The Early Stages - Should I Be Preparing For War?

R Man

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Good afternoon everyone,

After spending copious hours reading many forums posts on many websites I have come here to hopefully get some answers to my questions, some of which I haven't yet quite found an answer to.

Background information: No known family history of balding on either side for the past 3 generations (don't know about earlier than that). My mother's brother is 60 and has thin hair all over but no recession. My father's hair is pretty much the same; full coverage, just not as thick as in his youth (he is also 60).

I have been paranoid about balding since I was 18 when I grew my hair out and noticed hair falling out in the shower. However, I put this down to the fact that I had always had short hair so now I was just noticing hairs due to their length. This calmed me down and other than the odd check to see that things were fine, I have been ok for the last 10 years (I'm now 28).

About a year ago I started noticing my hair would get greasy to the point of needing washing in less than half the time it did before. I would normally wash my hair at night, style in the morning, sleep on it that night and then wash the following night (wash every 2 nights). However, for the past year I now have to wash every morning to ensure that it looks decent throughout the day. Sometimes I can get away with a second day, but normally I will wash it every morning. Styling it has become more difficult as the products don't hold as well, but with an extra 10 minutes it will look fine(ish). In this past year I haven't noticed the above get any worse, it's stayed constantly needing washing every day.

Then, in about October 2016, my head started to itch/ tingle/ burn/ insects crawling etc that I have seen many other people post about. Largely in my crown area, however, it also happens everywhere, even the sides and back. The greasiness also affects all areas, not just those areas prone to baldness.

Firstly, I would like to know, of those of you that started your balding journey like mine above, how long before you started noticing substantial thinning/ people commented on your loss?

Have you noticed any fluctuations in the itchiness (as more hairs finally give up, does it stop itching there?)

Does your hair also smell very strongly of grease within 5-6 hours of washing, before looking too limp?

Did your Doctor's/ dermatologist's believe you were balding to begin with? (Mine still tell me I'm fine and don't have an answer for the grease factor)

About 3 years ago I noticed my arm hairs grew thicker and I started to grow hair on my spine and shoulder blades (this hasn't got particularly thicker, just stayed constant like my chest hair has since it grew at about age 18)

I am also a lot sweatier than I ever was, often waking up drenched in sweat, and needing to apply deodorant in the day to avoid BO (I feel like I'm going through puberty again)

I am hoping some people can answer some/ all of the above to at least give me some piece of mind that I am actually balding, despite everyone around me telling me that I'm not. The itch is the worst part so I'm mostly hoping someone can provide me with a cure for that.

I have a attached some photos for your consideration.

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Freshly washed hair (above)

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Naturally dried hair (above) 4-5 hours after washing (a bit greasy)

I haven't any concerns about my hairline receding, however I can post photos of that if you more knowledgeable members think you'd be able to glean something from it. Doctor has said I have a perfectly healthy scalp.

My apologies if I have done something wrong in any of the above, this is my first post on any forum of any type, ever.

Kind regards,

Rob
 

R Man

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Thank you for your reply, Crikey. I am concerned that I am showing the other signs of balding, but not yet lost enough density to make it apparent. I don't want to have to wait until you can see some scalp before taking the 'big 3' but I also don't want to take them needlessly. Do you have any recommendations for whom I should speak with to address the itch/ grease?
 

Pacey123

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Take a picture with your hairline pulled back, the one can tell the crown most likely isn't the first thing to go.
 

Dsport

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ROFL, sorry, but these norwood zeros with sheepdog hair coming in here and freaking out
 

Pacey123

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Sheepdog hair?

Don't bother, some here are salty because they didn't catch it early and see balding only when you are already NW3. I think you have some minor recession. Nothing to worry, might stay like that but might progress. If you don't wanna bet, hop on finasteride. But keep in mind that you are already 28 and it might not even progress further since your crown seems stable right now
 

R Man

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Thank you, Pacey.

As I have been watching my hair for the past 10 years, I don't think my hair line has changed much since the initial recession post-puberty. I'm perfectly happy to trust in what you say, however and will now keep a closer eye on it.

This still leaves me very perplexed by what I've read as the 'DHT itch' and massive increase in sebum production. I assume it's because my hair density is decreasing, perhaps diffusely, but just hasn't got to the point of being very noticeable.

I'm not sure if it's because my hair is getting very greasy for another reason that is making me think it's hair loss, or the lower density making normal sebum appear worse.

I understand the itch comes from irritation to the follicles, but I can't get my doctor to take me seriously. Would you recommend I try minoxil or the like to reduce this itch? The grease I can deal with as it just means washing it every day, the itch however is causing me great discomfort and the frequency of scratching is noticeable to others.
 

Pacey123

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The only way to rule out male pattern baldness is to look for so called miniaturized hair. Smaller hair shafts then the healthy ones in between, I experienced the same, very greasy hair literally 4 hours after I washed them. You might consider using Nizoral 2% 2 times a week. Might even be enough at this stage.

Oh and no don't even consider minoxidil at your stage. The first line of defense should be Finasteride and then Minoxidil because if you don't need Minoxidil you have the hassle of applying it for the rest of your life for nothing.
 
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R Man

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How long were you dealing with greasy hair before you realised you had any hair loss?

Would a doctor be able to tell me if my hair is miniaturising if I demand that they take a proper look (as they currently give it a minutes check and tell me my scalp is fine). If not them, then whom shall I ask? I can't see any particularly small hairs other than those few that have always seemingly been there (right at the hairline, but consistently at the same point, not particularly further back than ever before)

My apologies, I did mean Nizoral. Did you have this itch? Did Nizoral help you?
 

Pacey123

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I could tell it right away because my hair thinned significantly. But I realised it late since I had no real temple recession. Yeah he should be able to tell you if you force him to take a close look with a magnification glass or microscope. Yes Nizoral is great, but if you overuse it your scalp becomes dry
 

R Man

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I'm glad it helped with your itch, sorry, I forgot to ask, did it help with the grease at all? Again, this is only a minor issue as washing it daily isn't exactly a chore.

I will purchase some today and see how that goes. As I said, the grease has been an issue for about a year now, the itch only for the past 5 months.

If the Nizoral does help, is that indicative of DHT related subum production/ itch?
 

Pacey123

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It should help with itch grease and inflammation because that's it's purpose ;).

It's also a slight DHT inhibitor (scalpwise). If it's not doing it's job consider an appointment at a derm.
 

R Man

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Ok, thank you for all your help! I am going to try 2-3 times a week and see how that goes. I will also demand that my doctor use proper equipment to evaluate my hair.

Other than the above I will keep a close eye on my hair and continue to add to my photo album of my hair/ head.

Is there anyway I can give kudos to you for your time? I am new here.
 

Pacey123

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You can hit like, I am glad to help since hairloss is a f*****g struggle help is hard to find :)
 

whatevr

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I wouldn't do anything. Right now there is very little evidence to suggest that you have male pattern baldness. Best course of action is to wait 6 months then reassess. If you do not see any noticeable worsening (probably best to take pictures), you're safe.
 

R Man

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I wouldn't do anything. Right now there is very little evidence to suggest that you have male pattern baldness. Best course of action is to wait 6 months then reassess. If you do not see any noticeable worsening (probably best to take pictures), you're safe.

Thank you for your answer. I would happily do nothing if it meant this itch/ burning sensation and rapid sebum build up would go away that's been constantly bad for the past 5 months. Any suggestions other than Nizoral?
 
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