I’ve been on finasteride for half a year and I’ve just started topical minoxidil (regaine) about a week ago, I’ve been applying it on my temples because that’s where my hair is thinning and receding, I don’t have any hair loss on other parts of my head. I found that using a few drops on each side already covers the whole balding areas and using any more makes it wet and drip down my forehead, so is it fine to just use enough to cover those areas even if it’s less than 1mL? Thanks

You don’t have to flood your scalp. Using the liquid, put if on the scalp in small drops and rub it in. Do it best after a hot shower before you go to bed

There appears early growth. Maybe add microneedling and it will get even better. You can see the short hairs growing

Hello doctor Rassman I have some questions about the use of minoxidil and derma rolling I have a 1.5mm derma roller and use minoxidil foam is 1.5mm too long? You can’t really find a definite answer on the internet how often should I derma roll on my scalp with a 1.5mm derma roller and how long should I wait before applying minoxidil after?

Frequency should be once a week and when you apply minoxidil. It should be rubbed into the open holes so it should be shortly after using the derma roller

Dr do you know if finasteride sheds or shrinks some hair during the 2 months stage after a hair transplant?

No, the shed if it comes from finasteride is a sign that it is working. Possibly you are shedding some miniaturized hairs that will regrow in a few months, just a guess.  I hope you were on finasteride when you had the hair transplant as that is critical

 

I’ve never really had hair problems, my parents have full heads of hair and barely anyone in my family has hair problems of any type. Last year I went through some very rough months which have left me with some anxiety and other problems and during those months I noticed a very drastic decline in my hair. Basically from full density, can’t see the scalp, to very dry, thin and low density hair. All my blood work is always fine, my testosterone levels are fine my vitamins are fine (got tested for vitamin d levels). Has anyone here experienced that?

In my 32 years practicing hair related conditions, I see stress as a major accelerator for genetic hair loss. It even hits people without genetic hair loss in presentations such as Telogen Effluvium which can reverse in time as stress reduces

I’ve been having hair loss and thinning for the past three years. I’ve taken minoxidil for a year and it didn’t really work.  Some 4 months ago I got some blood work done and my vitamin D levels were low as well as my iron levels were too high. I was prescribed 50,000 IU vitamin D pill to take once a week for two months. I had amazing results in about 2 to 3 weeks. By the end of the two months, my hair was a lot fuller. Unfortunately once I was off those pills my hair started to thin and fall out. Not at the rate as before (hair on the pillow while I was sleeping, etc.) but 10-15 stands of hair while I wash my hair. I’m pretty bummed out about this. The doctor did tell me to maintain it with 1000 IU. But it hasn’t been helping. So I up my dosage to a higher safe level dosage of 4000 IU. It’s been about two weeks since I’ve been off of the 50,000 IU. At this rate, I’m not sure if it was the vitamin D level being the underlying issue of my hair thinning.

I have little doubt that many men or Vitamin D deficient makes hair loss worse. It is easy to take a Vitamin D capsule once a day to solve the problem. 50,000 IUs are a bit too high. Try to take 5000 every other day and that should build up your Vitamin D levels. Keep on that routine for life. I take 5000 IU every other day.

I’m 42 years of age.  Haven’t tried anything yet.

Your combing style is covering any recession that you have. Fine hair is always a challenge. Is the hair fine in the back of your head as well?