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The answers I got from my doctor about hair loss

 
MemberMember
47
(@sverd)

Posted : 06/25/2007 8:33 am

I Sent you a pm a while ago dolph, how long did you shed for in total? i know it started 1.5 months into accutane, but how long did you shed for and how long were you on accutane in the end?

 

One thing i have read is that accutane can make you shed in a cycle for the rest of your life, this is not to say you are loosing more hair than you would of done, but just means you shed it all in one go, then it totally stops for a while. I would think yours will stop again in a few weeks...

what do you mean the rest of my life? :o

 

 

Lamarr is referring to "chronic telogen effluvium," which is rare in males. I wouldn't worry about it.

 

I think, Rogaine or no Rogaine, a second shed might be a good sign. You know how a lot of people say that shedding is a sign of new hair growing in? Well, I don't necessarily believe them, but I do think their scenario is more likely in the later months of the problem.

 

 

Does the hair grow back from the follicles that shed the hair?

 

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 8:35 am

I Sent you a pm a while ago dolph, how long did you shed for in total? i know it started 1.5 months into accutane, but how long did you shed for and how long were you on accutane in the end?

 

One thing i have read is that accutane can make you shed in a cycle for the rest of your life, this is not to say you are loosing more hair than you would of done, but just means you shed it all in one go, then it totally stops for a while. I would think yours will stop again in a few weeks...

what do you mean the rest of my life? :o

 

 

Lamarr is referring to "chronic telogen effluvium," which is rare in males. I wouldn't worry about it.

 

I think, Rogaine or no Rogaine, a second shed might be a good sign. You know how a lot of people say that shedding is a sign of new hair growing in? Well, I don't necessarily believe them, but I do think their scenario is more likely in the later months of the problem.

 

 

Does the hair grow back from the follicles that shed the hair?

 

 

Yes.

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MemberMember
47
(@sverd)

Posted : 06/25/2007 8:36 am

Does it grow in right away or does it take time? Because my left temple area seems very thin..

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 8:42 am

Does it grow in right away or does it take time? Because my left temple area seems very thin..

 

It takes time. The follicle rests (in the telogen phase) for 6 to 9 months after it initially sheds the hair.

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MemberMember
47
(@sverd)

Posted : 06/25/2007 9:59 am

How do you explain my situation? My hair loss stopped for about a month and then started shedding again.

 

Also does any1 have any idea why my hairs have a white bulb AND a white sheath at the end?

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 10:21 am

How do you explain my situation? My hair loss stopped for about a month and then started shedding again.

 

I have two theories, none of which will be satisfactory. But here they are:

 

1. After a bout of telogen effluvium, the next growth phase is synchronized. In other words, the new shedding means that the hair you lost, as well as the hair around the area where you lost it, is growing, and the hair you are losing now is in fact being pushed out by new hair. As a result, you will experience minimal shedding as all the hair prepares to grow back. (Very optimistic, I know.)

 

2. The way in which Accutane causes telogen effluvium is by advancing the age of some of your hair. Hair will grow for 3 to 6 years. The hair you lost was probably 2 to 5 years old, and was aged one year. This aging occurs because retinol (vitamin A) is responsible for signaling the stages of the anagen phase. The hair you are now losing in the second shed was aged as well, but was a bit younger than the hair you lost in the first shed. (I hope that makes sense.)

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MemberMember
1147
(@lamarr1986)

Posted : 06/25/2007 11:01 am

Your first theory is what i was trying to say about dolphs loss, The massive shed syncronises future shedding of hairs, so it may appear as if you are loosing more hair than usual (which you are) but it simply means any normal hairloss is now syncronised instead of being spread out over weeks/months!! So over time you loose the same amount as normal!!

I didn't mean chronic telogen affluvium as i feel if it was that, then it would not have stopped for a month!!

 

I also have something wierd to report, i definenetly have quite a bit of hair growing in, my hair is atually feeling slightly thicker and i can't see my scalp as easily...

I'm still shedding as much as ever, this is all 2 months since i began shedding, three months off tane...

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 11:29 am

Your first theory is what i was trying to say about dolphs loss, The massive shed syncronises future shedding of hairs, so it may appear as if you are loosing more hair than usual (which you are) but it simply means any normal hairloss is now syncronised instead of being spread out over weeks/months!! So over time you loose the same amount as normal!!

I didn't mean chronic telogen affluvium as i feel if it was that, then it would not have stopped for a month!!

 

I also have something wierd to report, i definenetly have quite a bit of hair growing in, my hair is atually feeling slightly thicker and i can't see my scalp as easily...

I'm still shedding as much as ever, this is all 2 months since i began shedding, three months off tane...

 

Hey Lamarr,

 

Yeah, I'm in the same boat. It feels slightly thicker, and I can't see my scalp as easily. But isn't that confusing? Do you think the hair grows back all at once or in parts?

 

You know, most of the "success stories" I come across are from those who lost hair to Accutane years ago, but are now investingating plain old MPB. From their posts, it appears that people with Accutane hair loss start losing their hair for real - i.e., to MPB - about 4 to 5 years later. This is just a guess, though.

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MemberMember
1147
(@lamarr1986)

Posted : 06/25/2007 11:34 am

I think it grows in fairly evenly throughout the scalp, small hairs gradually become thicker/longer, It is probably a gradual process, but obviously when a large number of hairs begin to thicken/lengthen then it will appear sudden and may happen over the space of say a week...

The MPB thing scares me, as although i don't think i have receeded, my temples are looking thinner in some lighting, although i have read the temples nearly always appear worse, due to how the hair grows their, and how light can hit it more easily e.g. from more angles than else where...

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MemberMember
1147
(@lamarr1986)

Posted : 06/25/2007 11:37 am

Your first theory is what i was trying to say about dolphs loss, The massive shed syncronises future shedding of hairs, so it may appear as if you are loosing more hair than usual (which you are) but it simply means any normal hairloss is now syncronised instead of being spread out over weeks/months!! So over time you loose the same amount as normal!!

I didn't mean chronic telogen affluvium as i feel if it was that, then it would not have stopped for a month!!

 

I also have something wierd to report, i definenetly have quite a bit of hair growing in, my hair is atually feeling slightly thicker and i can't see my scalp as easily...

I'm still shedding as much as ever, this is all 2 months since i began shedding, three months off tane...

 

Hey Lamarr,

 

Yeah, I'm in the same boat. It feels slightly thicker, and I can't see my scalp as easily. But isn't that confusing? Do you think the hair grows back all at once or in parts?

 

You know, most of the "success stories" I come across are from those who lost hair to Accutane years ago, but are now investingating plain old MPB. From their posts, it appears that people with Accutane hair loss start losing their hair for real - i.e., to MPB - about 4 to 5 years later. This is just a guess, though.

 

 

I'm sure that is probably just because message boards havent been around in massive use for more than that period of time, and also the only people who are likely to report back are people with ongoing problems...

Therefore the people who simply recovered just pee off and don't come back, i don't think this means we can expect MPB in 4-5 years time, although im sure it will of brought it foward for us, like you have said!!

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 11:44 am

Your first theory is what i was trying to say about dolphs loss, The massive shed syncronises future shedding of hairs, so it may appear as if you are loosing more hair than usual (which you are) but it simply means any normal hairloss is now syncronised instead of being spread out over weeks/months!! So over time you loose the same amount as normal!!

I didn't mean chronic telogen affluvium as i feel if it was that, then it would not have stopped for a month!!

 

I also have something wierd to report, i definenetly have quite a bit of hair growing in, my hair is atually feeling slightly thicker and i can't see my scalp as easily...

I'm still shedding as much as ever, this is all 2 months since i began shedding, three months off tane...

 

Hey Lamarr,

 

Yeah, I'm in the same boat. It feels slightly thicker, and I can't see my scalp as easily. But isn't that confusing? Do you think the hair grows back all at once or in parts?

 

You know, most of the "success stories" I come across are from those who lost hair to Accutane years ago, but are now investingating plain old MPB. From their posts, it appears that people with Accutane hair loss start losing their hair for real - i.e., to MPB - about 4 to 5 years later. This is just a guess, though.

 

 

I'm sure that is probably just because message boards havent been around in massive use for more than that period of time, and also the only people who are likely to report back are people with ongoing problems...

Therefore the people who simply recovered just pee off and don't come back, i don't think this means we can expect MPB in 4-5 years time, although im sure it will of brought it foward for us, like you have said!!

 

 

I agree with that. That only those with ongoing problems post. But one idea occurred to me recently: the reason we lost most of the hair on top (or at least I did - only some on the sides and back) is because the hair on top has a shorter lifespan, due to an ongoing process of MPB. As a result, that hair aged faster, relatively speaking, than the other hair. In other words, hair on top grows 2 to 4 years due to MPB, where as hair on the side grows the normal 3 to 6 years. It was easier for that hair to be signaled to reach its fourth year than the side hair to reach its sixth. I hope that makes sense.

 

As I've said before, if this problem is eventually resolved, then we can look upon the last few months as a blessing. We got fair warning about possiblly impending MPB, and we can try to treat it now. Rogaine will probably suffice. If I can keep my hair until mid-thirties-early-forties, I'd be satisfied.

 

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MemberMember
1147
(@lamarr1986)

Posted : 06/25/2007 11:52 am

Yes fair comment mate, i can be 100% sure though, that other than at the very front of my temples, my loss is 100% even throughout, the top, if anything is thicker (other than the very front temples) than else where, my sideburns seem to be effected the most though lol. I hope that means my MPB will be similar to my grandfather on my mums side, he still pretty much has a full head of hair (other than he lost his temples pretty early on in life)

 

At the moment i would just be happy for the shedding to stop, although i realise 2 months is still far to early to be expecting that yet!!

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MemberMember
47
(@sverd)

Posted : 06/25/2007 12:54 pm

Ok but does anyone have any idea why the hairs I lose have a white bulb with a white sheath along the end?

 

My fringe has thinned and my temples too, Im only 16 Im too young for mpb I hate this..

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 1:00 pm

Ok but does anyone have any idea why the hairs I lose have a white bulb with a white sheath along the end?

 

My fringe has thinned and my temples too, Im only 16 Im too young for mpb I hate this..

 

The white bulb is not the follicle. It's dried sebum/sheath. It's what telogen hairs look like.

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MemberMember
1147
(@lamarr1986)

Posted : 06/25/2007 1:03 pm

Ok but does anyone have any idea why the hairs I lose have a white bulb with a white sheath along the end?

 

My fringe has thinned and my temples too, Im only 16 Im too young for mpb I hate this..

 

Dude, read a few pages back, take some of your own advice, worrying will not help things, lets be constructive here, try and spot any patterns to this etc... Your hairloss stopped for a while, so im sure it will be fine again!!

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 1:05 pm

Ok but does anyone have any idea why the hairs I lose have a white bulb with a white sheath along the end?

 

My fringe has thinned and my temples too, Im only 16 Im too young for mpb I hate this..

 

Dolph,

 

Don't know if you answered this already, but did you have any other side effects? Any numb fingers or mouth sores or joint pain?

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MemberMember
47
(@sverd)

Posted : 06/25/2007 1:18 pm

I know the bulb is normal I'm asking why there is also a white sheath at the end. "Telogen hairs are identified by a white bulb and the lack of a gelatinous hair sheath."

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 1:22 pm

I know the bulb is normal I'm asking why there is also a white sheath at the end. "Telogen hairs are identified by a white bulb and the lack of a gelatinous hair sheath."

 

What do you mean, "white sheath"? Describe it. Is it attached to the bulb at the bottom? Is it longish? I'm not sure what that might be. Also, there might be "the lack of a gelatinous hair sheath" in the scalp, not on the hair. You get me? In other words, the gelatinous hair sheath falls out with the hair and is not observed in the scalp?

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MemberMember
1
(@favre4)

Posted : 06/25/2007 3:25 pm

do the white bulbs symbolize that it is not mpb??

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 3:39 pm

do the white bulbs symbolize that it is not mpb??

 

No. They just mean that the hairs that fell out are in the telogen phase, as they should be. Those hairs were going to fall out in time anyway. The ability of the follicle to regrow hair and the diameter of the new hair is what counts in terms of MPB.

 

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MemberMember
1
(@favre4)

Posted : 06/25/2007 3:44 pm

but it doesn't mean that the hair from that follicle is goen for good?

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MemberMember
2
(@_andy_)

Posted : 06/25/2007 3:47 pm

but it doesn't mean that the hair from that follicle is goen for good?

 

Absolutely not. The white bulb is not the hair follicle.

 

Are you very new to this problem? If so, private message me and I can direct you to a few pages that will help you understand what's going on.

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MemberMember
47
(@sverd)

Posted : 06/25/2007 8:33 pm

once the hairs fall out in telegen effluvium how long does it take for new hair to come out? because I've been reading about telogen effluvium and from what I understand the hair falls out because a new hair is pushing it out from within the scalp. If that were true then how come we don't see regrowth right away?

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MemberMember
1147
(@lamarr1986)

Posted : 06/25/2007 9:06 pm

No, new theories suggest that hair falling out can be caused by something other than the hair pushing it out. However new hairs generally follow some time after, i think i may of posted something about it in this thread even... I don't think regrowth is seen straight away in telogen effluvium...

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MemberMember
47
(@sverd)

Posted : 06/26/2007 7:36 am

To be honest now Im not sure if I ever stopped shedding. I think the shedding slowed down and I stopped worrying about it so I didnt notice it anymore. But since a few days ago it has started to speed up. It's about 4 months since I stopped accutane and 5 months of shedding.

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