BIOPSY
- Thread starter truking10
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Cornholio
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If the biopsy was read by an expert as Telogen Effluvium then you had hair loss due to Telogen Effluvium... That is good, as it might come back. It is possible to have Telogen Effluvium in addition to male pattern baldness, so if the course acts like male pattern baldness (developing norwood, receeding temples, loss at crown) you might reconsider the diagnosis in 6-12 months if not improving...
Info on Telogen Effluvium... Telogen Effluvium
Telogen effluvium is characterized by abrupt,
diffuse hair loss, often sufficient to block the
drain in the shower. Pull tests are positive all
over the scalp, and greater than normal num-
bers of telogen hairs are easily detached.
Telogen effluvium is initiated by a premature
interruption of growth that affects many
anagen hairs, projecting them into the telogen
phase. As a result, the proportion of telogen
hairs on the scalp rises to 25% to 50% of the
total hairs from the normal 10% to 15% of
the total. When the resting phase ends 2 to 4
months later, the new anagen hairs displace
the telogen, or club hairs (Figure 5, page 11),
which fall out abruptly in large numbers.
Common causes of telogen effluvium include
childbirth, febrile illnesses, surgery, psychic
stress, crash diets, anticoagulant and other
drug therapy, and traction. The course of
telogen effluvium can be prolonged beyond
the usual 3 to 6 months if the cause is not
alleviated. Some cases of telogen effluvium
can persist for much longer periods; other
mechanisms, such as telogen arrest or short
anagen cycles, may account for some of these
cases of extended telogen effluvium, but
others are idiopathic.
The prognosis for
recovery must be guarded in some of these
patients with extended telogen effluvium. It
is not unusual for these patients to also have
some other forms of alopecia, such as androgenetic
alopecia. A useful diagnostic feature
of all types of telogen effluvium in females is
the presence of bitemporal recession, which
is significant in females because an intact
frontal hairline is the rule in female andro
genetic alopecia; in contrast, bitemporal
recession is common in typical male-pattern
androgenetic alopecia.
Info on Telogen Effluvium... Telogen Effluvium
Telogen effluvium is characterized by abrupt,
diffuse hair loss, often sufficient to block the
drain in the shower. Pull tests are positive all
over the scalp, and greater than normal num-
bers of telogen hairs are easily detached.
Telogen effluvium is initiated by a premature
interruption of growth that affects many
anagen hairs, projecting them into the telogen
phase. As a result, the proportion of telogen
hairs on the scalp rises to 25% to 50% of the
total hairs from the normal 10% to 15% of
the total. When the resting phase ends 2 to 4
months later, the new anagen hairs displace
the telogen, or club hairs (Figure 5, page 11),
which fall out abruptly in large numbers.
Common causes of telogen effluvium include
childbirth, febrile illnesses, surgery, psychic
stress, crash diets, anticoagulant and other
drug therapy, and traction. The course of
telogen effluvium can be prolonged beyond
the usual 3 to 6 months if the cause is not
alleviated. Some cases of telogen effluvium
can persist for much longer periods; other
mechanisms, such as telogen arrest or short
anagen cycles, may account for some of these
cases of extended telogen effluvium, but
others are idiopathic.
The prognosis for
recovery must be guarded in some of these
patients with extended telogen effluvium. It
is not unusual for these patients to also have
some other forms of alopecia, such as androgenetic
alopecia. A useful diagnostic feature
of all types of telogen effluvium in females is
the presence of bitemporal recession, which
is significant in females because an intact
frontal hairline is the rule in female andro
genetic alopecia; in contrast, bitemporal
recession is common in typical male-pattern
androgenetic alopecia.
truking10
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hey guys thanks for the responses, umm well i know if i do have Telogen Effluvium than its because of my stress over the last year has been awful, thought i had cancer 8 months ago, and the stress of hair loss has made it 10 X's worse over the last 4 months. I did see a pic of my crown 3 years ago and it was alittle thin than and my hair loss is more dominate on the top and crown but i also have it on the sides but not in the back so i can tell of a slight horseshoe pattern. So if it is Telogen Effluvium should i wait it out and see if it gets better? or get on propecia
Sir_LagaLot
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did your biopsy come back with the results claiming it was t.e ?..
if its taking a horshoe pattern then the t.e might've brought on your male pattern baldness early. i'm not sure but thats what i think, why else would you be thinning in the male pattern baldness areas right?...
how about you get yourself a 3 month supply of finasteride just in case and wait it out while on the med?..
also get minoxidil as thats probably the only treatment for T.E...it'll extend the anagen phase of the hair and might help.
if its taking a horshoe pattern then the t.e might've brought on your male pattern baldness early. i'm not sure but thats what i think, why else would you be thinning in the male pattern baldness areas right?...
how about you get yourself a 3 month supply of finasteride just in case and wait it out while on the med?..
also get minoxidil as thats probably the only treatment for T.E...it'll extend the anagen phase of the hair and might help.
Sir_LagaLot
Established Member
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very very true...its like..adding another t.e to it...then again the hair that you shed with treatment are hair that are due to fall anyway.
i wouldnt have recommended the finasteride had it not been that you're thinning in the male pattern baldness areas. btw..your case is very similar to mine. i recall your PM when you said you were thinning in the same NW5A area?..
i started finasteride about 19 days ago today...and it made me shed about at least three to four hundred hair by week 2. i'm losing alot even now. i never shed above 40 hair on normal otherwise.
i had trouble diagnosing myself too but thought i was just wasting time i started the finasteride. oh by the way...i think it wasnt the finasteride that induced the shed in me..it was probably the minoxidil..i dont think finasteride users experiance sheds as early as 2 weeks...i've heard months later.
you'll never know till you try...remember, the hair that you'll shed on treatment are hair that you're gonna lose anway. the med makes you lose it at once, shedding it in one go so it seems like a lot. you might not even go through a shed like lots of people on the forum.
do you lose hair from the back as well? tried a pull test on yourself?..
i wouldnt have recommended the finasteride had it not been that you're thinning in the male pattern baldness areas. btw..your case is very similar to mine. i recall your PM when you said you were thinning in the same NW5A area?..
i started finasteride about 19 days ago today...and it made me shed about at least three to four hundred hair by week 2. i'm losing alot even now. i never shed above 40 hair on normal otherwise.
i had trouble diagnosing myself too but thought i was just wasting time i started the finasteride. oh by the way...i think it wasnt the finasteride that induced the shed in me..it was probably the minoxidil..i dont think finasteride users experiance sheds as early as 2 weeks...i've heard months later.
you'll never know till you try...remember, the hair that you'll shed on treatment are hair that you're gonna lose anway. the med makes you lose it at once, shedding it in one go so it seems like a lot. you might not even go through a shed like lots of people on the forum.
do you lose hair from the back as well? tried a pull test on yourself?..
truking10
Established Member
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no not really from the back but heres my problem.......The hair specialist at UCLA should be correct !!!!!! and then if my biopsy which i get back tomorow confirms he is correct than he is probably 99.9 % right !! and hee says i dont need medication or treatment i need to just stop stressing altogether and try eating well and getting in shape and you will see in 6 months ur hair will be better.......MAN THIS IS TOUGH
Cornholio
Established Member
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If the biopsy says Telogen Effluvium and it looks like Telogen Effluvium (diffuse without recession) then it probably is only Telogen Effluvium... He is an expert and people can get simple Telogen Effluvium. The only point is that having Telogen Effluvium doesnt mean you dont have or cant get male pattern baldness also. The hair loss specialist should be aware of this, and you should pay attention in the future. If in the future (after the 6-12 months) it is looking more like male pattern baldness (norwood, recession, crown thinning) then think about male pattern baldness again.
Stopping stressing is always a good idea : )
Stopping stressing is always a good idea : )
arya
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I have diffuse thinning without recession and I just cut my hair very very short and I can clearly see, my thinning is exactly same all over, including side and back. However, I am facing this same condition for last 10 months (may be more) without any improvement. Can I still call it a Telogen Effluvium? Shout Telogen Effluvium last that long?
One more thing I should add though, I am on sever stress for last 4 years. I have recently start taking B-complex and mentally feeling better now.
One more thing I should add though, I am on sever stress for last 4 years. I have recently start taking B-complex and mentally feeling better now.
TheBaldingMenace
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Yes, you should stop worrying :hairy: