Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





How time sensitive is starting treatment for male pattern baldness?

Skin, Hair & Nails

In the recent 1-2 months I have realised accelerated hair loss in the temple region, light sweeping motion during shampoo will cause about 30 strands to fall out, localised mainly to the frontal region. My hair appears to be less dense, each strand is comparatively thinner in these regions (looks like miniaturization ), the hairline is also slightly receded compared to old photos. Prior to this 2 months I have been losing hair when I am styling my hair, but I was not to concerned back then, probably because did not scrutinise my scalp/hairline, like I am doing now.

I DO NOT have any pattern hair loss family history from both paternal and maternal side. My dad has a M-shaped hairline which is stable. Similarly I have inherited the M shaped hairline since young.

I went through a GA keyhole surgery in late June this year so I am not sure if the hair loss could be stress related.

I had a habit of sweeping my fringe up and tying it tight under the clinical cap for about 2 years. A habit which I have since changed 2 months  ago.

I am not sure how time sensitive is it to start any treatment for MPB, especially since I seem to have some confounding variables? Is it worth waiting out?

DOCTOR’S ANSWER (2)

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.

575 views 26 Jan 2018

The history you present could point to a combination of androgenetic alopecia (male patterned hair loss) as well as telogen effluvium related to surgical stress.

Few other questions:

1. are you on any medication or supplements?

2. have you undergone an examination by a doctor familiar with alopecia?

3. what is your age?

It is commonly thought that visual thinning starts to become noticeable when your hair mass index drops below 0.5 i.e. you’ve lost 50% of hair volume (this is a simplistic explanation and other indices guide hair restoration differently)

I recommend a thorough examination using a phototrichogram and dermatoscopy – true telogen effluvium (stress induced hair loss) will not show significant miniaturized hair shafts and affects the entire scalp uniformly.

It does sound like your hair loss is progressing quickly and the progression of AGA can be multifactorial. Seek advice from a doctor familiar with hair restoration as soon as possible to diagnose and treat the hair loss appropriately.

572 views 26 Jan 2018
Not the answer you're looking for? Browse other answers tagged Skin, Hair & Nails or ask your own question now FOR FREE.