Balding Blog

I’m a diffuse thinner, and while my hair is paper thin, I technically don’t have a completely bald spot on my whole head. Does a thin hair mean there’s a chance it can be revitalized?

No. Thinning is not an easy diagnosis to make and it requires a trichoscope and an expert doctor to understand the cause and if there is an effective treatment for which a hair transplant is often not appropriate.

Hey Doc, I have posted before and you replied, but I was very unhappy with your posted answer so I though I would rephrase my question. I am a 22 year old male who has thinning the kind you see in old women. Its pretty thin, and when i shower or go in the pool you can clearly see my scalp, its embarassing. Is DHT the chemical responsible for my balding. PLEASE dont tell me to see a doctor and leave it at that. I have Truly DIFFUSE UNPATTERNED alopecia. Hypothetically speaking, if you were my doctor, and you determined this what would you tell me to do short, SHORT of a hair transplant. Is Rogaine more effective than Propecia or Avodart for my kind of balding? Does Rogain work well in Women? Thanks for the help, your website kicks ass and has really helped me.

Male hair loss presenting as Diffuse Unpatterned Alopecia (DUPA) is different from male pattern hair loss. If you have a diffuse pattern hair loss, that would include in what we call the donor area, which is the area in the occipital and bitemporal areas (the fringe around your head and sides), then you need to be evaluated first with blood work to rule out hypothyroidism, anemia, hormone imbalance, autoimmune disease, etc. Possibly, a dermatologist can biopsy your head if you have inflammatory disease on your scalp which can cause diffuse pattern hair loss. The process we call DUPA, when there is no metabolic or autoimmune problem indentified, may respond to Propecia (about 50% of men will get a partial reversal in my experience).

I have developed bleeding and many pimples in my recipient area 3 months after my hair transplant.

You might have an infection or cysts from the surgery. Go back and have your surgeon examine you, culture the drain these cysts. Lance pimples that are large and then commence treatment if needed.

This finding at your age suggests that you may have significantly more balding as you get older. See a doctor and build a Master Plan with that doctor that accounts for the short and long term changes that you are undergoing. Your frontal hairline needs to be examined closely by an expert.

These bumps indicate either inclusion cysts from buried grafts or infected buried grafts, and they should be drained by your surgeon

The sexual side effects from finasteride can appear at any time. It may be caused by the drug. See your doctor and discuss this with him. I generally tell my patients to reduce the dose to one pill every 4th day for 3 weeks, then one pill every 3 days for 3 weeks and then end up with one pill every two days and stay on the lower dose if that dose helps the side effects.

You are nit-picking. Nothing there of significance!

i have sleep disturbances with fin for nearly 2 weeks … usually i sleep ( 9-10 ) hours now … i woke up in the middle of the night and i sleep just 4 or 5 hours and can’t continue and feel sleepy throughout the day … is there any chance that side effect disappear by time ? because it affects me in my work and in my life generally …. if i took fin before sleeping could that help ? .. or just quitting is the only solution ? … i need to know your opinions because i can’t live like that !

Sleep disorders with finasteride are not reported. This could be psychological.