Hair Loss InformationRed Heads More Likely to Go Bald? – Hair Loss Information – Balding Blog

I’ve read that red heads have thick strands of hair, but the least amount of hairs on their head. People with brown hair have fairly thick hair strands, and a fairly good density, and blondes have finer hair but a the greatest of hair densities. Wouldn’t that mean that red heads are more likely to go bald, then people with brown hair, and then blondes?

Is there any correlation between hair colour and hair loss? Or doesn’t it matter? So, say for example there’s someone with fine blonde hair, but it’s very dense, they could end up have a full head of hair way into their 70’s?

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To my knowledge there is no connection to having red hair and an increased risk of hair loss as you suggested. The genes for hair color and the genes for hair loss are completely independent of each other.

Hair Loss InformationHow Do You Diagnose DUPA? – Hair Loss Information – Balding Blog

Hi Dr. Rassman,

I am an 18 year old male. I have experienced diffused thinning on the top and sides of my head for the past 10 months. I’ve probably lost 50% of my density. My sides are slightly thinner than the top. I was wondering if this would be diagnosed as DUPA?

The reason I’m asking is that my back is as thick as ever (of course there might be miniaturization that cannot be observed by the naked eye). Also, is it possible for a person to get DUPA this young?

In case it helps, no one in my family has MPB or DUPA. All 4 of my grandparents have quite thick hair on their sides, back and top

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DUPA (diffuse unpatterned alopecia) is a condition found in men where the hair on the fringe area (back and sides) have significant miniaturization (greater than 20% of hairs). And yes, teens can have it.

No one knows what causes DUPA, but it looks like the pattern we see in women with significant female genetic hair loss, although their miniaturization may extend to other areas of the scalp.

Complaining Doctors and Pushy Patients – Balding Blog

I am sure you guys see a lot of patients, and I just read an article on CNN about a site that lets doctors complain about pushy patients. Do you have any horror stories about patients that gave you a hard time? Here’s the article: Are you giving your doctor a headache?

From my regular reading of this blog I can tell there are plenty of people out there that fancy themselves as “experts” when it comes to hair loss and love to show off their armchair medical degrees that they earned by surfing the web for a few hours. Its great to try to learn as much as possible about various problems one might have, but at what point does it become a headache for you when the person insists a medication is causing their issue or insists that their hours of research are more accurate than your many years of treating patients in person?

Thanks and keep up the great work!!!

Dr RassmanPeople are people and they come in all personality traits. As a doctor, you expect to see a wide variation of patient personalities, and if you didn’t, you should not be a doctor. I demand that doctors treat every patient with dignity and respect. If a patient does not behave properly or is disruptive to the goals of a first consultation, I use my people skills to try to end the interaction with a frank discussion that maybe we (doctor and patient) are not compatible. This has been very rare for me to find such a patient.

What usually happens is that if there is a patient who is upset about their hair loss circumstances, or afraid of an uncertain future, or were treated with less than proper respect, or achieved less than the results than they expected from a surgery with another doctor, then my job is the communicate with them. Many times what is thought to be a difficult patient, actually turns out to be a patient who is just afraid and if I take the time to listen to them, I almost always calm them down.

I believe that all people deserve the best efforts I can manage and I approach everyone that way. Sometimes I look back upon the interactions with patients and laugh to myself at the happenings. I remember one patient, for example, who had a hair transplant with me and the next day came in with a poster sized blow-up of his transplanted scalp with individual pins placed into every graft in the head that he could see. He claimed that I cheated him and overcharged him for the number of grafts that were given to him the day before. I sat down calmly with him, showed him grafts that he did not see (no pins in the picture) and suggested that he come in another day so I can show him a live surgery and demonstrate why the picture did not really show the actual hair graft count. He did just that and everything was fine after. Especially difficult patients produce difficult challenges and it is the doctor’s job to address the needs of the patient, always.




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Hair Loss After Chicken Pox? – Balding Blog

Sir,
Recently I had chicken pox and it caused a lot of scars on my face. So for the last 2 weeks I have been using a cream named Dr.Reddy’s Venusia (vitamin E cream). After the application of the cream my hair loss rate increased drastically and I really doubt its the effect of the cream. I apply it on every night on my face. Plz help me to clear of this doubt!

It’s possible that your bout of chicken pox may have been a large stress, causing you to lose hair or to accelerate an inherited genetic pattern. I don’t know anything about you though (age, for starters). I really can not help you without seeing you. Plus, I only deal in hair (not face) problems, so a good dermatologist might be a better initial choice.

Dr. Reddy is a large Indian generic pharmaceutical company that has run into problems recently with the FDA relating to their Mexico manufacturing plant. With that said, I wouldn’t expect that the Vitamin E cream they produce is the cause of your loss.




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Is it Rare to Go Gray and Then Bald Before 40? – Balding Blog

I’m wondering, is it very rare for a man to go both gray and bald before his 40’s? I mean, I’ve never seen a 20′ish or 30′ish male balding/graying at the same time. Is there any famous person who’s got these two genetic conditions?

Thanks in advance

Balding and graying are independent genetic traits. To see this for yourself, go to a busy shopping mall with an upper level and look down on the men who pass under you.

Just because you’ve never seen it, that doesn’t mean it isn’t possible. Men tend to start seeing gray in their 30s, but it could start at any age (depending on genetics). I can’t name any famous balding and gray 30 year old, but that could probably be due to younger actors dye their gray hair to stay looking young. If I come up with a name, I’ll update this post.




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My Hair Went Gray During Childhood and I Lose Hundreds of Hairs Daily – Balding Blog

Hi,

I’m a 22 year old male, for the last 6-7 years I have been losing a lot of hair per day. For example, when I go in the bath it’s absolutely filled with hair 400-600+ strands when I get out, same in the bed every morning. It’s much more than the “50-150″ people estimate as normal loss.

I’ve always had a receded hairline but overall it doesn’t look any thinner or more receded than it did when I was a child (even pictures when I was 6-7 it looks the same as it does now). My hair started greying when I was 12 and I’ve been dying it every few months for the last 9 years.

Once hair loss speeds up to a rate I’ve been experiencing is it likely to ever slow down again, either naturally by itself or any medication? It’s rather embarrassing staying over at somebodies house and waking up with their bed covered in my hair. I’ve been to a dermatologist twice, the only advice they offered was to stop dying my hair for a year (which I did and it made no difference) and that they wouldn’t recommend I take propecia. Any advice would be appreciated, thanks in advance.

I can’t give you any advice, because I do not know what is going on with your hair loss. You need a good physical examination and a diagnosis. Miniaturization studies and bulk measurements at different areas around your scalp may shed some light.

You’ve already been under the treatment of a physician, so I’m not sure what I could offer. Why wouldn’t your doctor recommend Propecia? If you’re a young man with hair loss, Propecia might be your best shot. With respect to greying, I do not believe it has any association with hair loss.

You can not lose 400-600 hairs per day without becoming bald quickly. Just do the math. The average man has 100,000 hairs on the scalp… so that means that you would lose every hair on your head in 167 days if you have an average hair density.




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After Using Dutasteride Every Day for a Month, My Hair Shed Fast – Balding Blog

Hi Doctor,
I’m 22 yo man and I have a weird experience from dutasteride and wanna know your opinion about this. After a month of daily use of 0.5mg dutasteride my hairs started to shed very fast! and it continued for at least 3 months. now shedding became slower but it’s not halted or regrown! also I think my hairs become a bit slacker and thinner! I think (just think) I have some new growth, little hairs on my hands. I have no decreased or increased in libido or any sexual side effects.

after 4 months on the drug I took a blood test that showed my T=430ng/dl and FreeT=14pg/ml but LH was low and it was 0.91(from 1.1-7).

So doc, what does these results means? If I become hyperandrogenic so why T and FreeT are normal and LH is too Low. and if I have hypogonadism why my hairs sheds and body growth some new?

I cannot interpret your laboratory test results for you. This is something you need to discuss with your doctor that is treating you. It isn’t because I do not want to interpret the test results, but rather I do not know how to correlate the values with what you are experiencing. More importantly, I would want to know what the values were BEFORE you started taking dutasteride.

I do not recommend dutasteride to treat androgenic alopecia and I do not know what the correlation it has with rapid hair loss. This may be a temporary shedding which would reverse in 2-3 months.




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Did Immunizations Cause My Daughter’s Hair Loss? – Balding Blog

My question is in regards to my daughter. I have an 11 year old daughter who about 3 weeks ago started experiencing hair loss (none before then). She’s always had a full head of hair, but now I can feel the difference.

I noticed her hair started falling out after I brought her in for her physical. She was given two immunization Tdap and Menactra. Could hair loss be a side effect to any of these immunizations? I brought her back this week and her doctor ran additional blood tests, which he said came back normal. I asked for a referral to see a dermatologist because I’m concerned with the hair loss. Can you shed some light on this problem or can you advise as to what I should be asking the dermatologist when we see him?

Thank you for your help.

ImmunizationI doubt immunization caused her hair loss. Menactra is a meningitis vaccine and Tdap is tetanus, diphtheria and pertussis vaccines. I am unable to find any cases referenced that mention hair loss from those.

While vaccines in general don’t cause hair loss, there’s a small study published in 1997 that links temporary hair loss and the hepatitis B vaccine in very rare cases, though most children in the world receive standard immunizations and they do fine. I realize the topic of immunization in children has been in the media in recent years due to a report connecting those shots as a cause of autism, but that turned out to be false.

With respect to your daughter’s hair loss, I really cannot say. I would defer to the doctor who will be examining her. Sometimes hair shedding may be just temporary and you may be overreacting.




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Hair Loss InformationAfter Taking Finasteride, I’ve Shed Short Hairs Near My Sideburns – Hair Loss Information – Balding Blog

Hello, I am 21 years old and have been on Finasteride for three months now. Since that time, I believe I have seen benefits from the medication (I no longer pull out any ‘stray’ hairs whenever I run my hands through my hair). However, I have been shedding some short, thin hairs on the sides of my head, specifically above my sideburns. The hair on my sides has always been a bit thinner than the rest of my hair, so is it possible that the medication is reacting harder to regions that are genetically weaker than elsewhere on my head?

Thanks.

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I haven’t heard that before. Anything is possible, but likely not probable. Perhaps there are other issues and you do not have the correct diagnosis of androgenic alopecia.

There is also a rare condition known as triangle alopecia where men lose hair on the side of the scalp in the shape of a triangle at or near the temple peaks on the side of the head. This condition is usually genetic and may impact only one side. Generally Propecia does not work for triangle alopecia, and if this is what you have, transplants work well for it. This is all guessing on my part. You should follow up with your doctor.