVHD attacked my hair follicles all over my body and scalp while sparing some areas on the scalp with a non uniform (male balding) pattern. I have to constantly shave my head as if i let it grow; its very weird the places the hair grow. Is there any hope for me regrowing my very full and thick head of hair?

I would want to examine you, but GVHD can produce permanent partial hair loss.

So the question then is whether the balding spots support a transplanted hair graft. FUE placed into the affected area will address that issue. If the test transplant works, then the analysis of supply vs need of hair can be analyzed. The use of transplants in a test area (10 grafts harvested with FUE) will tell much about the spontaneous reversibility of the process and the existence of a scarring alopecia in the impacted areas.


2011-04-04 15:06:03Hair Loss After Complications from Stem Cell Transplant

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Hair Loss After Breast Implants?

In Jan. 03 I had saline breast implants and 4 months later my started falling out and to this day it still is. The dermatologist said it was AGA but my thinning is all over and my part is not get wider. Could it be chronic TE or something else? Please Help!

Unfortunately, I can not address your problem without seeing you. Surgeries produce stress and people with AGA can lose hair with stress. You can try to do the hair pull test on yourself. For information on telogen effluvium (TE), please see Wikipedia.


2007-07-25 08:35:13Hair Loss After Breast Implants?

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Hair Loss After Battling Multi-Year Illness

(female) I was ill with fever of unknown origin (temp about 100.7 – 102) from Jan. 2004- Jul. 2007. It eventually went away by itself (after I was checked for everything under the sun numerous times) but left me with much, much thinner hair. It completely changed my hair texture from thick and very curly to thin and barely wavy. Most of the loss is on top of my head, but there is also some at the nape of the neck. Will it grow back? I’m even considering the transplant procedure. I just don’t know how long I should wait for this to resolve itself on its own. I have been using Minoxil and taking vitamins (biotin and vit B.)

The hair loss you describe sounds like it is diffuse, and as such, you would most likely NOT be a candidate for a hair transplant procedure. To have such a procedure, you need good hair from some plentiful source to move into the bald areas. It doesn’t sound like you have such a source.

Sadly, I really cannot say if your hair will grow back to its original state. You may try topical minoxidil (Rogaine), and it generally takes over a year to notice some growth with this medication.