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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatments For Recurrent Hair Fall

Hello Dr,
Iam lakshmi 27yrs from chennai got married in 2006 & have a child , soon after marriage i went to US (NY) there i consulted a dermatalogist . after 3 months of medication hair fall was controlled . but then after pergnancy again i had hair fall problm , during pergnancy i was daigonosed for diabetes & Hypothyroid . after delivery too i have the above said complaints . taking hormone suppliment daily 50mg for hypo thyroid but for diabetes im not taking anything.

Now i suffer lot of & severe hair fall problem , couldnt be controlled .please suggest me what to do next and how to control the hair fall .
Fri, 30 Oct 2015
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Dermatologist 's  Response
Hello,
Welcome to HCM.
I can understand 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.
From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to any form of stress.Stress factor in your case seems to be diabetes, hypothyroidism and hormonal changes during pregnancy and lactation.
If i were your dermatologist/trichologist, i would recommend some special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.
I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months.
Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides like acetyl tetrapeptides and biochanin etc at night.
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.

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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Suggest Treatments For Recurrent Hair Fall

Hello, Welcome to HCM. I can understand 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. From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to any form of stress.Stress factor in your case seems to be diabetes, hypothyroidism and hormonal changes during pregnancy and lactation. If i were your dermatologist/trichologist, i would recommend some special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides like acetyl tetrapeptides and biochanin etc at night. 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. 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