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How time sensitive is starting treatment for male pattern baldness?

Skin, Hair & Nails
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.


Dr Colin Theng
MBBS, MRCP, MMED (Fam. Med), FAMS

The Skin Specialists & Laser Clinic

Mount Alvernia Medical Centre D
820 Thomson Road #07-61
Singapore 574623


975 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.


Dr Joshua Chong

Terra Medical Hair & Aesthetic Clinic

Terra Medical Hair & Aesthetic Clinic

9 Scotts Road, #11-03 Scotts Medical Centre

Singapore 228210


953 views 26 Jan 2018
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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.

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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.

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