Hi guys. Almost all male members of my family have/had some issues with hair loss. I will be 27 in September and started to lose hair when I was ~16. Till 19 years old I had pretty long hair which I cut as my hair loss started to be visible. Then, around 2015 I started to have seborrheic dermatitis (itch, greasy hair, pimples which often caused small bleeding and later scabs).
I began a full therapy:
- Finasteride (1 mg/day),
- Minoxidil (5%),
- Isotretinoin (10 mg/day),
I have heard that a hair transplant is not possible while taking isotretinoin. I tried to stop taking it in 2019 but it was not possible as all symptoms of seborrheic dermatitis came back so I reduced it to 3 times per week.
In February 2021 I visited a dermatologist once again and reduced isotretinoin to 2 times per week. In March 2021 to 1 pill per week. Right now I take/use:
- Finasteride (1 mg/day),
- Minoxidil (5%),
- Saw palmetto,
- Ducray Sensinol shampoo (Water, Sodium Laureth Sulfate, Zinc Coceth Sulfate, Ceteareth-60 Myristyl Glycol, Laureth-9, Coco-Glucoside, 1,2-Hexanediol, Caprylyl Glycol, Citric Acid, Disodium Edta, Hydroxypropyl Guar Hydroxypropyltrimonium Chloride, Sodium Chloride, Sodium Hydroxide) on a daily basis,
- Mediket Ictamo (Aqua, Sodium Laureth Sulfate, Cocamidopropyl Betain, Cocamide DEA, Sodium Shale Oil Sulfonate (Ichthylol Pale), Polyquatemium-7, Sodium Chloride, PEG-120 Methyl Glucose Dioleate, Zinc Pyrithion, Lactic Acid, Benzyl Alcohol (and) Methylchloroisothiazolinone (and) Methylisothiazolinone) twice a week,
- Vitella Ictamo forte (Petrolatum, Mineral Oil, Zinc Oxide, Calcium Carbonate, Talc, Sodium Shale Oil Sulfonate (Ichthyol Pale), Sodium Caproyl/Lauroyl Lactylate, Triethyl Citrate, Piroctone Olamine (Octopirox)) every day, on the temples and the top of the forehead,
- Belosalic (Betamethasonum + Acidum salicylicum) twice a week,
- Vitamine D,
- Zinc.
So, quite a lot. The issue is my head is still not under control. I still get pimples on my head. My skin itches and hurts (where the pimples appear). I see small white spots near my hairline that are easy to scratch off and no blood spills from them.
According to the Hamilton-Norwood scale I am III vertex right now. Finasteride just stops/slows down the process. I do not know what to do. I know that my skin problems only speed up the hair loss process. I hoped to have my HT in December. Could you please give me any advice?