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My latest derm appointment...Can i believe him?

Discussion in 'Women's General Hair Loss Discussions' started by Scorpi08, Aug 10, 2016.

  1. Scorpi08

    Scorpi08 Established Member

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    So I went to see a new dermatologist today. Quick backstory first...was slightly thinning beginning around 2012. Had a baby in 2014 and postpartum TE changed my hair. Also, my Mom passed two weeks before my son was born, so it was a rough time. I lost density and saw more thinning at the hairline. Went to a dermatologist who diagnosed me with Androgenetic Alopecia and said Rogaine after having kids. I cried, she didn't care :( I was able to ignore the hair loss for a while because it wasn't that bad and I knew I couldn't really treat it if I wanted more kids.

    Fastforward to today. I wanted a second opinion and I've had a recent shed, most likely caused by a surgery 3 months ago, that is making me freak about my hair once again. My new dermatologist basically said that he thinks I have some genetic hair loss but also have hair loss related to stress response. He said my body hasn't had enough time without a stressful event to allow it to really grow back. Also, there might be other things contributing to my hair loss, including ferritin. He said my hair should grow back (up to 90% of it). He recommended 5000 mcg of Biotin and is ordering blood work. He knows I might have another child, so we're not starting other treatments just yet.

    Here's the thing. I don't think I trust that he knew what he was talking about. I want to believe him, he said what I wanted to hear...it's just not his speciality and that showed. He looked at my scalp and didn't say much. I asked if he saw miniaturization, and he said 'some, but not much'. He didn't know about PRP. He was super nice though and patient with my questions.

    I'm so confused. The first dermatologist was very straightforward about the fact that she saw miniaturized follicles and this guy didn't even comment on it. He didn't do a pull test either.

    I am certain of the fact that I have Androgenetic Alopecia because it's concentrated to my hairline and top of the head. I'm just assuming I have some TE too because I've been shedding more and have lost overall density over the years.

    Please help!! Should I travel to see a hair loss specialist?
     
  2. fleur1979

    fleur1979 Experienced Member

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    My first dermatologist also told me I have Androgenetic Alopecia (wanted me on rogaine and the Diane pill). I cried and was very afraid. Fast forward: now, 5 years later, I still have hair loss unfortunately. It started more on top and especially hairline, but now it is everywhere. I have seen three other dermatologists and had two biobsies done in those past years. All biopsies and all dermatologist after the first one all told me: No signs of Androgenetic Alopecia, but absolutely TE (chronic). I just want to say that hair loss at the hairline doesn't have to be Androgenetic Alopecia!!! I had my biopsies done in those spots because I lose a lot at my hairline too, and both times it came back as : no Androgenetic Alopecia signs, but too many telogen and catagen hairs. I do have regrowth short hairs all over (for 5 years), they are thick as my normal hair, but don't grow more than 4 centimeter. Like the growth cycle is severly disrupted. Do you have some regrowth?

    I would believe your new derm. I think dermatologist are to quick saying it Androgenetic Alopecia! Unless you have biopsy-proof!
     
  3. Scorpi08

    Scorpi08 Established Member

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    Nes, I really appreciate you taking the time to 'stick your nose in my business' ;) Isn't that why we post on here? Haha

    I took your advice before you even gave it and made an appointment with a therapist. I've been in therapy for a while, but tried someone new. It was really helpful and she helped me realize that this is a problem I will solve, whether with treatments or a great wig. She also helped me to see how much pressure I've been putting on myself and this decision. I have taken a step back and feeling a lot better. I no longer stare at my thinning hair in the mirror every day, which created lasting images for me to obsess on. I just look from a safe distance, and it doesn't look so bad. It's so nice to be free from the grip of anxiety.
    I'm definitely thinking, now, it's a combination of TE and Androgenetic Alopecia. I've always shed a lot, but now I'm starting to see hairs around the house more frequently (of all different lengths). I think what confuses me is that I've seen people diagnosed with Androgenetic Alopecia online and it seems they lost their hair pretty quickly...I say quickly because they're young. Is that possible? Or do you think they have the lucky combo of TE and Androgenetic Alopecia as well?

    fleur1979, I think Androgenetic Alopecia because both derms saw miniaturization, and my Mom thinned as well. But like I said above, it's probably a combination. Along with low ferritin and possibly yeast overgrowth. I think I'm learning how complex our bodies are and, in my case, there are probably several contributing factors. I do have some regrowth, but I can only tell that because I had my husband and the derm look, and they see a few baby fine hairs. I have no idea what that will mean for my hair. Do you know why your hair won't grow longer?
     

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