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I am facing Male Pattern Baldness due to hormonal imbalances issues

Last Updated - Fri, Mar 16 2018

Similar Questions - pattern baldness, baldness due to hormonal imbalance, male baldness due to hormones

Detailed Question:

I am a 21 years old male facing issues of Male Pattern Baldness.

I took Finpecia 1mg (morning) and Follihair cap (night) for 5-6 months. I also applied Regaine 5% (morning) and Bontress lotion (night) for 5-6 months. I then stopped taking/applying all of them. 
Almost a year has passed since I stopped taking them. After I stopped taking them I have noticed a considerable growth in my body hair. It is really perceptible. I think that this has got something to do with the medication I mentioned above. Now I am again experiencing hair loss. 

I went to the same doctor who prescribed me the medications mentioned above. This time he gave another set of medicines. Basically, he prescribed same medicines (chemical composition wise) but of a different brand. This time he has given Finax 1mg, Adgain, Mintop Forte 5%, Renocia shampoo. I mentioned the body hair growth issue to him but he said that it was in no way related to the medications prescribed. But I strongly feel that the body hair growth spurt was because of the medication as it happened soon after I stopped taking the medications.

So I wanted to know should I take the new set of medicines? And was the body hair growth in any way related to the medications?. I must mention here that I already had relatively high body hair growth and now I feel it is compounded. 

I also experienced precocious puberty (age 7-8) and started losing my hair at age 18-19. Basically, my hormones are super-messed up and I don't want to take any chances. Also, should I get any hormonal tests done or consult an endocrinologist for any issues?

Category: Dermatology


Your hair loss issue could surely be due to hormonal imbalances and this will require a proper testing including testosterone. About the medications you were taking, they may have side effects which may include hair growth over the other parts of the body. 

I would not advise taking the medications yet, before getting a thorough checkup with a Dermatologist or Endocrinologist. A lot of other conditions can present with hair loss and hence it is important to diagnose it early before taking any medications which may not help you in the long term for baldness alone.

Types of Hair loss
  • Involutional alopecia is a natural condition in which the hair gradually thins with age. More hair follicles go into the resting phase, and the remaining hairs become shorter and fewer in number.
  • Androgenic alopecia is a genetic condition that can affect both men and women. Men with this condition, called male pattern baldness, can begin suffering hair loss as early as their teens or early 20s. It's characterized by a receding hairline and gradual disappearance of hair from the crown and frontal scalp. Women with this condition, called female pattern baldness, don't experience noticeable thinning until their 40s or later. Women experience a general thinning over the entire scalp, with the most extensive hair loss at the crown.     
  • Alopecia areata often starts suddenly and causes patchy hair loss in children and young adults. This condition may result in complete baldness (alopecia totalis). But in about 90% of people with the condition, the hair returns within a few years.
  • Alopecia universalis causes all body hair to fall out, including the eyebrows, eyelashes, and pubic hair.
  • Trichotillomania seen most frequently in children, is a psychological disorder in which a person pulls out one's own hair.
  • Telogen effluvium is temporary hair thinning over the scalp that occurs because of changes in the growth cycle of hair. A large number of hairs enter the resting phase at the same time, causing hair shedding and subsequent thinning.
  • Scarring alopecias result in permanent loss of hair. Inflammatory skin conditions and other skin disorders often result in scars that destroy the ability of the hair to regenerate. Hot combs and hair too tightly woven and pulled can also result in permanent hair loss.
Causes of Hair loss
  • Hormones, such as abnormal levels of androgens (male hormones normally produced by both men and women)
  • Genes, from both male and female parents, may influence a person's predisposition to male or female pattern baldness.
  • Stress, illness, and childbirth can cause temporary hair loss. Ringworm caused by a fungal infection can also cause hair loss.
  • Drugs, including chemotherapy drugs used in cancer treatments, beta-adrenergic blockers used to control blood pressure and birth control pills, can cause temporary hair loss.
  • Burns, injuries, and X-rays can cause temporary hair loss. In such cases, normal hair growth usually returns once the injury heals unless a scar is produced. Then, hair will never regrow.
  • Cosmetic procedures, such as shampooing too often, perms, bleaching, and dyeing hair can contribute to overall hair thinning by making hair weak and brittle. Tight braiding, using rollers or hot curlers, and running hair pick through tight curls can also damage and break hair. However, these procedures don't cause baldness. In most instances, hair grows back normally if the source of the problem is removed. Still, severe damage to the hair or scalp sometimes causes permanent bald patches.
  • Medical conditions. 
     Thyroid disease, lupus, diabetes, iron deficiency, eating disorders, and anaemia can cause hair loss. Most times, when the underlying condition is treated, the hair will return unless there is scarring as in some forms of lupus, lichen planus or follicular disorders.      
  • Diet. A low-protein diet or severely calorie-restricted diet can also cause temporary hair loss.

Dr. Anitta Sara Thampi is a Dermatologist and Venereologist in Bangalore with over 12 years of experience. Some of the services provided by the doctor are: Eczema, Psoriasis, Vitiligo, Atopic dermatitis, Acne, STDs and Chemical Cautery etc.

About Author

The above medicine data is written by Dr Anita Sara Thampi. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at doctors@justdoc.com. Read about our Medical Team here.



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Male Pattern Baldness Due To Hormonal Imbalances - Ask on JustDoc

I am a 21 years old male facing Male Pattern Baldness and hormonal imbalance issues. I feel hair loss medication has increased body hair growth. Please help.
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