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Scalp Biopsy.....is It Necessary/worth It??

Discussion in 'Women's General Hair Loss Discussions' started by 7680, Dec 12, 2018.

  1. 7680

    7680 Member

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    Hello All,

    For the past three months, I have implemented daily marine collagen, protein powders, evening primrose oil and a saw palmetto supplement. I have done regular acupuncture. Not only have I not had any regrowth, the loss is getting worse. Of the 4 different derms I’ve seen, the consensus has been that TE is the primary diagnosis (prob because I have expressed how stressed out I am about the hair loss). I just had a follow up yesterday, with the most prominent derm of the group. She is now acknowledging some likely Androgenic Alopecia. I feel very strongly that this is the primary cause (unfortunately). I have diffuse widening parts throughout my scalp and very noticeable (to me) recession around hairline and at crown. I used to have a great hairline and pull my hair back in different styles. Now I wear it one way only....down...in order to hide the loss as best as I can (I also use toppik and Rita Hazan spray in my part). I feel that at any moment, a bit more loss will make this impossible too. I am planning to have a biopsy in a month. Wondering if there is really any point, as what will I do with the info anyway? Plus, I don’t need another single spot of ruined hair follicles! There isn’t any effective treatment regardless. Does anyone have thoughts on their biopsy procedure pros and cons? Has anyone received very surprising info from a biopsy? It has also been recommended that I try the very expensive nutrafol supplement. The derm feels very positive about the research....however the reviews I’ve read sounds like it is just another wild goose chase and waste of more $$$$. Thanks!
     
  2. eggplant

    eggplant Established Member

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    I think it's worth it. Make sure they take it from a spot where the hair loss is the worst. And ask for a copy of the biopsy report.
     
    sleepywaif likes this.
  3. Avania

    Avania New Member

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    I think it’s worth it if the cause behind your hair loss is pretty vague. I was diagnosed with Androgenetic Alopecia without a biopsy in my teens, simply because there was all this miniaturisation that’d been going on for awhile - quite clear-cut.

    Do you have any hair that’s growing back in miniaturised in your worst-affected areas?
     
  4. 7680

    7680 Member

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  5. 7680

    7680 Member

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    Thanks so much for the replies and sorry for my late response. ‘Tis the season!
    I feel very confident that I have Alopecia Areata, based on all of the research that I have done, my past hormonal history and my hair loss. I did cancel the upcoming biopsy, as I called the office to let them know that I would be going on a beach vacation (something that I used to love......and now do not look forward to at all) the day after the scheduled procedure. I was told that it would be best to reschedule. Of course I would like the detailed info of the biopsy, but I do not want an unnecessary loss of more hair and follicles if there isn’t a real question on my condition. I just began nutrafol and noticed some increased shedding. It’s all so stressful and upsetting. Would be so grateful to see a very accomplished Derm in hair loss, but just don’t know where to go. The one institution that I did find, requires a referral and at least a one month wait until they even review it for consideration. So very few really have a clue. Would like to see an endocrinologist as well.
     
  6. 7680

    7680 Member

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    Auto-correct said A Areata....was supposed to say Androgenic Alopecia. I seriously cannot believe how I’ve lost 1/2 my hair in 5 months. I am truly struggling to keep it together. Such a nightmare. I can’t believe that the derms I’ve seen have said they think my hair will rebound, as in TE. My scalp is SO bare underneath..... a just passable for normal, outer layer of hair. The sides are drastically receding and my crown is barely covered. If anyone has some great derm and/or endocrinologist refererrals, please pass along the info. Has anyone tried any of the more expensive procedures that truly worked (PRP, laser cap, etc)? I’m so against doing Rogaine for many reason....but may have to do so. I can’t keep waiting and trying nothing. Thank you! Happy New Year to all in this crappy struggle.
     
  7. Sandy

    Sandy Member

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    I did a scalp biopsy back in April. I went to a hair transplant specialist and he said I would be a good candidate due to good donor area, however that it appeared my scalp was inflamed and if I had scarring alopecia (FAA) then the transplant would not work. The scalp biopsy came out negative for FAA but said it was most probably FPHL. I went to another doctor who did not recommend repeating the biopsy and said that on analysis it appeared that my scalp looked inflamed all over, even in the strong back hair area, which was unaffected by hair loss, so he tended to feel it could also be TE, and recommended nizoral plus hair max laser comb (ultra), plus finasteride. He said if this doesn't work within 6 months to get the transplant--he was the 3rd doctor who recommended it although he doesn't do transplants, the other 2 do.
    The thing is I am waiting to buy the nizoral shampoo; the hair max laser I would buy but almost all the reviews are horrific saying it doesn't work, it is a scam, and the finasteride I thought to hold off trying flax seed first since I read it could be a natural alternative however while at first it seemed to work, it has only gotten worse now I notice..............
    So I am going to see if I start finasteride and buy the nizoral shampoo. I don't have dandruff, nor an itchy scalp. The doctors and biopsy have ruled out FAA although I seem to have ALL the symptoms of FAA (loss body hair, loss started at menopause, mostly frontal loss, etc).
    The doctor said the transplant wouldn't work on FAA, so just in event the biopsy is wrong, I don't want to take a chance---I mean with shock loss I could lose more hair, and the transplant wouldn't work at all........
     

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