3 months after HT, huge shed. Could this still be shock loss?

Had a hair transplant almost exactly 3 months ago, didn’t really experience any shedding above normal. Suddenly, this morning, this happened.

I’ve asked my HT doctor for advice, and he said that while it’s unlikely due to shock loss (due to it being 3 months already) it is not impossible. He recommended I take dutasteride everyday to be safe (more on this later), so that’s what I’ll do. Regardless though, this isn’t a satisfying conclusion for me.

Some possibilities, off the top of my head:

  1. I went from taking dutasteride everyday to taking it every other day near the start of the HT. This decision was unrelated to the HT–my testosterone has been undetectable for months at that point (I’m a trans woman, so I’ve been on HRT), and I figured I was wasting my money by taking dut everyday. It’s not like much DHT would be produced from undetectable T. On one hand, maybe my hair follicles are so sensitive to DHT that even a minuscule amount was enough to wreck them, but on the other hand, wouldn’t it be a more gradual increase in shedding?
  2. I had a ~100km bike ride yesterday, and I had come home exhausted. It could be that the hair loss stemmed from the actual physical stress on my body from that ride. But if so, wouldn’t it be a more uniform shed? All these hairs are the weak, wispy ones.
  3. Maybe it really is just shock loss but really late. My new hairs really started growing a couple of weeks ago, and they still seem strong. Maybe they’re taking resources away from the weak hairs, causing them to wither. But if so, why did they wither all together, suddenly?

None of these really stand up to my own scrutiny, so maybe you guys have a better idea.

Update, I had my DHT tested, and got a weird result.

<5 L? That’s a weird unit. Could it be that L means low?

Regardless, the sense I’m getting here is that my DHT is undetectable.

You’re correct the “L” is for low and the <5 means you are under 5ng/dL. So you basically went beyond the lower bound of their test result range and they don’t have a specific number for you.

Definitely doesn’t seem like your DHT should be a concern at that level, but I’ll let those with more knowledge then me speak to that.

2 Likes

You may want to check your ferritin levels since high intense cardio activities can lead low ferritin levels

1 Like