Hi, I am 35 years old from the UK. I first noticed my hair loss 8 years ago. I was referred to a dermatologist and attended appointments with her over the space of two years. At the last appointment I was told there was no diagnosis. I have had numerous blood tests which came back 'normal'. I had a skin biopsy which came back as 'inconclusive'. I have been prescribed Elocon Solution, Eumovate Cream, and Minoxidil (Rogaine), none of which had any effect and the Minoxidil made my scalp itch severely and flake! I have been tested for Lupus, hormone imbalance, thyroid problems etc. all of which returned normal. I continue to take vitamins etc. recommended for hair loss. I was always sure my hair loss was caused by traction because of how I wore my hair - consistently up in a bun. I immediately stopped wearing it that way and have seen no significant deterioration/improvement ever since. However, in reading this forum today I found this thread http://www.heralopecia.com/interact/viewtopic.php?f=40&t=17198 in which the person has exactly the same pattern of hair loss as I do, especially at the sides. I have never seen anyone else with this type of hair loss in any of my online research. She did not mention if the cause could be traction. I would be very interested to know if there are others on this forum who have this pattern of hair loss and have any insight into the cause. I have an identical twin sister who looks perfect and no other family member suffers from any hair problems, therefore I have always ruled out any hereditary causes. My dermatologist actually said to me that she was seeing more and more people with this pattern of hair loss but could not provide a diagnosis. She also refused to agree with me that the likely cause was traction and never once suggested it to me as a possibility. Now I am very confused as I have always believed this to be my own fault. I had been looking into hair transplantation as a solution (very discouraging!) as I thought it was the only option left. But if there is even the chance there is an underlying cause I would not think of going in that direction. What do you think? Was the dermatologist right? Thanks for reading all that! Kind regards.