Is This Diffuse Hair Loss? Or Am I Paranoid?

thebioguy

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Hi everyone. Just want some opinions as to whether I (24 yo) have diffuse thinning, or some other kind of hair loss. I go through periods where I think I'm actually fine, and it's all in my head and that I'm making it worse (read below for details), to realizing that I am balding and it's progressing every day. Initially I thought that I was only thinning from my crown, but I've also noticed that the entire top of my head has been feeling and looking less dense than 2 or 3 years ago.

Pics from 14 months ago (no earlier pics like these):
20150831_232912.jpg 20150828_100259.jpg
And from the last 2 months:
20160808_220239 (2).jpg 20160802_115847.jpg
(Hair is wet-ish in all of these)

I also have some pics from from around 3-3.5 years ago (when I first started documenting this), to compare to my crown area now. Tried picking similar poses.
Then:
IMG_3079.JPG IMG_3166.JPG IMG_0727.JPG
Now:
20160929_235051.jpg 20161022_215902.jpg 20161022_214422.jpg


So backstory:

I've been semi-obsessing over my possible hair loss for the last 3.5 years. I first noticed my that my crown was a little thinner than I'd like. That started a period of plucking out hairs (due to moderate anxiety, probably some form of relieve as I also bite my nails) from that area for about 10 months; probably pulled out over 200. Slowly, a bald spot formed, and finally I realized I needed to stop. But I still didn't stop worrying about my hair, and would constantly tug, sometimes hard, at tufts of hairs in that area (but almost never pluck), to see if any came out. Of course, that was a self-fulfilling prophecy.... Over this summer though there were a few bad periods where I plucked out hairs, enough where another bald spot has formed, although not as bad.

According to my mom, no history of balding anywhere in our family (which I'll take with a grain of salt). My dad (62 yo), has had a full head of hair his whole life, and is now just starting to thin a bit. My mom's hair has been thinning the last few years (also 62), but that may be due to separate health issues.
I have naturally thick individual hairs, but it's my density I'm most worried about, as you can see from the pics above. I lose anywhere from 30-50 hairs a day I'd guess (and usually not thin ones). I started taking Nizoral about 10 months ago to help out, which has helped maybe a tiny bit by making some of them thicker.

I'd be super worried if my hair from 3 years ago also didn't seem suspect. I feel like I'm getting away with looking visibly thinning, which tend to get wavy and gives a semblance of good density. When I was 18 my hair just did not feel the same and to me looked way better when I grew it out. It was almost curly when long too, while now it's kind of wavy. So something's changed. Some people have told me that I'm crazy and that there's nothing wrong with it at all, and others have told me that it is thinner up there/ I have a small bald spot.

I can't afford to go to a dermatologist right now to make sure, but my fam. doctor (who is new) told me about 6 months ago that my hair is perfectly fine, but I should just stop pulling at my hair b/c it's making it thinner. And as far as I know I'm in perfect physical health (diet could be better but I'm still probably eating as healthy as ever).


My other questions are: If it's not genetic, could I be losing hair due to stress, as I've been pretty stressed out the last year or 2 while in grad school? (Never any panic attacks or anything, but still I usually worry every day, sometimes for hours; this hair loss crap doesn't help either lol).

Could my constant pulling/plucking at my hair over the years have damaged the roots, causing them to shed more easily? Sometimes they just come off with no resistance. I would like to believe this, except for the fact that I never plucked hairs from the top of my head, which just shows too much scalp right now for me to be comfortable.

Could it be a combination of all these things + very slow hair loss?


I know it's long, so thanks for taking your time to read this, and for any answers!
 
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diffuse_thinner

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No, I don't think you're paranoid. There are guys who start to bald in the crown while the rest of the hair stays intact. You mentioned you're thinning in the front but it's hard to tell from the pics.The good news is that crown loss is most responsive to treatment.
 

thebioguy

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20161002_224021.jpg
Here's some pics of my hairline. It's pretty freaking low, and I don't think it's receded at all in the last few years. The temples have thinned out some, in my opinion, especially compared to my hairline in high school so i'm a little worried about that. Thoughts?

The last 3 months:
20161002_224021.jpg 20161002_223918.jpg
A year ago: View attachment 44419 20150828_094557 (2).jpg 3 years ago: IMG_3005 (2).JPG



I actually found top of head pics from 3 years ago to compare (last is a little wet):
IMG_0616.JPG IMG_3112.JPG IMG_0520.JPG

And some pics of my crown w/o flash and my 'do, in case it matters.
20161018_192723.jpg 20160928_161608 (2).jpg
 
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thebioguy

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No, I don't think you're paranoid. There are guys who start to bald in the crown while the rest of the hair stays intact. You mentioned you're thinning in the front but it's hard to tell from the pics.The good news is that crown loss is most responsive to treatment.

So you think this is classic crown baldness? That's what I thought at first, but in the pics you can see how much scalp shows near the middle. The very front isn't as bad, but it's close. You can see here (I bring my hair up to emphasize the scalp if anyone didn't figure that out):
20160614_000532.jpg

Also, do you see much of difference in my crown between now and 3.5 years ago? I'm going to hold off on treatment unless it very suddenly accelerates.
 

diffuse_thinner

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So you think this is classic crown baldness? That's what I thought at first, but in the pics you can see how much scalp shows near the middle. The very front isn't as bad, but it's close. You can see here (I bring my hair up to emphasize the scalp if anyone didn't figure that out):
View attachment 44436

Also, do you see much of difference in my crown between now and 3.5 years ago? I'm going to hold off on treatment unless it very suddenly accelerates.
Yes, looking at this picture you can clearly see the horseshoe pattern typical of male pattern baldness. I recommend treatment before it accelerates further. Propecia is the best option if you can take it without experiencing side effects.
 

dunno

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Definately some kind of hairloss here, seems agressive mid-scalp.
Cant tell for sure if it's Androgenetic, I would visit a dermatologist and have it checked out.
 

thebioguy

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Definately some kind of hairloss here, seems agressive mid-scalp.
Cant tell for sure if it's Androgenetic, I would visit a dermatologist and have it checked out.

Ok, thanks for the input. I am going to try and see one in the next few months. Do you know if stress could lead to something like this btw? And does it resemble diffuse thinning?
 

thebioguy

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Yes, looking at this picture you can clearly see the horseshoe pattern typical of male pattern baldness. I recommend treatment before it accelerates further. Propecia is the best option if you can take it without experiencing side effects.

Really? I actually don't really see the horseshoe pattern that much, might the loss of overall density that makes it look worse. Maybe I need to start measuring my hairline for recession though....
I would take Rogaine first, but I'll see what a dermatologist recommends.
 
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