How time sensitive is starting treatment for male pattern baldness?

Doctor's Answer

From your description, it does sound like you may have telogen effluvium. In telogen effluvium, there is increased hair loss due to a preceding stressful event, such as high fever, crash dieting and emotional stress. The surgery in June may be a triggering event.

By definition, hair fall is considered abnormal if there is loss of over 100 strands of hair a day. This condition is usually self limiting and the hair fall usually last for 2 – 4 months . The new hairs will eventually grow out.

There are also underlying medical problems like iron deficiency and thyroid problems that cause an increase in hair fall, so blood tests may be needed to rule out an underlying medical cause.

The description of hair miniaturization is usually associated with male pattern hair loss. In male pattern hair loss, the loss is usually gradual and it usually does not result in a sudden increase in hair fall.

For male pattern hair loss, it is better to treat earlier than later, as treatment prevents progressive worsening and thinning of hair, and may lead to new regrowth of hair.

I do think it would be good for you to see a dermatologist to determine if the problem is predominantly telogen effluvium or male pattern hair loss, or a combination of both and if further treatment is needed.

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