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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Androgenic Alopecia

i am a 28year old female suffering from androgenic alopeica...ive seen my pcp, ob gyn, endocrinologist and a dermatologist...none have expertise with hair loss and i can only find one hairloss specialist in the boston area...she is not taking apts at the moment...i've been told i probably have pcos and depression/chronic anxiety...i cant handle birth control, so i am currently only taking spironolactone 50mg 2x's daily and 5% minodoxil...is there anything else i could be doing and what is a good treatment plan for managing these conditions...im not excited about taking lots of different medications...and im at a point of not knowing the proper way of taking my whole health/well being into consideration to figure out the real problem at hand and stopping the hairloss... holistic doctor, trichologist, dermatologist?
Mon, 21 Jul 2014
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Dermatologist 's  Response
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, acute or chronic medical conditions,drugs,cosmetic products etc.
From your description, it seems you might be having early stage of female pattern hair loss which is due to your hormones.
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, your menstrual history 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 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.
Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.
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
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Suggest Treatment For Androgenic Alopecia

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, acute or chronic medical conditions,drugs,cosmetic products etc. From your description, it seems you might be having early stage of female pattern hair loss which is due to your hormones. 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, your menstrual history 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 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma. 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