Hello,
Thank you for posting on HCM.
I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc.
Since, you have not mentioned specific details like age/sex/family history etc, its difficult to reach definitive diagnosis and treatment without proper examination. From your description, it seems you might be having Androgenteic alopecia, which is due to hormone,
testosterone.
If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, and recommend some basic investigations like CBC,blood sugar, Thyroid function test.
I would suggest you a course of oral tablets containing biotin and other essential
vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 5/10%
minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera, Grocapix gel etc).
Finateride (Fenalo) can be used in selected patients (usually males) after thorough
counselling and checking your liver function.
Finasteride, inhibits
metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the drug.
I would advise you use of gentle shampoo and conditioner (X-gain) on regular basis and a shampoo containing
ketoconazole and Salicyclic acid twice a week for dandruff.
Avoid excessive oiling of scalp.
Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.
Hope your queries are resolved and wish you best of health.
Thank you
Dr Hardik Pitroda