Question: Hi, I am currently 17 and have noticed slight thinning at my right temple alongside slight recession whereas my left temple has only receded a little, I had noticed this when I was 14 and since then it has progressed little… I also noticed that the sides of my head this refers to the area that is connected to the side burns has thinned a bit on the left and not on the right side…
I have also noticed that the nape area of my head tends to excessively lose hair when I due a stress test pull to see if I will lose any hairs. However this has been the case for a couple of years now and I worry that it will worsen, what can I do to counteract said developments. No doctors prescribe me fin, avodart, etc and the use of minoxidil is fairly limited as its a tedious procedure and must be carried indefinitely.
Answer: Hi, Jack. We cannot diagnose the cause of your hair loss just from what you say here, however, if you are losing hair from your nape this will not be male pattern baldness as genetic hair loss only affects the top of the scalp from hairline to crown.
It may be possible that you have Telogen Effluvium which causes temporary shedding from all over the scalp and is often stress-related. This can present on its own or alongside other hair loss conditions and tends to take around three months to become noticeable, lasting no longer than six months. In its chronic form, this can last for at least six months.
Another consideration in relation to your hairline is that it is simply a maturing hairline rather than a receding hairline but we would need to assess you in order to provide a confirmed diagnosis. Once the reason for your shedding has been established, a personalised hair loss treatment course can be put together where appropriate.
With regards the treatments you mention avodart – also known as dutasteride – which is not a licensed hairloss medication. It is used to treat an enlarged prostate and is not something we would recommend for anything other than its intended use, as prescribed by the appropriate medical professional. The two MHRA licensed and FDA approved treatments for male pattern baldness are minoxidil and finasteride 1mg; their use is on-going because MPB is a permanent condition and there are currently only authorised treatments to help manage it, there is no one-off cure. You should also be aware that finasteride is only available to medically-suitable men aged 18 and over.
You mention doing a ‘stress test’ – we are assuming that by this you mean either the 60 second test or a pull test. It is worth noting that the guidelines for pull tests were revised recently as the amount of hairs that come out was noted as being far too high and could have led to false assumptions of a hair loss condition when, in fact, it was simply regular shedding.
As before, we recommend having a professional consultation – either in person or online, whichever is best for you – in order to get to the bottom of what exactly is causing your hair fall. This can provide you with the personalised information you need to decide how you feel most comfortable moving forward, as well as putting your mind at rest.
The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.