Category: Hair Loss Causes

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Hair Loss InformationFinasteride Stopped Working and My Doctor is Too Busy To See Me – Hair Loss Information – Balding Blog

Good Afternoon!
My doctor prescribed Propecia 1 mg per day, 3mg per day of Biotin Forte and wash my hair 3 times a week with Ketoconazole shampoo in 11-6-03, follow up was one yr later 04. I started generic Finasteride 5 mg to save $ 6 months ago. I break the tablets, everything was great until June of 2011. I have had recent rapid hair loss on the crown & back of head.

My doctor is too busy, takes months to get appt. Any referrals? Suggestions maybe closer to AZ? No side effects except I have a sore left Testicle for about 3 yrs now, my doc cant figure out why its sore? Im now 51. Thx!

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I think that if your doctor does not have the time for you, you need to find a doctor who does. I don’t have a referral for you in Arizona, but you can check out the physician search at ISHRS.org.

As for the recent hair loss starting after switching from name brand Propecia to generic finasteride — I really don’t know. It should be the same medication, just different doses. Are you breaking the 5mg tablets into 4 equal parts? Did you get the generic from a legit pharmacy? What was the maker of the generic? Have you talked to your pharmacist about perhaps trying a different generic brand?

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My Doctor Gave Me Fluocinonide After My Barber Cut My Scalp – Hair Loss Information – Balding Blog

hello Dr. Rassman,
About a few months earlier, I had a stop at my barber and they accidentally cut my hair straight to the scalp. When I got home, at first it was just a tiny spot where there were no hair, and a few weeks after it started to grow bigger and bigger, it’s getting out of control. I went to my physicians and they gave me Fluocinonide to put on; it seemed to worked a little. It’s been a long time now and the tiny bald spot is no longer small. The hair around that spot are starting thin itself and turn white.

In addition, I sometimes comb my hair but my wife accidentally combed her hair with my comb and she also witnessed the same problem but it’s not as bad. It disappeared after a few days.

Please help me, thank you!

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Fluocinonide is a potent steroid, and that alone can cause hair loss. I am not sure what your doctor was treating. Did you have a gash in your head that created scar tissue? This is not rocket science, but I can not tell what is going on without seeing you. If you doctor doesn’t tell you what is happening to you and what he is treating, then get a second opinion.

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Hair Loss and Getting Older – Hair Loss Information – Balding Blog

Hey Doctor Rassman,

Got a few questions:

1. Can you explain to me the link between aging/being older and male pattern baldness?

2. Do you think that any lifestyle or diet changes are effective at preventing MPB? Other than surgery and medication what else do you reccomend? Aerobic exercise? Lowering insulin levels?

3. I have heard that is better to start dealing with hair loss before it has begun. Is this true or even possible?

4. Have you had a HT yourself? You look great btw.

Keep up the good work.

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1. Hair densities and thickness of the shafts can change with age. In some very elderly men, we see a condition looking like diffuse unpatterned alopecia (DUPA), which produces a see-through appearance of the donor area. Some doctors refer to this as senile alopecia.

2. Nothing that can be done with diet or lifestyle to fully prevent genetic hair loss. Just maintain a normal and healthy nutritional status.

3. From a social point of view, the earlier one starts medications like finasteride, the less advanced will be the hair loss. Hair transplants are another option that can and should be explored, but they are not for everyone.

4. Thank you. Yes, I had a bald crown. There are photos of my non-transplanted hairline and transplanted crown here.

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Can Pseudopelade Scars Be Cut Out? – Hair Loss Information – Balding Blog

Hi, I’m curious to find out if it is possible to cut out small scared areas when doing a transplant. I’m a 21 year old male and have many burnt out scars from the last six years of living with Pseudo-pelade.

It seems to have been inactive for a number of years and I’d like to get transplantation to get the density of my hair back with transplants into the small effected areas (about the size of a pen tip), however, is it also possible to make larger scars (about the size of the tip of the little finger in size and shape) made smaller by excision since I understand it is hard to transplant hair into large scars?

Thanks

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Brocq Pseudopelade is a scarring alopecia and is difficult to treat. If the disease has taken its course and not changed much in the past few years, the objectives for a local small surgery are clearly defined, and if the area being addressed is located in a place that tends to heal well, then surgery may have value – provided that your expectations are not great.

For the general audience, take a look at this condition to appreciate the area needing treatment (photo link).

I just performed Scalp MicroPigmentation (SMP) on a very extensive case of this and although he would not grant me permission to post his before and after photos for this post, I have to say that the results were spectacular. Of course, this man had been shaving his head and was used to making everything seen uniform.

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I Starved Myself and Work Our for Hours a Day, Now I See Hair Loss! – Hair Loss Information – Balding Blog

I am 21 year old male. i started dieting in march this year….i was literally starving myself. add to that, i was spending 2 hours in gym (extreme workout). lost about 36 pounds in couple of months. as i was into 4th month of my diet, i began to loose hair, hair fall is still happening. its so extreme that i can see my scalp. i have no history of balding in my family. i am worried to death. i had such thick hair that i always did thinning shears.

actually it all became visible when i did thinning shears third month into my diet. maybe my hair had gotten very weak by then. meanwhile i did my thyroid test last week and was told that i have hyperthyroidsm. my tsh is 0.04….so what is wrong with me ?i see no regrowth till now, i am going to get bald.

plz help,plz plz plz

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Your rapid hair loss can be caused by rapid weight loss. Starving yourself is not healthy or smart, and can lead to a variety of problems (hair loss being the least of your concerns). Hyperthyroidism can also cause hair loss.

I would want to know what else is going on with regard to your health. See a doctor who understands hair loss.

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Please Explain How Balding Skips a Generation – Hair Loss Information – Balding Blog

What exactly is meant by the phrase “balding/hair loss sometimes skips a generation”? I know it’s very complicated to say if this is true or not, but I was wondering what exactly it means. For example, if a family has 2 sons, one age 26 and one age 20, does it mean only 1 of them may keep their hair if balding skips a generation, or both? I hope you can clarify this a little bit as I am very curious as to what is meant. Thank you.

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Not everyone in a balding family has the balding genes. Genes have “expression” which means that the way it shows up (for genetic balding) appears at different points in the life of the person carrying the gene. You might have the gene, but not show the balding until you are 25, 30, 35 or 40 and so on.

You may also have the gene and not express it at all. Or you may have the gene, but it is not dominant in you, so you will not show balding… but can pass it to your children who can then show balding. Without getting too deep into evolutionary biology, I hope this short answer does not confuse you further.

If you really want more details, research the work of David Balding, a UK-based professor that has written multiple publications about statistical genetics.

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Spontaneous MPB Reversal? – Hair Loss Information – Balding Blog

In your experience, have there ever been any documented cases of ‘spontaneous’ male pattern baldness reversal? That is, are you aware of any cases where a bald male’s hair regrew without use of any treatment for hair loss?

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No, but if you are aware of any complete reversals, I would love to know.

I have seen near complete reversal in some rare cases where men under 35 years old have reversed their balding after taking finasteride. Some men with telogen effluvium may lose hair temporarily, but it is rarely in a typical pattern and is more diffuse.

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Bell’s Palsy and Hair Loss? – Hair Loss Information – Balding Blog

Hi doc, i have had a case of Bells Palsy due to extreme stress 1 year ago. After that experience i have had my hairline on the RIGHT recede. Is this due to Bells Palsy? does it have any connection with hairloss? Or is it because im constantly stressing about my condition of Bells Palsys? i have yet to recover 100%. I am about 85% and this is as far as will ever recover. Also the Bells Palsys affected my right side of my face. Please, any help would be great help as i am only 23 living day to day to try and hide my hairline. thank you doc.

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Bell’s palsy is probably a viral condition. Extreme stress can cause acceleration of genetic hair loss, so that is how these two conditions are probably linked.

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What If I Stop Using Chemicals and Grow Out My Afro? – Hair Loss Information – Balding Blog

Hi, I’m a 17-year-old african male who’s experiencing hair thinning at both the left and right frontal areas of my head. I’m sure it isn’t hereditary as my older brother of 19-years still has a head full of healthy hair. I think this may be due to the numerous products I’ve used in recent years to maintain a wavy texture in my short hair. Now that I wish to grow an afro, the thinning is more visible than if I have short hair. I was wondering if growing an afro could disguise the thinning or if it could allow the thinning hair to strengthen again?

Thanks

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Let your hair grow out and you should see that it will take on its natural appearance. The new hair that grows out from the scalp never had product or chemicals on it, so this hair will curl/kink if that is your normal character. I am assuming that the chemicals you used did not damage the hair below the skin.

That being said, you might have a maturing hairline or early genetic loss. Unless you used excessive chemicals in just the hairline, it sounds like it could be genetic (which could skip generations). You might not necessarily follow the exact timetable as your older brother if there is hair loss in your family history. I wouldn’t be able to make that determination without an examination, so you should talk to a doctor if you’re concerned.

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Do Balding Men Shed More Than Normal 100 Hairs a Day? – Hair Loss Information – Balding Blog

I’d classify myself as one of the many worrying teenagers (18 years old) as I have always had a really high hairline. I was wondering how much of a telltale sign is shedding? The reason I ask is because I don’t actually notice any shedding whatsoever, which is why 2/3 in my towel after a violent rub manages to unsettle me which I know is ridiculous. However, I seem to have a slightly receded hairline at the corners. I didn’t notice shedding whilst this was happening and I believe it may have stabilised.

Do balding men necessarily shed more, or is it possible for a man to shed the same amount as a non balding man, and just not have it grow back?

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Men who are actively balding do usually shed more than non-balding men. So while it is normal to lose 100 hairs a day, those that are losing hair will probably see more than that. There are usually hairs that fall out throughout the day that you wouldn’t notice, too. Vigorous rubbing of your hair with a towel will cause more hair loss if you have genetic balding occurring, as the weakened hair will more easily get pulled out.

If you do not know if you are balding, then I recommend you get a bulk analysis done.