Hi,
Thanks for writing to us.
From the description provided, it seems you are having androgenetic alopecia or male pattern baldness.
The main cause for the same is hereditary factors and hormonal factors. Male contain a hormone testosterone which converts to its active metabolite 5 DHT. Testosterone is responsible for causing hoarse voice in males, all physical attributes of secondary sexual characteristics like growth of beard, moustache, increased hair over chest, axilla, forearms, back etc. So it causes increased hair growth at most places but the same hormone causes decreased hair growth over scalp in males. This is a paradox. Almost 80 percent males develop hair fall at sometime or the other but the severity may worry. This type of hair fall is characterised by fall from vertex, temporal and frontal areas and thinning or miniaturisation of hair strands as well.
Now coming to the treatment. Only two drugs are US FDA approved for the same
1) minoxidil 5 percent solution 1 ml twice in a day over scalp. It promotes hair growth by maintaining hair in growth phase and by causing vasodilation thus increasing oxygen and nutrient supply to hair.
2) finesteride 1 mg single tablet daily. It prevents conversion of testosterone to its more active form 5DHT.

Usually with hair loss from central scalp and hair fall of duration less than five years involving less than 10 cm square area responds well to above treatment.
So initially you may begin with the combination of above two drugs at least for four to six months. If response achieved is desirable, you may discontinue finesteride and continue with minoxidil solution only.

Also if planning for hair transplantation, for better hair harvesting it is advisable to use minoxidil few months prior to transplant. We resort to transplantation only when hair fall is advanced involving large area of scalp.

Hope that helped. Should there be a clarification required, please write back.
Regards
Dr kalpana

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Hi,
Thanks for writing back.
Viagra is sildenafil, a phosphodiesteraae inhibitor. It has no role in hair loss.
Minoxidil and finesteride prevent hair fall and promote hair growth. These are prescription drugs and should be taken under a doctor's guidance.
T gel shampoo can be used with above prescription. It is basically meant to treat
Dandruff.
Daily hair wash does not cause hair fall.
Hair transplantation can be done at early stages but it is usually indicated when the hair fall cannot be managed with medicines and is at advanced stage.
Finesteride use has been reported to cause decreased libido and erectile dysfunction though in very less number of patients. It is usually not seen with 1 mg dose. But as you already have a problem with erection, you may avoid taking it and just use minoxidil solution.

Hope that answered all your queries.
Regards

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Hi XXXXXXX
Apologies for the delayed response.
Try to apply Minoxidil solution over your scalp. While applying if the hair gets coated, there is nothing to worry. It is not going to affect or harm hair.You need to apply it at least for four to six months to notice desirable response.

You can use T gel shampoo. It is a medicated shampoo meant for dandruff. So if you have dandruff you can use it.

Food XXXXXXX in protein (like soy, dairy, lentils, sprouts, eggs,meat ), B complex like wheat germ, nuts like sunflower seeds, almonds, walnuts, green leafy vegetables, sardines salmon, mackerel, fruits and salads are good for hair.

Once in a week oiling is enough for good hair. Apply warm coconut or olive oil for two to three hours is enough or at maximum overnight. If having dandruff, oiling should be avoided.

Hope that answered your queries.
Regards

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