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I Am 19 Years Old And I Am Balding Like My Norwood 5 Father.

I’m 19 and play college football. My Dad experienced hair loss around my age and was a Norwood V by the time he was 30. His hairloss was gradual and then slowed way down.

I have a lot of stress right now because of playing football and tough academics and I broke up with my gf. It seems this is accelerating some of it. But, I try to calm myself down. What would you recommend me trying to take for now? I will get a transplant or something later after I play college. I just need to get through another 4 years!
Thanks in advance.

As you are finding out hair loss is genetic. In general many men who have the trait of Norwood 5/6/7 patterns will have the pattern show in their 20’s. It does slow down in their 30/40s.

If you want a medical treatment, you need to see a doctor to explore your options such as taking Propecia or Rogaine. It is the only two medication that work. Shampoos, vitamins, and products you may find on the Internet despite the great advertising persuasion, does not work to stop or regrow hair. At best it may be “good” for your hair in terms of keeping the hair’s shine and body.

Other options would be simply shaving! Bald is beautiful (or handsome)… as they say.

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In the News – Alopecia Totalis Sufferer Called Names By Coward on the Street

Snippet from the article:

TV presenter Gail Porter has tweeted her shock after a man accosted her on a London street, calling her “baldy.”

The Scottish personality has alopecia which has left her suffering from severe hair loss and she has spent years campaigning to increase awareness of the condition.

Porter tweeted to describe the incident which she said left her in tears near her London home

Read the rest — Man calls Gail Porter ‘baldy’ in alopecia abuse incident

Most of us in the US are probably not familiar with Ms. Porter, but she is a former pin-up model and currently a television presenter in the UK that has campaigned for alopecia awareness since her hair began falling out after discovering she had alopecia totalis in 2005. I suppose the silver lining of this incident is that it brought her story back into the news, thus hopefully raising further awareness.

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2 Weeks After Using Hair Dye, My Hair Is Falling Out!

I’m a 28 year old female who has always had very long, thick and strong hair. I’ve dyed it for YEARS. Now, suddenly, my hair is falling out and baldness is not found on the woman’s side of my family. After I brush and after I wash I can literally pull out the hair by the handful. It’s scaring me to death. I dyed my hair about 5 weeks ago, and 3 weeks ago is when I began to notice this. Could it be connected? My scalp didn’t feel burned or hurt, so origially didn’t think it could be related to the coloring. However, I at a loss and I’m loosing my cool. Please help! Thanks so much.

It is normal to lose 100 hairs a day. You might consider stopping the hair coloring process to try to surround what is happening. That being said, I am sure you are noticing more hair falling out than what you are used to. It may be a phase or it may be a sign of a medical illness or a genetic balding process. Genetic balding does not necessary mean that your mother or father were balding. Hair loss in women can sometimes be caused by underlying medical conditions, so it is important for you to be evaluated by your own physician before we proceed. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. It is also important to review the use of medications that can cause hair loss, such as oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin and prednisone. The following laboratory tests are often useful if underlying problems are suspected: Estradiol, FSH, LH, SHBG, Prolactin, T4, TSH, ANA, Iron, TIBC, Ferritin, Free and Total Testosterone. You may benefit from a miniaturization study to examine your hair under a hair densitometer to document the health of your hair.


2006-11-09 08:44:432 Weeks After Using Hair Dye, My Hair Is Falling Out!

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In the News – Busting Counterfeit Drug Rings in the UK

Snippet from the article:

In a sleepy suburban street, police and undercover agents prepare to raid the HQ of a lucrative drugs ring. But this is not a squalid bedsit or dingy warehouse. It is a detached bungalow on a leafy lane in an affluent area. The cops are not after crack or heroin. They are hunting substances that many believe to be potentially even more dangerous – fake prescription medication.

There is big money being made in counterfeit medicines, which are sold mainly on the internet. The market is believed to be worth around £45million a year.

Read the rest at The Sun.

Oh, and finasteride is listed as one of those drugs that they’re hunting. This is just one of the reasons I’ve never recommended ordering prescription medications via the web. I know some people disregard this type of information, so even if you’re adamant about ordering prescription meds online, at least use common sense and be careful.


2009-12-08 10:36:33In the News – Busting Counterfeit Drug Rings in the UK

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20 Year Old Thinning Heavily After Stopping Propecia

Hello Dr Rassman,

I am a 20 year old male and have had some hair thinning in the front for about half a year.. I started propecia and stayed on it for a about a month, my hair thinned out even more and side effects were not worth it. Now 2 months after stopping treatment my hair is shedding like crazy over 200 hairs a day and the hair feels brittle all over my head. I searched through your blog but havn’t seen anything about this issue in my age range. thanks

My blog is full of recommendations to get yourself diagnosed. You need to have your hair mapped out for miniaturization, as I have said 1000 times before (perhaps even more than that). If you do not know what is wrong with you, how can you treat it? The miniaturization map tells what is going on and that comes about before you treat it.


2006-09-07 12:57:0120 Year Old Thinning Heavily After Stopping Propecia

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In the News – Doctors Usually Don’t Report Incompetence

Snippet from the non-hair-loss article:

A quarter of doctors who know that a colleague is underperforming or incompetent do not sound the alarm, a confidential survey reveals. They fear retribution, believe that no action would be taken, or assume that someone else is dealing with the problem.

Martin Roland of the University of Cambridge and colleagues confidentially surveyed 3000 US and UK doctors in 2009. The results suggested that almost 1 in 5 doctors had direct experience of an incompetent or poorly performing colleague in the previous three years.

Read the rest — Doctors fail to report incompetent colleagues

In the March 12, 2011 issue of New Scientist, the journal quoted a University of Cambridge survey of 3000 US and UK physicians regarding their feelings about the competence of their colleagues. Poor performing colleagues who create errors in patient care reflected an alarming 21% of practitioners in the US and 13% in the UK!

I suspect that these numbers are far worse in fields of medicine like hair restoration, because of the absence of peer review of the activities of these doctors. I could name names, but because of the legal system in the US there is no protection against slander lawsuits lodged against me… so instead I speak loudly about the problem and report to the medical boards those physicians who I know are involved in illegal and immoral acts against patients.

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In the News – Gene Identified for Psoriasis

Snippet from the article:

Scientists in the United States have pointed the finger at seven genes that appear to play a role in psoriasis, a study published on Sunday says.

The work could unlock new drug targets and tailored treatments for this painful, disfiguring skin disease, they said.

Read the full text at Yahoo! Health

We are unlocking more and more of our genetic codes. The balding four most probable genes have been identified. Now we have identified one of the main culprits of psoriasis. Once we know the gene and command it, we will develop appropriate drugs for its cure.

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2011 ISHRS Meeting Review, Part 8 – Minoxidil

ISHRS 2011

Note: The annual meeting of hair surgeons was in held in Alaska this past week. The following review is very selective and is biased by the things that were interesting to me and what I (Dr. Rassman) thought could be interesting to the readers.

This is part 8… and final part. Thanks for sticking with me on this!

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Minoxidil as a systemic medication?

    Dr. Damkerng Pathomvanich (award winning doctor from Thailand) experimented with the use of minoxidil as a systemic medication on patients. This medication is used in many Asian countries as a treatment for hair loss. He commented that when spironolactone is added to systemic use of minoxidil, there is an enhancement of the hair benefits and a reversal of hair loss in many people. Although the reported side effects of this approach were small, there are still many side effects with these medications (e.g. significant drops in blood pressure, weight gain, fluid retention, rapid heart rate).

    These systemic medications are not FDA approved in the United States for the treatment of hair loss, as well as many other countries. Minoxidil was originally used in the 1960s as a treatment drug for high blood pressure, but its impact was not consistent with lowering blood pressure. Many of these earlier patients developed a reversal of their hair loss and many women treated with it developed facial and chest hair.

 
Aspirin and hair transplantation?

    A hair transplant surgeon who is also a cardiologist suggested that a person on low dose aspirin can have a hair transplant without stopping the aspirin.
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In the News – High Dose Finasteride for Treating Female Hair Loss?

Snippet from the article:

Off-label use of oral finasteride at 5 mg/day proved safe and effective for the treatment of female pattern hair loss in 43 premenopausal women in an 18-month study.

Treatment effectiveness was assessed in two ways: patient satisfaction scores and two blinded investigators’ evaluation of photographs. As a precondition for study participation, patients needed to have normal serum androgen levels, no clinical signs of hyperandrogenism, and no wish to become pregnant ever again. They also had to go on drospirenone/ethinyl estradiol for oral contraception.

At the 6-month mark, 25 patients (58%) characterized their improvement as “huge” and 14 (33%) as moderate; 4 reported no improvement. These results were stable across time, with the women reporting the same results at 12 and 18 months of follow-up.

Read the rest — High-Dose Finasteride Halts Hair Loss in Women

The study appears to be unpublished and includes only a few dozen patients, but I found it of interest to our readers and worth posting. As the article points out, “an 18-month study is not sufficient to draw solid conclusions about the possible long-term risks of extended therapy“.