Could Hair Loss Be Due to External Causes, Rather Than Internal Causes Like DHT?

I read an article a while back that said resaerchers had found that acne was actually caused by a bacteria or fungal infection within the pores not an internal cause as previously thought.

Could it be, with Hair loss that resaerchers are only focusing on internal causes such as the DHT and actually overlooking other external causes like some kind of Fungal Folliculitis of the scalp that eats away at the folicles? Where does the DHT come from and why can’s we stop it?

Anything is possible, but the explanation you offered has not come to the forefront. I would not be surprised if there were other mediators for hair loss that make hair loss show up in one person and not another. We are not well informed enough to go there just yet.

This is what we know (taken from an article by Dr. David Whiting, a widely acknowledged leading researcher/dermatologist): “Testosterone and dihydrotestosterone can circulate systemically to follicles, or be manufactured locally in the follicle from circulating weak androgens (dehydroepiandro-sterone and androstenediol) via complex enzyme-mediated processes involving specific dehydrogenase and reductase enzyme pathways. All of these enzyme reactions are dependent upon specific pyridine cofactors. It is clear that reductase, dehydrogenase, and probably aromatase enzymes are of major importance in hair growth as they mediate the complex interchange of sex hormones implicated in anagen activity.

That is the biochemistry of DHT (dihydrotestosterone).


2007-09-11 14:33:08Could Hair Loss Be Due to External Causes, Rather Than Internal Causes Like DHT?

Could I Have BHT If I Plan to Keep My Hair Very Short?

I understand that you do not like the results of body hair transplants but do you think it would be an option for patients that were interested in keeping their hair cut very short and did not want the scar from FUT surgery?

Body hair transplantation (BHT) should be considered as a last resort (if you’re out of scalp donor hair, for example). It’s not just an issue of growth cycle, but the texture of body hair is different than that of scalp hair. The idea is to have the most natural looking result on your head, and I’ve yet to see anyone that has had BHT with a perfectly natural look.

If you don’t want the linear scar from traditional strip surgery, you can look into FUE, which uses scalp hair and would provide a better visual result than BHT would.

Could I Ruin My Hair By Sleeping On It?

I had a hair transplant about 14 months ago now and the transplant was successful. I would of liked more density, however i am happy with it. My question is, when i sleep and wake up the transplanted sections-which is both temple areas are always messy and ruffled up because i lean on them on my pillow. Its hard to explain however i feel i am putting pressure on the hairs and pulling them because the hairs are getting trapped between the pillow and my head if you can understand. not terribly but my temple areas which were transplanted are always messed up as though i was lying on it and putting a certain amount of pressure as my head was lying on the hair and the pillow-its really hard to explain. Do you think this will cause damage. And if so how long will it take before i see? will it go gradually?

thank you

There’s no problem sleeping on your transplanted hair. On occasion, transplanted hair will become more curly and even wiry, so look carefully at the transplants and see if the character is the same as the non-transplanted hair.

Could Gabapentin Be Responsible for My Female Hair Loss?

I have been taking gabapentin for years and just started to notice increased hair loss, more than would come out naturally. I’ve had chemo and all my hair came out, but that was about 6 years ago and my hair came back, but not all the way. A lot of women told me that when their hair came back it was their natural color, most women color their hair so didn’t even know what their natural color was, plus their hair came back thicker and glossier. They were all delighted.

Mine didn’t come back like that. I was taking gabapentin then and ever since. My hair came back weak, very fine, some gray in natural ‘mouse brown’, limp, awful looking and very easily broken. It was workable but I didn’t really notice it being really thin. Just in the past year and a half it has really been disappearing. I’m now wearing the wigs I used when my hair all came out with chemo.

I’ve had both knees replaced, one last July,2011 and the other last January, 2012. I thought it might have been caused by the anesthesia or the high doses of demeral? or the oxycodone I was taking for back pain. Also, beside the demerol? in the hospital the first time and then morphine the second time. But I don’t take any of that stuff since about April, 2012, around eight months ago and my hair seems to be coming out worse now. I’ve checked out all of those drugs and none of them seem to have hair loss as a side effect. Then I accidentally came across this blog and I have been enlightened. I never would have thought of gabapentin, but it sure makes sense. Is there a different medication to take the place of gabapentin? Someone help me out here?

I’m female, 64 years old, some baldness in the male side of the family, none on the female side. I take gabapentin, prilosec, atenalol?, effexor, Flexeril, Claratin, metformin, and Lantus, oxycodone/acetaminafen? when my back goes out. I take a multivitamin, vitamin C, magnesium, and iron beside the other prescription meds. What am I doing wrong? Can I be helped?

I really think you should see your doctor for your issues. Based on your medication list, you have a significant number of medical issues. You cannot just point to one drug as the source of hair loss. I wish it was that simple, but it does not work that way. In most cases the medical condition itself may be the cause (not the medication). Your issue is beyond the scope of a simple blog post. Sorry.

Could I Die During a Hair Transplant Procedure?

What’s the risk of dying from hair transplant procedure?

CNN – What really killed the beauty queen?

DefribrillatorShort answer — the risk is extremely minimal, at nearly zero. Hair transplants are a surgical procedure and if your doctor did not know what he is doing, you could die. There is one case report of a death during a hair transplant from a couple years back, which I wrote about before.

Not only could you die from the local anesthetic that is normally safe in proper doses, but you can have an allergic reaction, an arrhythmia of the heart, a stroke or heart attack at the time of the surgery (possibly the same risk as if you were home doing regular house work), or you could die of infections, amongst other things. Then again, you can also die at the dentist for similar reasons.

In the 19 years that I have been doing this surgery, I have never had a complication that could have produced death. The risk factor is incredibly low (statistically zero), so your chances of death are essentially none. You should also read these more in-depth posts if that doesn’t set your mind at ease:

  1. Hair Transplant Surgery Risks
  2. With the Death of Kanye West’s Mom After Plastic Surgery, I Wonder How Dangerous a Hair Transplant Is?

Could Getting a Perm Trigger Genetic Hair Loss?

Big permI’m a 19 year old guy who has had a moderately high hairline and slight recession at the temples since the age of 15. It seems to progress VERY gradually and I have no hair loss anywhere else. I always dye, style, tease, crimp and straighten my hair and it doesn’t seem to effect it, but I’m after a bigger style and am considering a perm. My hair is fine, but not extremely so.

Is it safe to get a fairly loose perm done at a good salon? Will it speed up my hair loss?

If you’ve got the genetics to lose hair, any number of things (including chemical damage) could trigger an earlier onset of the genetic process. You’ll have to decide if it’s worth the risk. I doubt you’ve got much risk based on what you described, but if you do decide to have the perm done you should try to minimize the risk by having it done by someone professionally trained.

Could Iron Deficiency Be Accelerating My MPB?

I’m a male who has been diagnosed with Iron-Deficiency at age 20. I also have been noticing hair miniaturization and hair fallout from the top of my head (nothing from sides and back).

My doctor said the reason for this is the Iron Deficiency and I should correct it by multivitamins and minerals and then see if the hair fallout continues, since hair loss is a symptom of Iron Deficiency.

My question(s) is this:
– Would my deficiency be accelerating my inevitable MPB?
– Wouldn’t my deficiency result in hairloss all over my head instead of classic MPB fashion?
– Would correcting my Iron levels result is less shed, maintenance, or regrowth at all?

Thanks!

I don’t know what tests your doctor conducted to completely eliminate genetic male pattern baldness as a possible cause for your hair loss. If you’re losing hair in a classic pattern, you could have a combination of genes and low iron.

So to answer your questions — Yes, iron deficiency could accelerate your genetic hair loss. It may also cause thinning elsewhere on your head. Correcting your iron levels is important, but it may not impact the genetic patterned hair loss.

Could I Take Propecia To Slow Down My Unwanted Body Hair Growth?

Hello Dr Rassman,

I have been a long time reader of your site, and find your advice highly useful.

My question is: I am a 24 year old male. I am not suffering from any noticable hair loss (I think), but my younger brother is. I also have alot of body hair, esp on the shoulders and the back. Would propecia be useful as a proventitive measure, and slow down the growth of unwanted body hair as it is linked to DHT.

Regards

Propecia (finasteride 1mg) is not documented as a way to slow down body hair growth. This is your genetics working in its full glory. With that said, a couple of patients have reported to me a decrease in body hair with the drug.

Could Minoxidil Change My Eye Color?

Hello Dear Doc

For hair loss i am using minoxidil 5% solution on my scalp and my eyes burn. Eye burning and irritation is known side effect of minoxidil and i wonder if it might change eye color?

There is a medicine named larissa which may change iris color used for eye lashes.

Thanks for your support.

I am not familiar with Larissa, but perhaps you mean Latisse (bimatoprost ophthalmic solution), which has rare reports of permanent eye color changes in people with blue/green eyes. Latisse is used to grow eyelashes and it is presently being tested to grow hair.

There are no reports with minoxidil changing eye color, but if you’re experiencing burning eyes after using it on your scalp (a common side effect), you should consider discontinuing use if it becomes too bothersome.


2011-12-13 13:26:31Could Minoxidil Change My Eye Color?

Could Lawsuits Against Big Pharma Prevent Them From Working on a Hair Loss Cure?

Dear Dr. Rassman,

I’m very concerned over the article regarding the law suit being launched against Merck. I’m 31 and have been using Propecia for the past two years, which reversed crown thinning and has maintained a mostly full head of hair for me. I stay hopeful however that a better medication or procedure will come along for maintenance/regrowth over the next decade. Do you think that law suits like this are going to kill the efforts, funding, and motivation to continue research for creating more options for hair loss sufferers?

Thanks for your time

There’s around 7 billion people in the world, about half of those are men… and in general, hair loss affects about 50% of the male population to some degree. So with such a huge potential market measured in billions, if there is opportunity the drug companies will likely work it. These companies are in the business of making money. Lawsuits won’t stop them from their research and development.

We live in a very litigious society and a lawsuit against Merck does not mean they’re guilty or at fault.