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New Androgenetic Alopecia Diagnosis, Need advice on treatment steps

Discussion in 'Treatments for Androgenetic Alopecia' started by Jep30*, Jan 17, 2017.

  1. Jep30*

    Jep30* New Member

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    Hi,

    I am 30 and diagnosed Androgenetic Alopecia recently through biopsy. Had extensive bloodwork and ruled out iron, thyroid etc. Stopping and restarting my high androgen birth control a year ago caused TE and then triggered Androgenetic Alopecia. I switched to Desogen (low androgen) birth control last week. I tried spironolactone for 5 days over New Years but it gave me horrible insomnia so I stopped it. Recently tried it again and the same insomnia occurred so am off it for now. One dermatologist said to start Rogaine and the other said not to because of the bad initial shed and to do Spironolactone, BC and platelet rich plasma. My hair has thinned so much in the last few months and rapidly changed to dry and brittle. Trying to figure out if I should keep trying the Spironolactone and combat the insomnia somehow or stay off it and start Rogaine. Also debating PRP and laser cap but don't want to start everything at once. Should I do Rogaine before trying PRP/laser or try those first? Also not sure if Desogen is a good BC. Seeing Dr Redmond in New York at the end of this month to get advice on the hormone aspect.
     
  2. Justiinaa

    Justiinaa Member

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    Desogen is the lowest androgen bc on the market. I switched to desogen as well when this started. I have done PRP and I would honestly advise against it. It is a very pricey procedure, especially in NYC. I am in NYC too and paid 1250 for one treatment, and you are expected to do a minimum of three within six months. I also did Spironolactone and birth control before trying rogaine and as I did not have elevated testosterone levels, the Spironolactone did nothing to help me. Now, I am just using rogaine and supplementing with iron, as my ferritin was low. If your body is reacting badly to the Spironolactone and you don't have elevated Testosterone levels, i wouldn't force yourself to take the medication. For me, I am about four months into Rogaine. I can't say if it's helping, but I certainly don't think it's hurting, and my shedding, while still a little high, is a lot lower than it was before I started the rogaine.
     
  3. Jep30*

    Jep30* New Member

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    Thanks for the quick reply. Did you consider Yasmin birth control? I debated that one vs Desogen. What was your ferritin? Mine was 88 in Feb 2016 when I had TE and now 38 on bloodwork done last month. Was told that wasn't low enough to need an iron supplement but I don't know why it dropped so much in 10 months (no change in diet and no anemia symptoms).
     
  4. Chasrogers01

    Chasrogers01 Member

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    Hi, my dermatologist, who is a hair loss specialist, recommended a special minoxidil mixture mixed with finasteride and retonic acid. She offers PRP, but did not recommend it. She said if I want to thicken the top more in six months that we would try it then. So, my regimen is the minoxidil mixture, laser cap, Help Hair vitamins and shakes, Nizoral 2% shampoo every 3rd day, shampoo and conditioner that I buy also from Help Hair, and Ferro Sequal iron. (My ferritin is 23) I did not have a shed from the rogaine mixture and can see an improvement in my hair. I am not on any bc pills or Spironolactone. Hope this helps.
     
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  5. Jep30*

    Jep30* New Member

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    Has anyone used finasteride? My doctor said I could take it since Spironolactone gave me side effects.
     
  6. Chasrogers01

    Chasrogers01 Member

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    My minoxidil is mixed with topical Finasteride. I don't have any experience with oral. All I can say is that my hair has improved tremendously since starting the above regimen. I have been using it 12 weeks. Good luck with what you decide!
     
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  7. hoping4best

    hoping4best Established Member

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    Chasrogers01, do you live in the US? Where do you get topical finasteride + minoxidil? I'd love to have more topical options as I cannot take testosterone lowering meds.

    - - - Updated - - -

    Update: I see from your profile you do live in the US. I will ask my hair loss specialist about topical finasteride. Do you get any systemic side effects? Does it get absorbed much past the scalp level?
     
  8. Chasrogers01

    Chasrogers01 Member

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    Hi, I get the topical from a dermatologist who is also a hair loss specialist in Atlanta. I order the topical from them, but the solution comes from a pharmacy in Illinois. I have not had any systemic side effects at all. I was terrified of the minoxidil but have since wondered why I was so scared. My next appointment is in 3 months so I'm going to ask her if I need an internal DHT blocker or if the topical is enough. I hope it's enough! I would love to stay off oral medication. So far, I have had good results. My shedding has stopped, my hair looks healthier, and some of my thin spots have filled in. The doctor could have sold me just about anything at the time such as expensive PRP, but the above regimen is what she recommended. They told me that I have a 90% chance of keeping the hair I have! I hope this is true. Good luck!
     
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  9. hoping4best

    hoping4best Established Member

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  10. Jep30*

    Jep30* New Member

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    I saw Dr. Redmond in New York this week and he said since Spironolactone gave me side effects my next best option was bicalutamide or finasteride 5mg. He recommended bical but you have to get liver enzymes tested monthly at first due to small risk of liver issues. He said finasteride was not very effective but I am concerned about the liver risks with bicalutamide and limited studies on it for hair loss. He also said not to take Rogaine yet and to stop (I've been on it 2 weeks). He rated my Androgenetic Alopecia loss at 1.5 out of 5. Thoughts on bicalutamide vs finasteride?
     
  11. Scorpi08

    Scorpi08 Established Member

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    I went to this doctor in Atlanta too. I did the laser helmet and the help hair shakes. I didn't start the topical mixture because I am still considering another child. I'm glad to know it worked for you!! After seeing the doctor, I discovered I have an autoimmune thyroid disorder. I've been trying to heal from the inside, but it's taking so long and my hair is getting worse. So your hair is growing back?
     
  12. Chasrogers01

    Chasrogers01 Member

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    Yes, my hair has filled in a lot. The doctor told me that the topical is the most important treatment and the other things I'm doing are secondary. The doctor also said I can use this topical until the day I find out I'm pregnant. Meaning I can use it while trying to get pregnant. I really believe this topical is saving my hair. Good luck!
     
  13. Linz

    Linz Member

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    Do you mind sharing the dermatologist that prescribed the mixture?
     
  14. mcat11

    mcat11 Established Member

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    I have seen Dr Redmond and I did not find him helpful at all.

    He just wanted to put me on BCP and a high dose of Spironolactone.

    I had a bad side effect to the Spironolactone and had to go off.

    When I tried to speak to him about it he was very condescending.

    I see DR Wesley in NYC he is a hair transplant surgeon but he treats me medically. He is fantastic.
     
  15. mcat11

    mcat11 Established Member

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    I am using topical finasteride and topical Spironolactone (which I may phase out the Spironolactone) and my shedding is greatly improved. It improved a lot wth the Spironolactone and then it improved even more when I adde the finasteride.

    I use Rogain foam and I have really good decent regrowth.

    I am considering eventually just doing oral finasteride at 5 mg a day its cheaper than topical (this is the dose women need to be effective ) but I am waiting for a study that will be coming out in early 2018 on the oral vs topical results.

    I think DR Redmond sucks sorry--I know he is expensive but..he for me was a waste of money.

    Basically it is a year since I started Rogain and Spironolactone and about 6 weeks since i added finasteride and my hair is better than baseline a year ago and other than Iron pills (i had low ferritin) I don't take any oral medication at this point..I may switch to oral finasteride like I said.

    World Hair conference in Fall might reveal a lot about what is available in 2018 and 2019. Folica, Replicell etc. I would not wait but I also would not poison yourself especially if your hair loss is so early stages.

    Did you get the dread shed from Rogain? that means its working.
     
  16. mcat11

    mcat11 Established Member

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    I think that is awesome I am also using topical finasteride and had great results

    However

    I would NEVER risk conceiving while on it because there is debate if it goes systemic.

    I would just talk to Gynecologist and do a simple blood test to see if its is systemic before actually conceiving.

    If you conceive at the time you are blocking systemically your DHT which is what finasteride does orally (and possibly to some extent topically) if can cause serious sexual defects in male fetuses...so I personally would NOT take that chcance...if you are doubtful just talk to gyno and get a blood test and ask them how long IF it is going systemic to stop the medications when you are trying to conceive.
    If the blood test comes back that its not then--don't worry as much.

    its better to be safe than sorry....a report in coming out in 2018 about the topical vs oral and systemic results.

    What strenthg finasteride is it? Mine is high its 0.5% no side effects.
     

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