Brief Answer:
details below
Detailed Answer:
Hi XXXXXXX
Thanks for writing to us.
From the description provided, I understand that you suffer from two hair concern- seborrheic dermatitis( that was treated) and male pattern baldness( androgenetic aloepecia).
Male pattern baldness is characterised by thinning or miniaturisation of individual strands as well as decreased hair density. The areas involved are front, sides and centre of scalp. As this type of baldness is governed by hereditary and
hormonal factors, hence it is a progressive kind of
hair fall.
Medicines like
minoxidil and finesteride 1mg are approved by US FDA to treat this pattern of hair fall.
Now to treat this pattern of hair fall I usually begin with oral hair supplement like
androanagen daily along with minoxdil 5 % 1ml twice in a day(
tugain,
mintop, amexdil, adhair etc). Sometimes if hair fall is extensive or with above mentioned therapy not much response is seen, I add finesteride 1mg daily. The treatment needs to be continued atleast for five to six months to appreciate response. Once response is there we may stop oral medicines and continue with minoxdil only. As its a progressive hair fall, so minoxidil needs to be continued for long.
If with these medicines not much response is seen, we may do mesotherapy or go with hair transplant( done only in advanced stages of hair fall). Even before mesotherapy or hair transplant, topical and oral drugs are required to be taken for better response.
A well balanced protein rich diet along with a healthy life style should also be maintained. Though lifestyle change alone may not be helpful in this pattern of hair fall.
Also i would advise that you use a
ketoconazole shampoo(nizoral/scalpe) twice in a week to keep fungus at bay and also ketoconazole is helpful in male pattern baldness
Hope this answered your query.
Take care