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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Control Severe Baldness In Frontal,vertex And Temporal Area?

Hello Doc, I am 25 yrs old male, I could notice baldness in frontal ,vertex and temporal portion so a dermatologist suggested me to take keraglo men tablet one everyday. and (grocapix gel and minoxidil 10% to be applied on scalp daily once ) . Its been 4 months my hair is growing thinner and thinner and it looks more bald in frontal area than before using these medicines please suggest a solution. Thank you.
Wed, 23 Apr 2014
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Dermatologist 's  Response
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, cosmetic products etc.

From your description, it seems you might be having Male pattern hair loss or Androgenteic alopecia, which is due to hormone, testosterone.

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, and recommend some basic investigations like CBC,blood sugar, Thyroid function test.

I would insist you to keep on continuing your medications like Keraglo men tablet, Minoxidil and Grocapix gel, as these medication work slowly but definitely helpful.
Moreover as your condition is chiefly due to testosterone, i would suggest you oral Finasteride or Dutasteride.
Finasteride (Fenalo)/Dutasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride/Dutasteride, inhibits metabolism of testosterone at hair root level and thus leads to good results in Androgenetic alopecia.
It rarely leads to some embarrassing side effects like impotency, decrease in semen volume but are totally reversible on stopping the drug.

Moreover, also enquire from your dermatologist about upcoming treatment like mesotherapy and platelet-rich plasma therapy.

I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.
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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How To Control Severe Baldness In Frontal,vertex And Temporal Area?

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, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or Androgenteic alopecia, which is due to hormone, testosterone. 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, and recommend some basic investigations like CBC,blood sugar, Thyroid function test. I would insist you to keep on continuing your medications like Keraglo men tablet, Minoxidil and Grocapix gel, as these medication work slowly but definitely helpful. Moreover as your condition is chiefly due to testosterone, i would suggest you oral Finasteride or Dutasteride. Finasteride (Fenalo)/Dutasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride/Dutasteride, inhibits metabolism of testosterone at hair root level and thus leads to good results in Androgenetic alopecia. It rarely leads to some embarrassing side effects like impotency, decrease in semen volume but are totally reversible on stopping the drug. Moreover, also enquire from your dermatologist about upcoming treatment like mesotherapy and platelet-rich plasma therapy. I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. 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