Hair Loss From Chronic Telogen Effluvium CTE and Androgenic Alopecia AGA

Hello Dr RAssman, Sir 1 think I want to ask that if suppose a patient has AGA, and for this he is taking finisteride and minoxidil. If now he notices that his hair pull test is negative and also he is shedding 50-90 hairs per day, so does these things indicate that he does not have CTE and just have AGA? I mean to ask that if he had CTE also along with AGA, then even after taking finisteride and minoxidil his hair pull test would have been positive and he would be shedding more than 50-100 hair per day?”

Losing 50 to 100 hairs a day is normal and most people can shed upp to 100-150 hairs per day. The diagnosis of a Telogem Effluvium is made often with a hair pull test which would cause more than 10 hairs to be pulled out with slight force.

Going back to the basics, hair loss in men is mostly genetic and it occurs in a pattern. Thus we call it Male “Pattern” Balding (MPB) or Androgenic Alopecia (AGA). Telogen Effluvium is diffuse hair loss with no certain cause and it generally stops over time and hairs grow back over time without any treatment. I realize there are websites and hair products that claim to cure hair loss, but in general it is a buyer beware market.