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Suggest Treatment For Hair Loss When Diagnosed With Androgenic Alopecia

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Posted on Thu, 9 Mar 2017
Question: hi....in 2016 I came to western coastal area for job purpose...here climate is very humid....further last year I suffered from fungal infection but it it is recovered now....however since then I am experiencing severe hair fall....i consulted dermatologist n she gave me proanagen solution to apply on scalp...bt there is no improvement..futher my hair is thinning day by day n there is flaking of scalp n dandruff which is quite visible...plz provide me solutioj to this.
doctor
Answered by Dr. Dr. Kakkar (32 minutes later)
Brief Answer:
Androgenetic alopecia; Minoxidil and finasteride

Detailed Answer:
Hello. Thank you for writing to us

I am Dr.kakkar(dermatologist). I have gone through your query and I have noted your concern. I have also viewed the Images

You seem to have Androgenetic alopecia.
Androgenetic alopecia (AA) is characterized by thinning and hair loss mainly from the front, mid and vertex of scalp. In addition patients of androgenetic alopecia also notice a gradually receding anterior hair line from the frontal and temporal region of scalp which manifests as an "M-shaped" anterior hair line.

Minoxidil and finasteride are approved remedies for androgenetic alopecia in males. I suggest that you start with Mintop forte 5% solution (contains minoxidil 5% solution). Use 1 ml of this solution, twice daily on scalp skin. Use the dropper that comes with this pack for easy application directly on to scalp skin. Start applying from the center of scalp to avoid trickling on to face and gradually move outwards. Use it twice daily.

In addition I suggest you to take a tablet of finasteride (finax) once daily. Finasteride is an inhibitor of 5 alpha reductase enzyme, which converts testosterone to dihydrotestosterone (DHT). DHT is the main culprit that causes thinning and hair fall in androgenetic alopecia. Hence finasteride by inhibiting this enzyme counters the action of DHT on hair follicles thus benefiting these patients.

Treatment is long term. Earlier the treatment is started, the better it is. Goal of medical treatment is to arrest or slow down further progression of androgenetic hair loss and reverse early hair loss.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Kakkar (9 hours later)
Thanks for providing answers to my questions...further I want to know shall I stop using proanagen while using minoxidi.....does finasteride has any sextual side effects?
doctor
Answered by Dr. Dr. Kakkar (38 minutes later)
Brief Answer:
Androgenetic alopecia

Detailed Answer:
Hi.

Discontinue proanagen.
Finasteride is approved for use in androgenetic alopecia. It has no sexual side effects though 1-2% individuals report a reduction in libido but that is temporary and resolves on continued treatment.

Regards
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Kakkar (5 hours later)
Thank you...one last question....for how long shall I need to continue this treatment.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Long term. Goal is to maintain improvement and arrest further progression

Detailed Answer:
Hello.

Treatment is long term. Preferably life long to maintain improvement.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Hair Loss When Diagnosed With Androgenic Alopecia

Brief Answer: Androgenetic alopecia; Minoxidil and finasteride Detailed Answer: Hello. Thank you for writing to us I am Dr.kakkar(dermatologist). I have gone through your query and I have noted your concern. I have also viewed the Images You seem to have Androgenetic alopecia. Androgenetic alopecia (AA) is characterized by thinning and hair loss mainly from the front, mid and vertex of scalp. In addition patients of androgenetic alopecia also notice a gradually receding anterior hair line from the frontal and temporal region of scalp which manifests as an "M-shaped" anterior hair line. Minoxidil and finasteride are approved remedies for androgenetic alopecia in males. I suggest that you start with Mintop forte 5% solution (contains minoxidil 5% solution). Use 1 ml of this solution, twice daily on scalp skin. Use the dropper that comes with this pack for easy application directly on to scalp skin. Start applying from the center of scalp to avoid trickling on to face and gradually move outwards. Use it twice daily. In addition I suggest you to take a tablet of finasteride (finax) once daily. Finasteride is an inhibitor of 5 alpha reductase enzyme, which converts testosterone to dihydrotestosterone (DHT). DHT is the main culprit that causes thinning and hair fall in androgenetic alopecia. Hence finasteride by inhibiting this enzyme counters the action of DHT on hair follicles thus benefiting these patients. Treatment is long term. Earlier the treatment is started, the better it is. Goal of medical treatment is to arrest or slow down further progression of androgenetic hair loss and reverse early hair loss. Regards