Brief Answer:
Upload photo

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query and I have understood it
Hello and welcome to healthcaremagic

-I would like to know the duration of hair fall? Is it recent, sudden onset hair fall or is it long standing, gradual? Does it affect your scalp hair density?

-Obviously it is severe enough for you to compel and ask for a solution for hair fall, but I would like to know the severity of hair fall?How many hair do you lose per day? >100 or <100??Give me an approx number.

-I would like to know whether you have dandruff/ seborrheic dermatitis? If YES, I would advise that you should use a ketoconazole based antidandruff shampoo thrice weekly for 2-4 weeks and followed by once or twice weekly. If NOT suffering from dandruff, you can use any of the daily use OTC shampoos like Dove, sunsilk, pantene etc along with a good conditioner after shampoo.

Otherwise, I would keep a possibility of either Telogen effluvium OR Androgenetic Alopecia, as the cause of your hair fall and decreased hair density. In Androgenetic Alopecia the thinning is more over the crown and there is also recession of the anterior hair line(AGA)

Scalp hair grows for 2-3 years (Anagen phase) after which it enter the catagen phase (transition phase) which is followed by resting phase (Telogen phase).

Hair can prematurely enter from growth phase(Anagen) to resting phase(telogen) therefore resulting in shorter length and increased shedding. After a major stressing event like medical/surgical illness OR post delivery OR weight loss (in your case), scalp hair is prematurely pushed into resting phase (Telogen) from the growth phase (Anaphase). This phase usually starts in the third or fourth month after a major stressor and ends by six months if the stressor is removed.


Androgenetic alopecia in males is commonly managed with 5% minoxidil solution is a non-specific hair growth promoter can be applied at the scalp skin in this type of hair loss, twice daily with a dropper (1ml twice daily). Minoxidil is a hair growth promoter and helps in rapid transition of hair follicle from resting phase to growth phase (Anagen).

Besides, minoxidil, an oral antiandrogen e.g finasteride is also approved for androgenetic alopecia. The mechanism of action is inhibition of 5 alpha reductase which is the main culprit responsible for hair thinning and miniaturization in androgenetic alopecia.

Hair fall is slow to respond and treatment may have to be continued for months to see noticeable improvements, say 4-6 months.

Regards

---

Brief Answer:
Androgenetic Alopecia

Detailed Answer:
Hi.

I have looked at the picture.

I would keep a possibility of Androgenetic Alopecia.

Androgenetic alopecia(AGA) is the commonest type of hair loss in males. By the age of 30 almost 30% of males have this kind of hair loss and by the age of 50 almost 50% of males have this kind of hair loss.

Thinning and receding hair line in males is classical of Male pattern Androgenetic Alopecia (MAGA) also simply known as Androgenetic alopecia.

Scalp hairs are genetically programmed for progressive thinning under the influence of hormones (Testosterone).

Hair loss has a pattern to it in these kinds of hair loss e.g Teens usually have some Temporal recession which is then followed by deepening of Temporal recession (the earliest stage of Male Hair Loss) leading further to early hair loss in the crown (vertex) and later to further frontal hair loss and enlargement of vertex and so on... By this time people usually become concerned about their receding hair line.

Although family history is positive in most but it is not a prerequisite for immediate family members (father and brother) to be affected with this type of hair loss. Affected family members on the maternal or paternal side(cousins) also suggest that there is a hereditary component.

Treatment modalities include Topical Minoxodil 5%(Mintop Forte) and oral finasteride (Finax 1mg tablet). There are well controlled trials and US FDA approval for them for this kind of hair loss in males.

Treatment of Male pattern hair loss is long term but gives good results if started at an early stage so that hair loss is not allowed to progress any further (any new hair that grows with this therapy is complementary). Therefore it is imperative that you begin therapy as soon as possible so that your hair fall can be arrested before its too late.

Hope this helps. I am here to help you with any further clarifications

regards

---

Brief Answer:
Androgenetia alopecia

Detailed Answer:
Hi.

Yes, Minoxidil 5% (Regaine 5 solution OR Mintop forte solution) is available in XXXXXXX Finasteride (Finax 1mg tab) is available too. Use it twice daily, 1 ml with a dropper, directly over the scalp(at hair roots)

Since you have dandruff, you may use Nizral 2% shampoo, every alternate days.

You have to continue with these for at least 4-6 months for noticeable improvement. Treatment is long term

Regards

---