Posts Tagged: Male Pattern Hair Loss

Is Genetic Test for Hair Loss Worthwhile?

October 14th, 2009

Q: Is it worth getting the genetic test for balding?

A: You’re referring to Hair DX (hairdx.com), which costs about $150 and came to market in January of 2008 as the first test for androgenetic alopecia, aka male pattern baldness.

The test screens for variations in the androgen receptor gene on the X chromosome, the gene that is associated with male pattern hair loss. The purpose of the test is to identify persons at increased risk of developing hair loss before it is clinically apparent – so that medical intervention can be started early, when it is most effective.

It is important to realize that, at this point, there is just an association with this gene and hair loss; the cause and effect has not been proven and the association is not anywhere near 100%. A danger is that patients may overreact to the relatively incomplete information that the test provides. It is best to have the test performed under a doctor’s supervision, so that it can be put in the context of other information that the physician gleans through a careful history, physical and a densitometry hair evaluation. As of this posting, genetic testing for hair loss is not permitted in New York State.


Posted by Robert M. Bernstein M.D. at 7:30 am

Can Hair Loss be Induced by Acne Medication Accutane?

March 10th, 2008

Q: I have hair loss due to a treatment of Accutane. I have been off this medication for about a year and a half now, yet my hair has not recovered. The texture of my hair has completely changed. Given the fact that there is no family history linking me to male pattern baldness, I attribute my hair loss exclusively to Accutane. What should I do?

A: If the texture alone has changed there is nothing you can do except to wait. The texture should improve over time even though it has already been 18 months.

If there are signs of genetic hair loss (i.e. male pattern alopecia), then finasteride should be considered.


Posted by Robert M. Bernstein M.D. at 7:25 am

Why Different Hair Loss Evaluation Fees for Diffuse Thinning Versus Patterned Hair Loss?

January 21st, 2008

Q: Why is the consult fee more for diffuse thinning than for a regular visit?

A: Diffuse hair loss, more common in women, can be the result of a number of underlying medical conditions and therefore it usually requires an extended medical evaluation. We charge $350 for this evaluation.

If you are a male or female with obvious diffuse thinning from androgenetic alopecia (common baldness), or if you have patterned hair loss where the diagnosis is straightforward, the fee is $125.


Posted by Robert M. Bernstein M.D. at 10:28 am

Managing Hair Loss Medication Treatment with Side Effects

June 4th, 2007

Q: I am suffering from male patterned baldness. I used Propecia a couple of months ago but had the sexual side effects from it so I stopped. I’ve recently gone back to using Propecia but I was just wondering how I avoid the side effects. Can Propecia be used every other day and still be effective. Also, do the side effects disappear if I continue to use it and how long does it take?

A: Yes, on both accounts. Alternate day therapy may decrease the side effects and still be effective in treating hair loss. The sexual side effects usually take a week or two to disappear after stopping the medication.


Posted by Robert M. Bernstein M.D. at 7:35 am

Is Asymmetrical Hair Loss from Telogen Effluvium or Androgenetic Alopecia?

September 12th, 2006

Q: Over the past three months, my hair seems to be thinning more on one side. Is it common in male pattern hair loss for it to be more on one side? I had a lot of stress about three months ago and have heard that this could be the cause. Is this possible? Should I use Rogaine to treat it?

A: Regardless of the cause, hair loss is usually not perfectly symmetric. This applies to male pattern hair loss as well.

In your case, it is important to distinguish between telogen effluvium (shedding that can be due to stress) and hereditary or common baldness. The three month interval from the stressful period to the onset of hair loss is characteristic telogen effluvium, but you may have androgenetic alopecia as an underlying problem.

The two conditions are differentiated by identifying club hairs in telogen effluvium and miniaturized hair in androgenetic alopecia. In addition, a hair pull will be positive in telogen effluvium (when a clump of hair is grasped with the fingers, more than five hairs pull out of the scalp at one time) and will be negative in common baldness. The hair loss diagnosis can be made by a dermatologist.

Hair cuts do not affect either condition.

Rogaine (Minoxidil) is only effective in androgenetic hair loss and only marginally so. Finasteride is the preferred treatment if your hair loss is genetic when it is early and a hair transplant may be indicated if the hair loss progresses.

Shedding from telogen effluvium is reversible and does not require specific treatment.


Posted by Robert M. Bernstein M.D. at 10:08 am



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