Losing hair, and my scalp feels sensitive, itchy, tingly almost. The Doctor prescribed me Dermovate, this sound right?

[Hairtroubles]

I know this is a weird post, but im losing my hair, not on any medications, don't want to be as I plan to get a hair transplant. Anyways, my hair feels sensitive, maybe its because I am thinking about it non stop.

I am putting on dermovate, the label says once a week to apply by my doc (who didn't even see my hair and spoke on phone), and i see online it says to apply daily. So I have been doing it every other day. Still feels itchy.

When I saw a trichologist two months ago, it felt the same way, she didn't say anything about the hair, just that its a bit red from ithcy and dry. I emailed her the other day and asked about my hair and questions about it, and she said "I have reviewed the images taken at the appointment and the scalp was slightly sebaceous, (oily) this can cause itching, flaking and soreness, it may be a mild seborrhoeic dermatitis, which I can't diagnose without seeing the scalp, but is not unusual in male pattern hair loss."

Any thoughts, I am two weeks into dermovate, dont want to overuse it because it can thin the skin apparently. This all normal and in my head? I do not have pics, tried taking and hard to see under hair.

[Mountinvan]

I would see a dermatologist.  Using a steroid--especially a strong one---can actually lead to more hair loss (perhaps temporariiy). It is possible you have seborrohea because your symptoms sound like mine--itchy, flaky and redness. My dermatologist prescribed nizoral shampoo, which works. The prescription strength of nizoral is very helpful, but there is over the counter version. Maybe you should ask about that shampoo?

[Hairtroubles]

Weird, when I used nizoral that’s what I feel triggered the itchiness!

[Fabulous]

I hardly advice you to start taking medication for hair loss. Even though you get a hair transplant (a lot of doctors won't accept if you don't take medication) you'll keep losing your natural hair (not the implanted). At least start with minoxidil if you are afraid of finasteride.

[LaserCaps]

On 11/3/2021 at 7:14 PM, Hairtroubles said:

I know this is a weird post, but im losing my hair, not on any medications, don't want to be as I plan to get a hair transplant. Anyways, my hair feels sensitive, maybe its because I am thinking about it non stop.

I am putting on dermovate, the label says once a week to apply by my doc (who didn't even see my hair and spoke on phone), and i see online it says to apply daily. So I have been doing it every other day. Still feels itchy.

When I saw a trichologist two months ago, it felt the same way, she didn't say anything about the hair, just that its a bit red from ithcy and dry. I emailed her the other day and asked about my hair and questions about it, and she said "I have reviewed the images taken at the appointment and the scalp was slightly sebaceous, (oily) this can cause itching, flaking and soreness, it may be a mild seborrhoeic dermatitis, which I can't diagnose without seeing the scalp, but is not unusual in male pattern hair loss."

Any thoughts, I am two weeks into dermovate, dont want to overuse it because it can thin the skin apparently. This all normal and in my head? I do not have pics, tried taking and hard to see under hair.

"I know this is a weird post, but im losing my hair, not on any medications, don't want to be as I plan to get a hair transplant. Anyways, my hair feels sensitive, maybe its because I am thinking about it non stop."  If you are planning on getting a transplant, perhaps you ought to rethink your train of thought.  First thing to consider is the fact there is a donor limitation and, if you have an existing pattern, there will not be enough to allow for a full set of hair.  Additionally, if you've shown the propensity to lose, you will continue losing.  So, you add some transplants, you keep losing native hair, now you have to return for more just to keep up, never increasing that bar of density.  

Propecia, Rogaine, PRP and laser are the modalities we typically refer to when dealing with this condition.  The mechanism of action of each of these is totally different and are thus synergistic when used simultaneously.  But wait.....you also said "just that its a bit red from ithcy and dry." So, perhaps adding Rogaine - which contains alcohol - would be an irritant and perhaps create more issues. So, the idea of visiting with a derm/pathologist is not a bad idea.  Taking a biopsy and finding out what you really have could be the right thing to do.

In short, consult with a doctor.

[pkipling]

I would also recommend seeing a dermatologist, preferably in person. I had something similar, and while Nizoral really helped me get outbreaks under control, the thing that helped me the most was figuring out what was triggering my outbreaks to begin with. Turns out I am allergic to certain hair products, and through some trial and error, I started figuring out which ones were causing my scalp to act up. I never got specific enough to know which exact ingredients were the culprit, but I sorted it out nonetheless. 

Another thing that seems to negatively affect my scalp is not washing it daily. If I go even two days without washing it (and therefore leaving product buildup on my hair), the chances of it breaking out increase quite significantly. 

[Hairtroubles]

On 11/22/2021 at 2:31 PM, LaserCaps said:

"I know this is a weird post, but im losing my hair, not on any medications, don't want to be as I plan to get a hair transplant. Anyways, my hair feels sensitive, maybe its because I am thinking about it non stop."  If you are planning on getting a transplant, perhaps you ought to rethink your train of thought.  First thing to consider is the fact there is a donor limitation and, if you have an existing pattern, there will not be enough to allow for a full set of hair.  Additionally, if you've shown the propensity to lose, you will continue losing.  So, you add some transplants, you keep losing native hair, now you have to return for more just to keep up, never increasing that bar of density.  

Propecia, Rogaine, PRP and laser are the modalities we typically refer to when dealing with this condition.  The mechanism of action of each of these is totally different and are thus synergistic when used simultaneously.  But wait.....you also said "just that its a bit red from ithcy and dry." So, perhaps adding Rogaine - which contains alcohol - would be an irritant and perhaps create more issues. So, the idea of visiting with a derm/pathologist is not a bad idea.  Taking a biopsy and finding out what you really have could be the right thing to do.

In short, consult with a doctor.

Thanks man, appreciate this.  I paid GBP 190.00 to see Eva Proudman, and it was a waste of money, I just get the vibe she just wants money.  I told her all this, and just left with a bottle of minoxidil, it really pisses me off actually.  Feel proper ripped off.

[Hairtroubles]

On 11/23/2021 at 12:02 AM, pkipling said:

I would also recommend seeing a dermatologist, preferably in person. I had something similar, and while Nizoral really helped me get outbreaks under control, the thing that helped me the most was figuring out what was triggering my outbreaks to begin with. Turns out I am allergic to certain hair products, and through some trial and error, I started figuring out which ones were causing my scalp to act up. I never got specific enough to know which exact ingredients were the culprit, but I sorted it out nonetheless. 

Another thing that seems to negatively affect my scalp is not washing it daily. If I go even two days without washing it (and therefore leaving product buildup on my hair), the chances of it breaking out increase quite significantly. 

Okay crazy, how did a dermatologist help you, out of curiosity?

[pkipling]

On 11/24/2021 at 5:10 AM, Hairtroubles said:

Okay crazy, how did a dermatologist help you, out of curiosity?

A dermatologist specializes in the skin and so she looked at what was causing my scalp to be irritated. So in regards to my scalp, she was able to see what was going on with it to cause it to be itchy, red, inflamed, etc., and then provide a proper diagnosis and treatment to help me get in under control. 

Also, in my particular case, while much of my hair loss was a result of MPB, I also had increased hair fall during dermatitis flare ups that were unrelated to MPB. So once I was able to get the health/condition of my scalp under control, the hair fall associated with that resolved itself. Make sense? 

Edited December 9, 2021 by pkipling

[Hairtroubles]

10 minutes ago, pkipling said:

A dermatologist specializes in the skin and so she looked at what was causing my scalp to be irritated. So in regards to my scalp, she was able to see what was going on with it to cause it to be itchy, red, inflamed, etc., and then provide a proper diagnosis and treatment to help me get in under control. 

Also, in my particular case, while much of my hair loss was a result of MPB, I also had increased hair fall during dermatitis flare ups that were unrelated to MPB. So once I was able to get the health/condition of my scalp under control, the hair fall associated with that resolved itself. Make sense? 

Super coincidental that you replied today.  I went to a Doctor today after getting my blood tests, all results from what I could see and were told are in the normal range.  I sent them to my Hair Transplant Surgeon, she did ask to see the Testosterone results which I did not get tested for. 

I went to the doctor and she advised my blood test results are okay, but then looked at my scalp, she said I have some mild flaking which is like a 3/10.  She prescribed me Sebco and Dermovate with Capasal shampoo, I am using them.  What do you think?

She said I have, I think she said I have mild seborrheic dermatitis.  I dont know.  Additionally, I am going to see my dermatologist tomorrow through private healthcare, any must questions I should ask?

[pkipling]

20 minutes ago, Hairtroubles said:

Super coincidental that you replied today.  I went to a Doctor today after getting my blood tests, all results from what I could see and were told are in the normal range.  I sent them to my Hair Transplant Surgeon, she did ask to see the Testosterone results which I did not get tested for. 

I went to the doctor and she advised my blood test results are okay, but then looked at my scalp, she said I have some mild flaking which is like a 3/10.  She prescribed me Sebco and Dermovate with Capasal shampoo, I am using them.  What do you think?

She said I have, I think she said I have mild seborrheic dermatitis.  I dont know.  Additionally, I am going to see my dermatologist tomorrow through private healthcare, any must questions I should ask?

I'm not familiar with a lot of the products you mentioned, so I don't feel comfortable advising you in that regard. However, in regards to speaking to the dermatologist, it seems like you have two main issues at hand: 1) Your hair loss, and 2) Your itchy scalp. (And where do they overlap?) So it seems like your visit needs to be focused on the following:

What's going on with your scalp to cause it to be so itchy, and what treatment would she suggest? How much of the hair loss you're experiencing is directly related to the condition of your scalp, and how much of it is directly related to MPB? It is a combination of the two? Does she think treating the scalp will help slow down your hair loss? And how does whatever condition you have impact you getting a hair transplant should you want to do that?

These are some questions I would have off the top of my head - but essentially, you just want to rely on the experts to get as much information as possible and the point you in the direction they think is best. It's unlikely that treating your scalp condition will completely resolve the hair loss - but it may make your path to hair restoration a bit more linear. Ideally, between the diagnosis of the dermatologist and factoring in what the hair transplant surgeon has said regarding your hair loss, you should be able to get a better idea of how to best address all of this.

[Hairtroubles]

On 12/9/2021 at 11:09 PM, pkipling said:

I'm not familiar with a lot of the products you mentioned, so I don't feel comfortable advising you in that regard. However, in regards to speaking to the dermatologist, it seems like you have two main issues at hand: 1) Your hair loss, and 2) Your itchy scalp. (And where do they overlap?) So it seems like your visit needs to be focused on the following:

What's going on with your scalp to cause it to be so itchy, and what treatment would she suggest? How much of the hair loss you're experiencing is directly related to the condition of your scalp, and how much of it is directly related to MPB? It is a combination of the two? Does she think treating the scalp will help slow down your hair loss? And how does whatever condition you have impact you getting a hair transplant should you want to do that?

These are some questions I would have off the top of my head - but essentially, you just want to rely on the experts to get as much information as possible and the point you in the direction they think is best. It's unlikely that treating your scalp condition will completely resolve the hair loss - but it may make your path to hair restoration a bit more linear. Ideally, between the diagnosis of the dermatologist and factoring in what the hair transplant surgeon has said regarding your hair loss, you should be able to get a better idea of how to best address all of this.

Yeah I went to the dermatologist, said I had some light yeast.  Like 2/10, so I am shampooing it and moisturizing it at the same time.

 

I just wanted peoples opinion on this, a hair transplant at the age of 30, with no finasteride.  I am about to book it. I might start a new thread but yeah, this is where I am at.

[mcr7777]

On 1/8/2022 at 6:09 PM, Hairtroubles said:

Yeah I went to the dermatologist, said I had some light yeast.  Like 2/10, so I am shampooing it and moisturizing it at the same time.

 

I just wanted peoples opinion on this, a hair transplant at the age of 30, with no finasteride.  I am about to book it. I might start a new thread but yeah, this is where I am at.

I'd recommend making sure you don't have lichen planopilaris....this can cause itching/tender/sore scalp.   This should be in remission before any hair transplant...not saying you have it but it does cause itching sensations and is often misdiagnosed as seb derm. 

 

Have you seen a specialist hair derm?  

 

Edited January 17, 2022 by mcr7777

[Hairtroubles]

On 1/17/2022 at 12:48 AM, mcr7777 said:

I'd recommend making sure you don't have lichen planopilaris....this can cause itching/tender/sore scalp.   This should be in remission before any hair transplant...not saying you have it but it does cause itching sensations and is often misdiagnosed as seb derm. 

 

Have you seen a specialist hair derm?  

 

Yeah I have, she said its not this, just a small amount of yeast and gave me special shampoo and said its fine.