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Hair Loss/Please help me, i'm so depressed over this.


QUESTION: Hello, I am a 18 years old male, and I just gone through a breakup with my girlfriend around four months ago. Ive been sad and heartbroken ever since. It was then until 2 months ago where I found out my scalp was showing on one spot of my head. That night I went home and looked at my hands when I run my fingers through my hair, and lots of hair came down. There was a lot of hair breakage. Occasionally there would be a hair with a white bulb on it. The hair loss then started on my crown and a little on the sides of my head. I became even more depressed. Soon a month later, my eyebrows began to fall. I would also feel a burning/tingling feeling on the spots where hair loss is happening. Presently, the hair on my head and eyebrows all have a bulb on them when they fall. One or two broken hair shows up sometimes. When I gently, gently pull my eyebrow hair, 2 or 3 of it comes out. One time when I was showering, I gently rub my pubic hair and some hair came out with white bulb as well! Hair loss never occurred there, ever. I began trying to check all areas where I have hair, and I saw that the hair on top of my finger seems to look like exclamation marks. The thick part breaks, leaving the really thin one attached to the follicle. And now the back of my head is starting to lose hair/thin. For my nails, I have two nails with only one pitting on each nails. I also have eczema and asthma as well. My dermatologist said its just Androgenic Alopecia/Universatilis, but im suspecting diffuse hair loss, either TE or AA. I'm so afraid and i dont know what to do. I don't want to have another reason to get more names added by people, to the ongoing list I already have.

ANSWER: Edmund,
  The shedding could be a TE from the stress. TEs can cause Androgenetic Alopecia to show up sooner than normal. Many times AA can be triggered by stress. It is possible the stress triggered AA, and a TE which made the inherited pattern show up early.
 AA is usually evident by a shiny bald spot with no hairs in it.

 Please send me  photos- front - back - eyebrows- and the bald spot

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PIC 2  
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QUESTION: Those are photos I took today. I also just got a haircut two days ago

ANSWER: This decreased density is consistent with male pattern balding on the vertex. It does not look like Alpecia Areata.

The treatment is to take 1mg Finasteride daily = Propecia to prevent ongoing Androgenetic Alopecia and to use Romaine Foam twice a day to try and regrow the recently lost hairs.

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QUESTION: Thank you so much Doctor!

If you go to my website and click on the book "Hair Loss Answers" you will be directed to the Table of Contents where you can read the whole book for free online.
I suggest you read  
Chapter 2 -- on normal growth cycles
Chapter 3 -- on Androgenetic Alopecia
Chapter 4 -- on stress causing Telogen Effluvium

Chapter 9 -- on medical treatments- Propecia and Romaine  

Hair Loss

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Peter J. Panagotacos, <B>M.D.</B>


I have 30 years experience in the field of medical and surgical Hair Restoration and am Board Certified in Dermatology and Hair Restoration Surgery.


I have 30 years experience in the field of medical and surgical Hair Restoration and am Board Certified in Dermatology and Hair Restoration Surgery. More information can be found at my website

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