Born Without Pubic Hair!

I was born without pubic or underarm hair, I have eyebrows but they never grow long. The hair on my head is thick and lustrous – other body hair sparse. What causes this?

There are genetic patterns that each of us inherit associated with both our heritage and our ancestry. American Indians, like their Asian ancestors, have very little body or facial hair. Many Asians do not have pubic or under arm hair. We have transplanted many Asian women who want pubic hair, but it will grow like your head hair, a bit more curly, so you will have to cut it to keep it short.

For your eyebrows, it sounds like you have very short hair cycles there, which means that the eyebrow hair may only be there for a very short time when it falls out and eventually gets replaced by other hairs. When this happens, the length is usually very short and the growth rate is always slow in the eyebrow, possibly slower on you then in many other people of similar ethnic background.


2006-06-22 10:51:01Born Without Pubic Hair!

My friends (26, and 27) who are balding are making fun of my hairline

You have kept your 5 year-old hairline. Don’t feel bad, assuming you are the same age as they are, you will be in the category of people like Bill Clinton who kept his 5 year-old hairline into his early presidency. The juvenile hairline is rounded, concave in shape. All boys and girls at the age of 4-6 have this hairline and you were fortunate to keep it. Maybe you will become president one day. Tell anyone that makes fun of you that you and Bill Clinton share the same hairline, that should be on-up for you.


2020-08-18 06:59:42My friends (26, and 27) who are balding are making fun of my hairline

Breast Cancer, Hair Loss, and Dismissive Doctors

I am among the many young victims of breast cancer (37 y.o. with estrogen+ progesterone+ Stage III breast cancer) who has undergone 16 rounds of chemo, 6 surgeries (including oophorectomy), and 35+ radiation tx, plus am currently on aromatase inhibitors. I am treated at one of the top 10 facilities for cancer in the US, yet trying to get help for my slow growing Ludwig Type II hair while on aromatase inhibitors, esp. 2 years after chemo is proving more daunting. First, my oncologist revers me to dermatology, then dermatology refers me to endrocrinology, then endocrinology suggests I see a hair specialist doctor….but now I read in your archives to defer to the oncologist. It frustrates me that I am being punted around between medical specialties who don’t want to have any liability or necessarily want to work together to come up with a treatment plan for this pervasive side effect which many women in my position are experiencing. No one wants to touch this hair loss issue with breast cancer survivors.

I researched all the medical literature, and although there is plenty of information on observations of hair loss, there is nothing about the treatment of hair loss for those of us who are on either tamoxifen or aromatase inhibitors after breast cancer. I already started 12.5% Rogaine with Retin-A along with 5% minoxidil foam, Aminexil with Madecassoside, and washing with alternating 1-2% Nizoral. Propecia isn’t even an option. Also, I feel I’m relegated to wigs which you deem may accelerate hair loss (although if it not bonded or clipped to hair, I don’t know how that would be the case). Is there anyone in the San Francisco Bay Area that even has the breadth to tackle this problem?

Please tell me there at least some proprietary research out there that is addressing this issue on the horizon, because then I won’t be such a cynic about medicine. Clearly quality of life after cancer involves helping to alleviate hair loss as a result of aromatase inhibitors.

I am truly sorry to learn of your frustration (we’ve all been in situations where we’re referred back and forth and feel like we’re getting nowhere), but the hair loss issue really isn’t specific to breast cancer survivors. Hair loss in all women is a very difficult issue to treat. There are many potential causes, and especially with your medical history, it can be hard to pinpoint the cause. The only FDA-approved medication available to women to treat hair loss is minoxidil (Rogaine), but you should be careful with taking 12.5% and 5% minoxidil foam at the same time so that you do not overdose yourself. Some women have had minor success with Propecia, but that would be taking the medication off-label and there are potential serious risks for women that use this medication (so just to be clear, I do not recommend that approach).

Unfortunately, there are very few options available to women that are losing their hair. For men, Propecia slows the process down, could reverse it, or even completely stabilizes it for years; hair transplantation just rearranges permanent hair from the back to the front. For women, the hair loss may be so diffuse that there is not much to rearrange and there is no specific area of permanent hair like is the case with men. Approximately 20% of women may be helped with hair transplantation, so each patient must be individually evaluated. With regard to your specific situation, I would be willing to see you since you are somewhat local (I do have an office in San Jose) and maybe I can add something to help you, such as the possible use of concealers like DermMatch or Toppik. Wigs might work in your case, but one must be careful that there isn’t traction on the existing weak hair or that’s when you might run into problems with further loss.

I don’t know of any proprietary research, and I wish I had a specialist in mind that I could point you to… but I’m posting your message in hopes that it reaches a wider audience that might be able to provide more insight or assistance. As much as I might want to have all the answers, I fully admit that’s not the case.

My Daughter and I Diet Together and Lose Hair Together!

January 2008 my daughter and I went on a diet. By June 2008, I lost 40 lbs and she lost 30 Lbs. We went off our diets for the summer. Enjoyed the sun and baseball games, but both got minor sun burns on our heads. By July we noticed too much hair coming out in our brushes. Our heads are itchy and dry and it is now October and our hair continues to come out too fast. In the shower and on our combs and brushes we get balls of hair. We had blood work done, we are fine. We are going to see a dermatologist but they are booked up untill the spring. By that time, we could be bald. We were using pantene shampoe, and recently we are trying Infusium shampoe. I am 42 and she is 15. My husband and 12 year old son are fine. They also aren’t itchy and dry. We tried extra virgin olive oil more in our diet. We are taking salmon oil pills. We rubbed aloe vera on our heads and wash our hair every two days. I dont know what else to do. What could this be and what can we do, why are our heads dry and itchy and what can we use. We dont have dandruff or any other problems. Anything you can tell me would be really appreciated. Thank You.

Diet can cause hair loss and if you lost too much weight too fast, then that could be a problem. Caloric restriction in conjunction with a balanced diet is the way to losing weight and not losing your hair (assuming that you have this connection). Without examining you in detail, I can not offer you other advice here.


2008-11-03 09:21:01My Daughter and I Diet Together and Lose Hair Together!

Bumps on Scalp — Dermatologist Said It Was the Hair Follicles

Hi, I am a female and recently I have been experiencing these bumps on my head and they don’t itch, its just that I know they are there and I want them to go away and so i pick at them and pull the hairs inside the bump out. I am on Adderall for ADHD/ADD and I was wondering if that could have anything to do with this bumps. Also I am wondering if you know what these bumps could be. I also highlight my hair, and I am wondering if you think I might be allergic to the dye or if i could be allergic to the color shampoo I use. I have been to a dermotoligist and she said it had something to do with hair follicles. Thanks for your time!

You did not ask your dermatologist the right questions. Go back to her. If she said that the bumps were hair follicles, then you might have an infection (folliculitis) which she should have treated you for. I really can not tell what is happening to you, but I would be pleased to see you at no charge and give you an opinion if you wanted to come out to my offices in California. Whatever you do, stop picking on it and stay away from the hair dye that you are using to minimize the things it could be.


2006-12-08 10:22:10Bumps on Scalp — Dermatologist Said It Was the Hair Follicles

My dad and I didn’t respond to topical minoxidil

Yea doc said just not to use it. My father used minoxidil as well and he got lots of side effects just as I did. Very disappointing considering there’s barely any other options

If that was topical, he and you might be one of the 60% of men who will not respond to topical but will respond to the oral.

Can a Graft Be Put Back into the Scalp If It Comes Out?

Hello,
when a graft comes out.. in the first few days.. if it is saved.. can it be put back in the scalp…?

Thank you

Most likely not, because there will be a delay between the graft coming out and being put back into the scalp. Exposure to the air will kill the graft and that occurs in under a minute.


2008-08-19 11:29:27Can a Graft Be Put Back into the Scalp If It Comes Out?

My doctor said I shouldn’t transplant the crown

I am naturally a Norwood 3-temple recession and minor crown recession as well.

Had a 1200 graft hair transplant last year on my temples, and slightly slowered the hairline. The doc did not put enough grafts in, so I am getting a 2nd HT Nov 20 for an additional 300-500 grafts to fill it in, free of charge (there was sooo much drama surrounding this, see my post history for more info).

My crown was not operated on during my last HT, but since I am already going under the knife, I would really like my crown filled in as well. I’m not sure how to rate my crown loss-I guess a Norwood 2- in that my crown clearly has loss, but it is not unbearable. Sort of like how Norwood 2 on the hairline is noticeable, but a lot of people can still get away with it.

Both my doc and another doc in the office looked at my crown. They both advised against getting grafts on my crown. One of the docs said he never operates on the crown on people under 40 (I am 30) because of potential future loss. They also said I do have significant hair on the crown still (albeit miniaturized) and putting new grafts in could shock loss out these already fragile hairs. Essentially, they are saying that while I clearly have crown loss, it is not bad enough to merit a hair transplant for it.

I was very disappointed these docs advised against operating on the crown. My arguments for getting a crown are, if they do grafts on it and I do have future loss, I am prepared to get a 3rd HT. I am currently taking Dut and using Rogaine on this area, so not sure if I would even have more loss.

The docs recommended SMP as an option for the crown. I actually visited an SMP guy Thursday. It just seems like so much maintenance. The tattoo only lasts 4-6 years, have to put sunscreen on it everyday. Nervous it would look unnatural. So don’t want to do SMP.

Toppik works VERY WELL on the area, but again, it is still a lot of maintenance. And I would rather have the permanent option of a HT. I’m kind of confused as well. I’m sure if I consulted other doctors, or went to Turkey, I could find a reasonable # of doctors who would work on the crown. Not sure why both these docs are advising against it.

My questions are:

-Should I insist my doc operate on my crown?

-Has anyone here had any experience with doctors advising not to get grafts on the crown?

-Would you side with the doctors or me in this situation?

-Any advice on how to deal with crown loss? Toppik works very well, but Id rather have the permanence of a HT.

Transplanting the crown is something that I have been doing for 29 years with no problems. Clearly the issue is skill of the doctor, experience, and proper indications for doing it (never too early if it responds to minoxidil for example). I have had my crown transplanted and it looks great!


2020-02-20 17:47:42My doctor said I shouldn’t transplant the crown

Can Any of These Supplements Cause Hair Loss?

Dr.
I wanted to know, since I have been taking creatine, animal m stack and muscle milk I have noticed my hair has been falling off, I also take ocuvite, fish oil, and korean ginseng, do any of these supplements contain anything that may make my hair fall faster, I mean im just concerned since I am only 20 years old.

It is a cruel fate of nature for some of us to lose hair at such young age. While I cannot comment on every supplement and their efficacy on hair growth or loss, sometimes the cause of hair loss can be related to increased androgens (example: testosterone) in your body. Drugs like finasteride (Propecia) work by addressing this fact. It is my general opinion that no one source of food or supplements are a cause of hair loss unless it has steroid type of activities (of which there are probably a few natural type of substances out there on the market). If you are losing hair then it is likely you may have a genetic component of hair loss. To be certain, you should have your scalp hair examined by a doctor and if possible have you scalp hair mapped for miniaturization.