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I Think That I Have Dupa!

I was really worried about it, so went to quite a famous derm, who told me I had no miniaturization(using the proper equipment, I assume, not just by eye like another derm did). Cut to now, my scalp is beginning to show even more, and the itching continues.

Should I hop on fin + min? I wanted to get a dermaroller, and have no problem with proscar, but was hoping to delay it, maybe try coco butter or rosemary oil to slow down the shedding.As I said, I have no problem with the big three, but am afraid it would only rush the fall process without any recovery, seeing the unusual pattern.

I first defined the term DUPA and it is very rare. For reasons that confuse me, many men make that diagnosis based upon fear, no facts. To make the diagnosis you need a hand microscope to measure the miniaturization in the ‘donor area’ hair which must be significantly over 20% miniaturization to be DUPA (Diffuse Unpatterned Alpecia). Since it is rare and you probably don’t have it, you need an expert like me to tell you what is going on. Did your expert dermatologist look at your hair with a hand microscope on your head? Most doctors rarely do this so that they can’t make the DUPA diagnosis. That is good news for you, as if you don’t have DUPA, then there are many things that you can do and you have options.


2019-09-12 12:32:03I Think That I Have Dupa!

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I Think Some of My Grafts Were Dropped on the Floor During Surgery!

I recently received a hair transplant and while I was in surgery I believe some of my transplant hairs were dropped. The doc had pulled a lot of hair out and another worker was doing something with them for a long time in another room and then when coming back she dropped a glass containing the hair. I could tell something bad had happened but nobody said anything because it was behind me and I couldn’t actually see it. I overheard someone saying she was cleaning them but the doc ended up pulling more hair out of my head. I figured by asking it wasn’t going to affect my outcome so I didn’t say anything. Do you think these hairs were lost or could they have been saved and used?

You can suffer from infection or hair death if the grafts remained on the the floor for a period of time without being hydrated and kept wet. There no absolute cut off time limit but I am just giving a generality here. It probabaly also depends on how dirty the floor was. Mistakes can happen but there are appropriate steps to take if there was contamination (such as thoroughly rinsing / washing the grafts). Ask your doctor! Trust should be the foremost foundation between the patient and surgeon.

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I Think My Sperm Count is Lower After Using Propecia for 5 Weeks

It has been 5 weeks since i started propecia, i think my sperm count and density as well might have decreased a bit, should i keep on using the medication? No loss of libido though.

A known side effect of finasteride (Propecia) is a reduced volume of ejaculate and this occurs in somewhere between 10-20% of patients, but all of these men will have a normal sperm count when tested for their actual count. You may be confusing ejaculate volume (which is often lower when taking the drug) to sperm count (usually range is in the 15-60 million per cc). There is more to sperm being present that is important. One looks at the health of the sperm (morphology), the motility of it, the sugar (fructose) in the fluid, etc.

If you want to know if you have azoospermia (no sperm in the semen) then you can get your doctor to recommend that you be tested. There are some rare reports and concerns that finasteride can reduce the actual sperm count and even produce sterility if the azoospermic counts go down to very low numbers. When this happens, the process often reverses when you stop taking finasteride.

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I Think My Hair Transplant Surgery Failed.

I had a hair transplant surgery three months ago by a reputable doctor, but I am not seeing any results. I think it may be a failure. What can I do?

hybernate3

Transplanted hair grafts usually shed and fall out within the first few weeks after surgery. Transplanted hair grafts usually go into a dormant state and will not produce new hairs or continue to grow. The first few months after surgery you may look worse as you may continue to lose your native non-transplanted hairs. Not much happens in the first three months as the grafts are mostly in the dormant state. Be patient, you will start seeing results in 6 to 12 months (sometimes longer). At this point (at 3 months) think of the grafts is if they are “hibernating”.


2015-09-05 23:06:05I Think My Hair Transplant Surgery Failed.

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I Think My Hair Loss Is Too Aggressive to Be MPB!

I would like to get your opinion on why I am experiencing relatively sudden thinning. I am 19 years old. I can’t pinpoint the exact time that my hair started getting thinner, but I can say that my hair was completely full a little under a year ago, because of my driver’s license photo.

I have a feeling the hair loss is far too aggressive to be male pattern baldness, because I have had no signs up until recently. I don’t recall before a couple of months ago. In fact I have never seen hair fall out of my scalp or seen actual “hairloss” but i’m sure people rarely do.

I would like to know if you think this hair loss is temporary (based on the photographs) and if you think this is possibly permanent or even male pattern baldness. I have no history of the disease, my grandfathers on both sides died with a full head of hair. So did the grandmothers!

Male pattern baldness (MPB) does not always require a doctor to assess. Look at your hair loss pattern (use two mirrors). Is it thinning mostly at the top, but you still have good hair on the back and sides? If so, chances are you have MPB. We recommend a miniaturization mapping of your scalp hair and you can make the diagnosis that way. You can see how to do this yourself — here. By the way, MPB is not a “disease”. It is a genetic trait that you inherited from one of your parents. It may skip generations so you may not see it in your immediate family tree.

Finally, the aggressive nature as you describe does not surprise me, as men who lose considerable amounts of hair with an advanced balding pattern usually have a more rapid course of hair loss, often starting in their very early 20s. That may not be your case, but don’t fool around with it as there is a good medication (finasteride) to take if you are unfortunately balding. See your doctor and get a correct diagnosis and ask about options.

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I Think My Ex Is Putting Nair in My Shampoo!

Thank you for your time. I am a 33 year old male and I have used propecia for some time now and my hair loss has been minimal up until the last few months. I have good reason to believe that my ex-girlfriend has been putting nair in my shampoo, conditioner, or styling paste. It has changed in texture and I am losing it in patches and generally all over my scalp. If this is the case then is the damage permanent or will it grow back? Also, what can I do to repair my hair?

Again, thank you for your time.

Yes, if that suspicion is true then it will grow back, provided the assault stops. You might want to have a serious discussion with your ex or threaten to take legal action against her. Or at the very least buy new shampoo, conditioner, and hair product…

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I Think My Donor Scar Is too High and Will Show Soon

I’m concerned that one of my donor scars is too high and that eventually it would show as well as the grafts taken from the area will die. I’ve had three procedures. The first was in 1997. I had 800 micro/mini grafts. Then in 1998, I had another 1000. This time the doctor seemed to place the incision in the donor area high. My third procedure was in 2007. I had 2000 FU’s placed. I think I’m a class 5 or 6 (not completely sure). During my last consultation before my procedure, the doctor told me that the scar from the previous procedure looked high.

It is 2″ above the bump at the base of my skull – about the height of my eyes and the top of my ears. I’m not sure if it was higher before my last procedure. Is it possible that it now appears a little lower given that 2000 FU’s were taken below it? Does this sound too high? Would hair mapping help me to know with greater certainty? If so, where can I go to have my hair mapped?

I appreciate your time in reading and responding to my question. I’ve read several of your blog comments, etc. and I’m considering using your services in the future.

Thanks again

Perhaps your donor scar is higher than normal, but this can be a normal thing as the doctor will make subtle judgment calls during the procedure. It may bother you cosmetically, but there is not much you can do other than to grow your hair long enough to cover the scar. From a long term point of view, if the donor hair was taken too high, it may not be in the area of permanent hair, in which case you risk losing the hair that was transplanted from that area.

You should start off with a good examination and consultation for a second opinion. That will address your concerns above. You must have a worst case scenario managed with a Master Plan for future hair loss, as you are suggesting in your questions. I don’t have a list of every doctor that will map your scalp, but you can find a transplant doctor in your area by using the physician search at ISHRS.org.

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I Think I’m Too Young for a Hair Transplant, So I Want to Use a Hairpiece Until I’m Old Enough

Hello NHI physicians,

I’m thinking about getting a hair transplant in the future, but at the moment I think I’m a bit too young for one (under 25). I have diffuse MPB on the crown (it’s quite severe), and am thinking about shaving the top off and using a hair piece/hair system until I reach the age when the MPB is more stable.

My question is, would the glue or bonding method from using a hair piece damage my scalp in any way that would prevent me from getting a hair transplant in the future?

I appreciate all the information you all have provided on this site.

ToupeeGlues, tapes, and even clips are methods used to hold down the hairpiece to the scalp, which can cause even more hair loss. These will likely not prevent you from getting a hair transplant in the future, but you’re running a huge risk of causing yourself more trouble with hair loss. Weaves also cause traction alopecia. There is really no way around this. The decision to go with a hairpiece is a more common decision than those that want hair transplants, possibly because of the perceived cost difference and/or the fear of a surgical procedure. The choice may be a very expensive one, however, as the 5 year cost for a hair system can run well over $15,000. See My Hair System Cost Me Over $16,000 In 5 Years! for a breakdown, as sent in by a patient.

If you are losing your hair from MPB, be sure to also consider finasteride. This is a prescription medication and requires you to meet with a doctor.

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I Think I’m a Norwood 1.5 and I Can See My Scalp Under Bright Lights

Hi, I am a big fan of this blog.

I am a male of 24 years from India and have been losing hair since I was 18. Here is the condition of my hair:
-I think I am Norwood 1.5 and my hair seems full to others
-I lost much of bulk on my balding zones, non balding zones are okay.
-I lose hair which are so thin. Most hair strands that I lose are thick at the tip, but gets so thin towards the root (the bulb portion). The root portion is also whitish in colour.
-My scalp is so freakishly oily and have dandruff only on the balding zone. Whenever I scratch I find hairs that are almost invisible.
-Some long hairs can be pulled out easily. They move in the slightest of wind while holding at the root. Those strands are medium thick but very lifeless.
-My crown is feeling very thinner. The scalp can be seen at bright lights

I think I am in early stages of balding. I want to do something to treat early before it is too late. I am a bit scared of fin but I wont mind giving it a try. What do you say about my hair condition? is it mpb? Can i take fin without seeing a derm? or should i wait for histogen?

If you’re seeing a Norwood class 1 or 2, that isn’t really considered balding. It is normal to lose hair daily, as new hair grows in (hair cycling). It is also normal for your hair to appear thinner under bright, direct lighting. All in all, what you’re describing sounds pretty… normal.

If you are concerned that you’re in the early stages of male pattern baldness (MPB), you should see a doctor. Do not just take finasteride without a prescription. It is a prescribed medication for a reason, and you must see a doctor (dermatologist or otherwise) that can tell you if what you’re seeing is even MPB.

I couldn’t tell you if Histogen or other future treatments will become a reality, or how effective they will even be, or when they will even be public. There are still a lot of questions about future treatments, but we’re all waiting to know.

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I Think I Lost Hair Because of Exercise

I have lost most of my hair because of exercise. I stopped exercise for couple of months & retrieved almost 30% of my hair loss. but the problem is I am a fitness professional and cant live without a workout but as soon as I start my workout which includes weight training I start losing my hair. can anybody help me? whats the relation between exercise & hair fall? if you see, most of the body builders are bald but why?????

There is no connection to exercise and hair loss unless you have a telogen effluvium that is caused by stress. Are you stressed when you exercise with your clients? Even this scenario is far fetched. I would have to examine you and take a careful history to understand your problem better. I would be venturing a guess without knowing more.