Brief Answer:
Androgenetic alopecia is an on-going process

Detailed Answer:
Hello,
Thank you for posting on HCM.
I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.
Since you have not mentioned relevant history and description like sex, age, pattern of hair loss(patchy/diffuse), family history etc, its difficult to put a definitive diagnosis.
From the review of medications you are currently taking, it seems you are suffering from either Androgenetic alopecia. Androgenetic alopecia is a progressive form of hairloss driven by the effect of hormones in genetically pre-determined individuals. Since its a progressive process and not a disease, the medications serve the purpose of providing cosmetic coverage of scalp and not a permanent effect. Thus once you are off medications the process re-starts and can cause hairloss again.

If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma /illness/ stress/ medications etc, your menstrual history and recommend some basic investigations like CBC,blood sugar,Thyroid function test.
Also some other special tests like trichogram and dermoscopy can aid in diagnosis and prognosis.

I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals (Tab. Follihair new) for minimum 6 months.

Also, would put you on solution containing 10% minoxidil once a day and a hair serum/gel containing peptides for hair growth at night.(Q sera, Grocapix etc).

I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.

Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.

For permanent effect, the only solution is to go for hair transplantation.

Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.

Hope your queries are resolved and wish you best of health.
Thank you
Dr Hardik Pitroda

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Brief Answer:
Take Dutasteride instead of finasteride

Detailed Answer:
Yes from the pictures, it looks like androgenetic alopecia.

Instead of Bio-hair i would suggest you take Follihair new which contains biotin 10mg and other all essential vitamins and minerals required for hair growth.
Instead of Finateride take Dutasteride(0.5) once daily. Dutasteride is newer congener of finasteride with less side effects and more efficacy.

You can use a gentle shampoo cum conditioner like X-gain shampoo on regular basis.

Hair transplant is a very good treatment for later stage of androgenetic alopecia where cosmetic coverage with medical treatment is very difficult. Though these days people in initial stages also go for hair transplant as it offers very long lasting results. There are no long term side effects of hair transplantation.
The rates of hair transplant varies from doctor to doctor but generally the rates range from 35-80 rupees per hair follicle.

Hope the information was useful.
Thanks
Dr Hardik Pitroda

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