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Accutane and hair loss

I went to the dermatologist the other day and she diagnosed me with TE. I am 21 years old and male. She blamed it on stress, when in reality I’m not stressed. What I believe it’s from is the 5 month accutane course I finished up in October of 2016. I honestly didn’t notice much shedding, but I have a ton of hair, and it’s short too. My barber told me I had uneven hair growth in January. Since then I can feel/ seethe spots that I am in shedding in. To this day I’m still shedding. Is there something I should do about this? Is this normal? Should I just let time do it’s thing?

Accutane is known to produce hair loss and the effects can last ujp to a year after you stop the drug. Go back to your dermatologist.

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Accutane for Acne, Propecia for Hair Loss

Hi Im 22 years old and my hair has been thinning really really bad for like the last year or so.

I just started on my second month of propecia and I know its too early to see any changes, but my problem is that I also have an acne problem and my dermatologist is going to put me on Accutane. I know accutane contributes to hair loss also so i just wanted to know if I could be taking both at the same time? or just any advice you can give me.

I doubt that Propecia (finasteride) will protect against possible hair loss from Accutane (isotretinoin). There aren’t known interactions between the two medications, but this subject needs to be discussed with the treating doctor, not with us over the web.


2010-07-30 08:47:29Accutane for Acne, Propecia for Hair Loss

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Accutane and Hair Loss

I was wondering if there was anyone who has taken Accutane in the past and experienced hair loss as a side effect; and has anyone been able to regrow their lost hair?

I noticed from some older pictures of my hair (a few months after I stopped Accutane) that my hair loss hasn’t progressed since I stopped taking it. This has led me to believe that my hair loss was due in large part to Accutane.

Hair loss is a common side effect of Accutane. It sometimes take over a year to get improvement after stopping the medication.


2020-04-19 07:52:11Accutane and Hair Loss

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Accuracy of Miniaturization Mapping?

How accurate is miniaturization analysis? My trichologist said unless you examine hair bulbs and shafts under microscope, you cannot determine the exact cause of hair loss. She also said that any thinning looks like male pattern baldness. What do you think of her opinion and the microscopic hair analysis?

A miniaturization mapping is just looking at the hair under a microscope and comparing it with normal hair that is often in the general area you are studying! I have never understood what the trichologist is looking at under the microscope. The accuracy of our mapping process is regional, based upon the changes that occur in miniaturization (often progressive) with genetic balding. More importantly we evaluate the pattern of miniaturization (under a microscope) at different areas of the scalp to determine how extensive it is in areas where future balding will occur, which will always miniaturize prior to becoming bald. Early in the process, the naked eye will often be unable to pick up the changes in thinning, so the mapping here has great value. And in case you missed it, I’ve provided tips on performing your own miniaturization mapping:

  1. Mapping Your Own Scalp for Miniaturization, Part 1
  2. Mapping Your Own Scalp for Miniaturization, Part 2
  3. Mapping Your Own Scalp for Miniaturization – VIDEO

To answer more specifically to what your trichologist said, you don’t need to examine the hair bulbs and shafts under a microscope to determine the exact cause of hair loss. The cause of hair loss is genetic balding in probably 99% of men. We use a miniaturization study to find out if there is early balding and then quantify it as well. We also use a miniaturization study to plan for treatment (medical or surgical) and follow the progress of such treatment plan. Drugs like Propecia may reverse miniaturization.

Finally, if you do not have male pattern baldness (women, for example) looking at hair or its bulb under a microscope wouldn’t tell much unless there is a telogen effluvium. Generally after taking a good medical history and examination, doctors do a scalp biopsy in women (as a last resort) to determine if there is a pathological process or order blood tests to see if there is an underlying medical issue.

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According to the Journal of Endocrinology, Masturbation Increases DHT

according to this actual study, masturbation can indeed increase levels of DHT which causes hair loss.

Link: Journal of Endocrinology – Endocrine effects of masturbation in men

A few things that should be pointed out:

  • The study was performed over 30 years ago, with the article dating to 1976.
  • There are no controls on sexually active men here.

I suspect that an active sex life will keep testosterone levels up and as DHT is a metabolic end point for testosterone metabolism, that means that DHT will rise. With that said, this does not mean that hair loss will result, and that is the point. The presence of DHT working on the genetically sensitive individual is what causes hair loss and I don’t believe that masturbation or regular sex will impact the rate of hair loss. Once again, I strongly believe that masturbating does not cause hair loss.

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Accidental Double Dose of Propecia

What are the possible negative consequences of accidentally double dosing Propecia? Taking Propecia every morning has been part of my morning routine for about a year now. The other day, I’m about to leave for work and blanked out on weather I had taken my Propecia pill before I got in the shower (my usual pattern), and so I took what might have been a second pill in one morning. Should I be worried, can I ruin the effectiveness of the drug that way? I’m a 30-year old male, been on propecia since May 2009.

Taking a double dose of Propecia will not harm you or your hair and you should not be worried. There are no negative consequences. For that matter missing one dose would not harm you or your hair either. We are all human and we make mistakes.

Also remember that many men take 5x the Propecia dose everyday for certain prostate problems with only a slight increase in side effects. In fact, research has shown that 5x the dose of Propecia prevents certain types of prostate cancer…. but taking more will not make your hair grow better (in case you were going to ask).

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Accident 2 months after hair transplant

Will this impact the hair transplant growth?

Wounds like this could leave a scar, which could be minimized if stitched with very small sutures. The stem cells for the grafts are still there, and I expect them to grow.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

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Accelerated Loss from Propecia?

HI Dr. William Rassman. I read in many places that propecia can make the frontal hairline/temples recede. Is it true or is it a myth? Coincidently my temple was a NW 1.5 2 month before propecia. Now it’s diffusing in a strange way. thanks

I am unaware of any reports that Propecia will accelerate temples recession. I am assuming that you are a young man (Norwood 1.5-2) and one of the things that you must recognize is that 95% of Caucasian young men (also true of other races but a smaller percentage) will change their hairlines as they mature. This maturation process certainly moves in the direction of a Norwood 2 – 2.5 range. This is not balding, but normal maturation which occurs between the ages of 18-29 in men. The other 5% or less of Caucasians are like Bill Clinton, where they keep their childhood hairline and remain as they were at 12 years old. Best to be sure that you understand the difference between normal maturation of the hairline as seen in your genetic family connections and the balding process itself.

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Balding Blog – About – Hair Loss Information

BaldingBlog.com began in April, 2005 by William Rassman, M.D., Medical Director and Founder of the New Hair Institute, with the goal of educating about hair loss and hair restoration. Posts on the site are written by Dr. Rassman, with assistance from Jae P. Pak, M.D.

 

Dr. William Rassman, M.D. Senior Editor:
William R. Rassman, M.D.
Bio | CV		   Dr. Jae Pak, M.D. Contributing Editor:
Jae P. Pak, M.D.
Bio

 

For a free physician consultation to discuss your hair restoration options, please call New Hair Institute toll-free at 800-NEW-HAIR. We are located in Los Angeles, California.

This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.