Hair Loss & Minoxidil

Question:I was recently enduring substantial hair loss on the frontal area. after blood tests, i was diagnosed through hormonal imbalance. My doc prescribed, Diane 35, a shampoo for thinning hair, ketoconazole 2% shampoo, experienced palmetto capsules, and finally minoxidil 5%.

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Now i have actually only one question. have to i usage minoxidil 5%? i suppose i’ve heard that results will certainly last as long as i use the product. is it true for my situation of hormonal imbalance, too? or not? does other commodities specifically work for me? and if i start making use of minoxidil can i quit it or not?

My mother likewise began showing hairmuch less trouble after 50.

Answer:The usage of Minoxidil in your situation is to stimulate hairs which newly fell out. The hairs fell out as a result of the hormonal imbalance however they may not be completely dead and also the minoxidil acts as an artificial stimulant to the sick or dying hairs. This is exceptionally comparable to a hear-lung machine keeping a body alive artificially until it repairs itself. After your hairs flourish out you deserve to slowly sheight making use of the minoxidil to watch if you have to save making use of it to store the hairs alive.

Hair Fall

Question:hi, i had a head full of hair however from six months my hairs are falling extensively. my hair is dry. my frontal hairline is receding. i want to know that if i usage minoxidil than can it stand up to my frontal hairline to go bald. i’ve heard that minoxidil boosts shedding. is that shedding reareas shed hairs? exactly how a lot strength will certainly be ok 2 or 5 percent? thankyou

Answer:Very few males obtain shedding after using minoxidil and also the few that perform are only recycling hairs which were around to autumn out anymethod. After 6 months all those hairs have actually grvery own earlier and your hair will look thicker. You will not lose hair in the long run from utilizing minoxidil. If your hair continues to thin it is because of your inherited male pattern baldness being as well solid to be regulated by minoxidil. I would certainly imply you apply the 5% twice a day and also be patient. It might take 6 months to watch the tiny hairs obtain thicker and longer. You should seriously take into consideration obtaining Finpecia -1mg finasteride to take daily.

Follow Up Question:thankyou dr, i’ll usage minoxidil 5 percent twice. i desire to ask is minoxidil advantageous for frontal hairline? and taking finasteride is safe as tright here are so many type of adverse results on hormones iv’e review. what happens if i stop taking finasteride after few months will it burned the non inherited hairs likewise or it will certainly rise shedding.

Answer:1. Yes , minoxidil does occupational in front. It works much better on the crown however it stimulates hair to thrive no issue where you rub it on.

2. I think finasteride is extremely safe and also have not only taken it myself for virtually two decades however I have actually my 25 year old son taking it currently for over 5 years. If you took finasteride for 10 years and also noticed you did not shed any kind of hairs and also then chose to sheight you would slowly begin shedding hair again. It does not boost balding.

Here is a place paper on this from the Internationwide Society of Hair Repair Surgery:

Upday from ISHRS Task Force on Finasteride Adverse Events Controversies-September 9, 2012



Answer:Lichen Planopilaris is a condition of the hair follicles which is tough to treat and vey difficult to predict just how it will certainly progression.

Tright here are a variety of treatments which can be tried to speak the scarring. This might encompass taking antibiotics, topical cortisone lotions, injecting cortisone into the areas associated, and also taking oral cyclosporin.

Once the problem has “melted out” or gone into remission it is possible to carry out hair transplants right into the scarred bald locations.

Dermatologists in Louisiana are among the ideal trained professionals in the civilization with both LSU and also Tulane dermatology residency programs at Charity Hospitals. I think the majority of any kind of of the dermatologists in your location will recognize just how to treat this and have the right to refer you to a dermatologist who does transplants. You might have to go to New Orleans for the transplants however long before you execute that you have to get the LPP to quiet down and also become inenergetic otherwise all the brand-new transplanted hairs might die too.

At this site you will certainly discover an extremely good review of LPP:

Hair loss in 49 yr. old woman

Question:Dear Dr. Panagotacos – First give thanks to you for your book – it is very clear and also indevelopmental. I’m trying to discover the solution for my hair loss.

I am 49 years old. I have actually had hair loss because at leastern January 2010. In retrospect it has probably been falling out for longer, only not as profusely. I was not particularly concerned because it seemed to be flourishing earlier. My hair is extremely lengthy so it was not easily obvious that although it is growing earlier in the front along the hairline, it has actually not been thriving ago around the height and also top part of my head. In the past 6 months to 1 year my hair has actually noticeably thinned; I have shed at least 1/3 of my hair. I notice that in enhancement to losing long hairs, shorter ones are now falling out as well. It additionally appears to be finer than it once was.

I am on hormone replacement because of severe menopause symptoms. I have taken Evamist (Estradiol 1.53 mg# considering that approx June 2010 and Progesterone #Prometrium 100 mg) since November 2011.

A dermatologist did a hair pull test and sassist it was telogen effluvium. He did some blood work and also discovered my iron elevated and also testosterone incredibly low,

I have actually normal thyroid function tests and also no autoimmune illness or diabetes. The only various other medication I take is Valtrex for cold sores, a multi-vitamin w/o iron, and vitamin D w/ Calcium.

A trichologist sassist that I had excess sebum. He recommfinished laser light treatment.

No one has actually done a biopsy or looked at my other hormone levels. My mom has actually a complete head of hair but my father has actually some balding.

Even though my testosterone is low, could this be brought about by DHT?

Is tright here some various other likely reason, such as low testosterone, or estrogen or progesterone imbalance or the hormone replacement drugs? If so, are tbelow blood tests that I should request for a proper diagnosis such as estrogen and also progesterone levels, zinc, etc?

Thank you, in advancement, for your assistance.

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Answer:If you have actually inherited balding genes from you father, which I am nearly specific is the instance, you have to intend to check out the thinning that happens via that conditions – AGA-androgenetic alopecia- via NORMAL levels of hormones. The thinning you are describing is continual via female pattern balding as a result of normal levels of hormones yet with someone via balding genes. If you had actually high testosterone levels you can build a shiny bald spot on peak and a receding hair line in front. A biopsy is not needed to make the diagnosis in a case prefer this bereason tright here is no confusion regarding the cause of the loss. If you did endure a Telogen Effluvium from a fluctuating hormone level and also your dermatologist had the ability to prove it by the pull test you would expect much of those lost hairs to thrive ago, but TE’s frequently make AGA present up much sooner than they usually would certainly. In you hormone replacement I’d ask your medical professional to try to minimize the progestins, maybe take into consideration Diane, or right here in the US we would use Yaz. The progestin in Yaz is Drospirenone and also it has no androgen result -interpretation it will not accelerate your AGA and also might assist proccasion it, Your low iron is avoiding the hairs from growing back appropriately so try to obtain that level back up. Even with a low testosterone ANY level of DHT will tell your hairs to age and promote AGA.

Most very bald guys and also woguys via incredibly thin hair have normal levels o DHT hormones–telling their bald genes to tell the hairs to die. The point of great therapy it to block production of the DHT to as bit as possible- ZERO if possible. And to usage a medication called spironolactone to block the androgen receptor site,