So I went to a trichologist and did an analysis. This is report:
You are a 20-year-old male presenting to the clinic with concerns about thinning hair. You explained that you have also been dealing with a chronic illness over the past 5 to 7 years, involving your throat or bronchial passages filling with a thick, viscous fluid, which makes it difficult to breathe. You noted that this condition has not yet been clearly diagnosed and has caused you a great deal of stress over the years. You also described episodes of a tight, burning sensation in the scalp, which you have noticed are often followed by increased hair shedding. About 1.5 years ago, you started oral minoxidil 2.5 mg daily, although you still feel that you continue to lose hair. You have also been told by others that the hair loss may be due to stress. There is also some family history of hair loss. On examination, the hair pull test was negative, with very little shedding at the time of assessment. Overhead photography shows a typical pattern of hair loss in the crown, along with slight recession in the temple areas. The sides and back of the scalp do appear somewhat thicker, although they also appear mildly thinned. Microscopic analysis showed an oily scalp with considerable buildup present. There is miniaturization throughout the scalp, although it is most prominent in the crown, temple, and mid-scalp/top areas. These findings are consistent with androgenetic alopecia (AGA). There is no evidence of scarring alopecia, and the current shedding pattern is not consistent with telogen effluvium or stress-related hair loss. Androgenetic alopecia is a very common form of hair loss where the hair follicles gradually become smaller over time. In simple terms, the hairs slowly become finer, shorter, and weaker until the scalp starts to show through more. This happens because certain hair follicles are genetically sensitive to hormones such as DHT, and over time this causes them to shrink. As discussed, stress-related hair loss typically presents as increased shedding only, without miniaturization, and usually affects the scalp more evenly throughout. In your case, the pattern and microscopic findings are much more consistent with AGA. We discussed treatment options. Since you are already using oral minoxidil, the next treatment options to consider would be topical treatment and/or oral finasteride. I recommended starting with a deep-cleansing Residue on Scalp Treatment, along with regular use of the Freedom Clinic Medicated Shampoo at least 3 times per week. You may continue using conditioner as needed. I also recommended TrichoBoost serum, which contains minoxidil, finasteride, and bimatoprost. Additional treatment options we discussed include low-level laser therapy and platelet-rich plasma (PRP). Please speak with me before purchasing any additional treatment options so that I can help guide you toward the most appropriate choices. I’ll also be attaching a document that outlines the different treatment options, but please feel free to look on our website for more information as well. The TrichoBoost serum, medicated shampoo, and the recommended low-level laser therapy device can all be purchased through our website via TheFreedomStore.ca I look forward to seeing you at your follow-up in approximately 1 month. Please let me know if you have any further questions regarding any of our discussions. Thanks again and best regards,
I started hairloss about 3 almost 4 years ago when i was in grade 12. I was dealing with great stress due to my grade and my disease. Around that time i also start having stomach issues which i still have to this day. Technically i never lost hair gradually instead it came in spurts and left and only happened twice. The first time was around that time, i think a couple months before or after the stomach problems its been a couple years so i don’t remember. The second time was around 2-3 months ago. Both times were also during a really stressful time and i still have breathing issues and thick viscous liquid down my throat which causes me to be at the limit of my stress 24/7. Those were the only two times when my hairline got pulled back. Also everytime before i lost the hair in that area the area burnt and stinged and felt tight or sharp then around 1-1.5 days later i lost the hair in the exact area i felt those sensations in. All that stuff on my scalp and inflammation I’ve had it for i think 3-5 years. Ive always wondered why my scalp burnt and itches like crazy whenever i got hot especially, and i couldn’t find any lice so now that makes sense why. I.. don’t know what to do and i feel myself breaking down truthfully. I read online that diffused thinning is basically a death sentence and the doctor made it sound like i needed to do all the things he said and even that will help me but I won’t look my age anyways. Here are the images he took(although he didn’t send me all of the images he took 13 and he sent me 8) and some images on my forhead and hair(i took a buzzcut a month ago so the images of my hair is from then leading up to now(just keep in mind my phone elongates images a bit so i took some measurements incase anythings misunderstood. I don’t know what i have, before i thought it was stress but now i know its alopecia but the doctor looks more like a salesman than a docter so i don’t fully trust him. After finding out its alopcia im gonna switch to 5% topical minoxidil, .25% topical finasteride, and .03% bimatoprost and after 6 months I’m going to do a forhead reduction surgery then a hair transplant surgery to fill in the volume. Then I’ll do a skin treatement to get rid of the scar. That is if my hair gets better. This is the best idea I could come up with but i still feel hopeless.
There are more images but im limited so ill put them in the comments
