Hair Loss/hair loss

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Question
dear sir,
i have been facing hair loss for almost 5 years. my current age is 25. i have also consulted 3 doctors. 1 st doc gave me some medicine and minoxidle solution. but the solution increases my hair loss extreamly. then i dared not to use that and didnt see the doc. 2 nd doc also gave me the same solution and suggest me to take leaser therypy . i was afraid that leaser could affect my hair so i didnt use them both. the 3 rd doc gave me calcilum + xink + finasteride . i used them 3 month nothing happened. more over my testosterone level is normal(serum testosteron 401 ng/ml) .   can u tell me is there anyway to stop my balding process. my heigth is 5'11'' weight 80kg. my father is bald.i have heard that minoxidle has  to be used for life time . and finasteride can cause impotence . my hair fall decrease for the last one years. i mean normal but my hair density is decreasing. may be my hair is not regenerating . my hair growth rate is very poor. currently i am taking spirulina tab twice daily. is this androgenic alopecia ? what can be done at this stage?

Answer
Dear Mr Niaz

Thanks for your query.
You are suffering from Androgenic alopecia (AGA)/Male Pattern Baldness (MPB)
You have to take
1. Tab Finasteride 1 mg daily
2. Minoxidil lotion 2% , 2 times daily
These are gold standard in then treatment of Androgenic alopecia (AGA)/Male Pattern Baldness (MPB).
minoxidil may increase hair in first 2 months, but not thereafter.
Finasteride can cause impotence theoretically in 1-3% patient but side effects are reversible when anybody stop the drug.
Treatment continue for couple of years.
response is excellent (?not poor)
Other treatment are
1. Platelet Rich Plasma (PRP)
2. Stem cell therapy
3. Multivitamins

Regards
Dr S M Bakhtiar Kamal
MBBS, DDV, MD
Assistant Professor
Dhaka Medical College
Kamal25derm@yahoo.com,  
kamal25derm@gmail.com
Life member- The Hair Research Society Of India
Life member-The Cosmetic Dermatology Society of India
Life member- The Association of Cutaneous Surgeons of India
Member- ESCAD
Member- WOSIAM
Mobile-01711440558
www.kamalskincentrebd.com
www.facebook.com/kamalskincentre  

Hair Loss

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Dr S M Bakhtiar Kamal, MBBS, DDV, MD

Expertise

I can answer all kinds of question related to hair diseases & liposuction. Can't answer other questions.

Experience

I am experienced in various field of Dermatology, Dermatosugery, Hair Transplant, Treatment of Hair disorders, Microdermabrasion, Dermabrasion, BOTOX, PRP, Chemical peel, Electrosurgery, Cryosugery, Breast augmentation, Breast reduction, Ultrasonic lipolysis, Tumescent liposuction.

Organizations
Dhaka Medical College, Dhaka, Bangladesh

Education/Credentials
MBBS DDV MD (dermatology)

Awards and Honors
Member- Bangladesh Dermatological Society (BDS). Member- European Society of Cosmetic & Aesthetic Dermatology(ESCAD). Life member- The Hair Research Society of India Life member- The Cosmetic Dermatology Society of India. Life member- Association of Cutaneous surgeons of India.

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