Hello Rahul,
Thank you for posting on HCM.
I appreciate your concern regarding
hair fall.
From your description, it seems you might be having Male pattern hair loss or Androgenteic
alopecia, which is due to male 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.
The treatment you have been prescribed seems fine but I would like to make few changes though.
1. Instead of 5%
minoxidil I would prefer to start with 10% minoxidil.
2. Also I would like to add a hair serum containing peptides for hair growth at night.(Q sera etc)
3. Finateride can be used in selected patients 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
When all of these is included in your treatment and if rightly followed, then you can expect some good results in 3 months but dont stop the medications unless your dermatologist advise so.
I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.
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