I am 57 years old and have maintained a good head of hair (albeit grey these days) throughout my adult life. I did notice in my late teens and early 20’s some recession at the temples, but overall I have what is considered to be good “coverage” when compared to others in my age group.
I have been on Flomax for a urinary flow issue (high bladder neck) and Androgel for hormone replacement for 5 years now. Recently, I added Plavix, Enalapril, 81mg aspirin and Vytorin to the regimen because of an angioplasty and to lower my lipids.
In addition, I take Fish Oil, Folic Acid (5mg) Saw Palmetto and CoQ10 (200mg) although these are not prescribed, only suggested.
Recently, I have noticed some acceleration in hair loss at the crown and frontal area, although it’s progressing slowly and mildly.
I am wondering if the new combination of drugs might be the reason, or if this is simply the natural progression of MBP. I imagine at this point a minaturization study would be a good idea instead of speculating on the impact of my drug cocktail.
Please advise, and thanks for your excellent site as well as your candid, well-researched and scientific approach to this problem.
Yes, I believe a miniaturization study may be of benefit. Genetic male pattern balding (MPB) may be a cause of your hair loss, but is rare (although not unheard of) to occur so late in life. Of note, taking Androgel may contribute to the MPB due to its androgenic properties. However, you should always consult with your physician before starting or stopping any medication. It is unusual that hair loss starts in a person of your age, so I would look to the medications that you use as a possible cause.
If your hair loss is related to MPB, there are medications (such a Propecia) that MAY offset it.
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In general, any burn or local scalp irritation can cause hair loss. Chemicals can work their way down the hair shaft to get at the growth centers which lies at the bulb (5-6 mm deep) or at the bulge (about 2-3 mm from the skin surface). For heat burns, you should have a second or third degree burn to the skin and see it quickly, but for chemicals burns, it might take weeks for the full damage to be known. If the chemical burn causes complete loss of the hair growing centers, then the hair will fall out in 7-14 days, but if there is partial damage to just part of the growing follicle, this may take more than a month to understand the damage. Varying insults may force hair follicles to go into their resting phase (telogen) and after 2-6 months, it may go into its growth phase (anagen). In your situation, hair loss may be seen as early as a few days after the injury or it may also take weeks to see the full impact.