Telogen Effluvium or male pattern baldness. Test for Telogen Effluvium?

Derpicus

Established Member
Reaction score
19
Hey I've posted before believing I had male pattern baldness, I've been on Finasteride for 5 months and 22 days now. I've had the thinning spread, and it's been staying a fine stubble hair in the area. The reason why I'm asking is because I've been on an anti-depressant/anti-anxiety since July 2013. I noticed thinning December 2013. I didn't get treatment till the end of June because I didn't think much of it just thought maybe I was over styling my hair or something dumb. I've done the pull test and I generally get 4 hairs from where I lightly pull, some days nothing.

I've read that anti-depressants can cause Telogen Effluvium, but would it persist this long if I stayed on it? I've asked my doctor and he won't say if it's Telogen Effluvium. He just says its most likely male pattern baldness, but then he added this "I don't care if the anti-depressant is causing your hair loss. The benefits outweigh the negatives." As the anti-depressant/anti-anxiety I'm on helps with my depression, anxiety as well as my sleep. I have a bad case of Body Dysmorphic Disorder so it's possible that all the stress I've been having about my image, and the balding could be the cause. But I noticed thinning of the hair around 6 months after being on this drug, and Telogen Effluvium can be caused 2-4 months after being on a prescription that may cause it. For all I know it did start 2 months earlier but I didn't notice till December.

I've tried googling around for ways to find out if its Telogen Effluvium and they just say the pull test. All my hairs that come out have the white bulb on them, if I notice a hair falls out I check kinda OCD towards my hair loss. The shedding isn't that bad lately, but the area's thinned out and it seems to just keep spreading. So it's possible that maybe the hairs are just in the resting phase and stuck there. I really don't know, I've tried to ask if he would do a scalp test, or refer me to a dermatologist and he just refuses. I live in Canada so I'm unsure if its possibly different then the US, but you can't see a dermatologist without a referral. If there is no real option to see if its Telogen Effluvium on my own I might just possibly go cold turkey off this prescription without letting my doctor know and see if it gets better. The pharmacist has just warned me against it as after 5 days I'll suffer from withdrawal symptoms of nausea, random crying, headaches, depression, anxiety, insomnia, heart palpitations, sweating, temperature imbalance, tremors, vomiting, panic attacks, flu-like symptoms and a bunch of other stuff. So that's why I'm trying to see if there's a test I can do on my own since I would personally like to avoid going through that for around 15 days to see 3-4 months down the road if my hair gets better.
 

zzzzz

Senior Member
My Regimen
Reaction score
148
Telogen Effluvium would be uniform all over the head, male pattern baldness would be "male pattern" baldness. If you can't even tell if you are receeding and already started finasteride, I believe you when you say you have body dismorphic disorder
 

Derpicus

Established Member
Reaction score
19
I know my hair line has receded, but I'm unsure if the thinning was possibly Telogen Effluvium. I wasn't sure if it would be for all of your hair or possible just a section. The thinning has spread worse on my left then my right. So I thought it was possibly Telogen Effluvium after reading that it's a possible cause from anti-depressants and there have been reports of Telogen Effluvium from this drug. I was hoping that if it was Telogen Effluvium I could regain the thickness in that area by discontinuing this anti-depressant. I'm just trying to narrow out the possibilities of why the thinning is spreading even while on finasteride. So that's why I thought it might be Telogen Effluvium because I didn't know it couldn't be restricted to specific areas.

I'm taking finasteride daily, I use Nioxin shampoo/conditioner, and I just started 5% minoxidil. I'm more then well aware of how my hair has been changing, because I self-obsess over my image to such a negative degree. That's why I want to keep all that I have, my hair loss isn't at a horrible stage yet, but its progressing I'm currently a Norwood 1.5-2 and if the thinning area keeps thinning and goes bald I'll be a Norwood 3. I don't have the balls to shave it either, out of everything I've hated about myself I've always thought my redeeming feature was my hair. I know this doesn't mean much to a stranger, but I'm writing this post as a bit of a vent right now. I apologize and I don't mean to sound rude if it comes across that way. I do appreciate you telling me that Telogen Effluvium is all over the head. I'm just really stressed lately and I don't know to take my mind off it. Once again sorry. Happy Holidays
 

dehoha

Established Member
My Regimen
Reaction score
17
Telogen Effluvium can certainly occur with more emphasis on the frontal/temple areas. If you know for sure that your side as well as back density has decreased, then you can suspect Telogen Effluvium. Keep in mind that Telogen Effluvium can be only be initiated by an external stimulant like surgery, severe stress, and other medications. Since you mentioned you were on anti-depressant, there's a high chance what you have right now is a Telogen Effluvium.
 

Derpicus

Established Member
Reaction score
19
This is slightly off topic but these hairs that are thin, and kinda like peach fuzz, with some still being normal length is it possible this is hair miniaturization? Which means if it is male pattern baldness that regardless of what I do they are gonna disappear?
 
Top