I Have DUPA That Hasn’t Changed for 8 Years

Hello there Dr.Rassman

I’m a long time reader. basically since the age of 17 i have suffered from diffuse unpatterned alopecia (DUPA) which I’m guessing i inherited from my mother basing on what her hair loss looks like. anyway I am now a 25 year old man and 8 years have passed since i initially noticed the entire scalp thinning including the permanent zone. i feel my DUPA has not been too aggressive as i still have pretty good coverage overall with slight recession. my question is will my hair loss be very gradual or will it speed up soon?

If it has been stable for the last 8 years, I do not see why it would not continue to be stable a lot longer. But I can not predict the future and the clinical course of patients with DUPA has been poorly documented.

As a professional who may be more aware of this condition than most doctors, I recognize my limitations in both treating it and predicting its course, as we know very little about DUPA. I have tried using finasteride on most of the men with DUPA, but the results are inclusive. Sorry, I wish I could be of more help.