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I bleached (at a parlor) my hair about 6 months ago and have noticed a noticeable thinning overall in my hair since then. My question is does bleaching cause permanent hair loss?

When bleaching is done improperly, there are chemicals in the bleach that can burn your hair follicles resulting in a permanent loss of hair. We see this at times in professional salons when either the person doing is new, or the person doing it did not follow a strict protocol designed to prevent such happenings. When the damage happens, it kills hair follicles at the root. Sometime, Minoxidil (Rogaine) may grow new hairs, but this is generally not a reversible thing. If it particular bad in a single area, then maybe a hair transplant can address it,

I no longer get morning wood and my erections are only about 70% what they were before fin. Been telling myself it’s all in my head, it’ll resolve itself in time, and even that it’s probably caused by other meds I’m on (SSRIs). Well it’s been around 9 months now and there’s been no improvement and I’m no longer on SSRIs. So what now? Should I go to my doctor and ask for a hormone panel, or just stop fin immediately? I’m only 21 and it feels like my choice is between having no hair or no sex life.

If I stop fin for a few months to see if my erections come back, will I likely lose a significant amount of hair? Would jumping back on fin after a few months recover most of that lost hair?

Really unsure what to do, so any advice from people who’ve been in similar situations would be really appreciated

You might want to cut it out for 3 weeks as I advise my patients, then restart it as one pill every 4 days and try that for a week. IF that works, then increase it to one pill every three days for 3 weeks and if that work then try 1 pill every other day and stop there. IF the ED comes back, then you either have found the dose you can tolerate, or may not find any dose that works. Best, of course, to discuss this with your doctor.

Dutasteride is like Finasteride. They are both DHT blockers. The results from Dutasteride should parallel Finasteride.

Dutasteride is not FDA approved for safety in use for hair loss. There are known reports that Dutasteride has caused sterility in some men, maybe rare, but we don’t really know how common it is.

Hi, I just had a quick question.

My dad started to bald somewhere between 18-19 and was nearly all the way bald by 20. My paternal grandfather is also bald. My mom’s side however has all of their hair, including my maternal grandfather. I’m 18 now and my hair color is much different than what my dad’s was at his age, his was auburn, mine is dark brown. It’s also still incredibly thick. I also seem to have the same soft hair as my mom but not fine hair or anything.

So my question is, will I go bald and if I do, will it start soon?

Thanks!

Hair color and balding are not linked. Just based on an email, I have no way to know if or when you’ll go bald. You’ll need to meet with a doctor for a miniaturization examination of your scalp, along with follow-ups over time to see if there is indeed any thinning.

Yes, some people get changes in mood on finasteride. That is a problem for men with depression as it could exacerbate it.

When I wake up – I look in the mirror and it’s obvious that my hair is much thinner on one side of my head. I can create a big parting on this side because the hair is so thin and can’t do so if I try on the other side. I’m 27 and have slightly receded temples and the temple recession is slightly worse on this side but I don’t understand why it’s thin all the way to the back of my head on this side?

Is this common with male pattern baldness? My dad is bald but I have been quite stressed over the last year and don’t want to take propecia if it’s something other than MPB.

Thanks.

It is common to see more thinning on one side in cases of genetic male pattern baldness (MPB), but rest assured that the other side generally catches up. I do not know if you have MPB, but if you believe you are losing hair you should see a doctor and get a diagnosis.

You should wait until all of the crusting (scabs) are off and the recipient site has healed before using your turban.

If I were your doctor, there would be no crusts because we give our patients hair washes after surgery, so you would be cleared to use a Turban in 10 days without any crusting.

hi. I would be most grateful if you could help me…My hair was pulled out 4 weeks ago. It hurt and bled a tiny bit. The bald area pretty much immediately grew (sparse) stubble, so I am assuming this will eventually regrow. However, the bald patch has increased in size (about half an inch forward and back), and the hair surrounding it still falls very easily.

Is it possible these hairs were disturbed in the follicle (a big handful of hair was pulled) or could there be an underlying problem? Or could this be a localised anagen effluvium (if this even exists). In the beginning the area and whole scalp ‘burned’ intermittently for about 3 wks although now just the ‘patch’ burns occasionally. I find if the surrounding area itches and I scratch thats normally when the hair comes out (1-8 hairs at a time). I have looked all over for an answer but I think this must be unusual which I find worrying.

Thank you for your time.

If you are really worried, I’d have a doctor examine your scalp. I would expect, however, that if you wait up to 8 months, the problem will take care of itself. Generally, a one time hair pull will not result in permanent loss.

Perhaps the surrounding hairs became weakened after the hair was yanked out and that’s why you see loss in that area. Without seeing what you’re talking about, I am having a hard time understanding what you are describing.