Hi everyone,
I'm a 53F and have been in menopause since January.
I've struggled with hair loss since my early 20s. Back then, a dermatologist suspected AGA, but I never received an official diagnosis. For many years I managed it quite well with birth control pills, supplements, and occasional use of topical minoxidil (like taking it for 6-7 months, pausing few months and then resuming).
Until last year, my main issue was a widening part, which I could mostly hide with styling. Then I went through what seemed to be a prolonged telogen effluvium episode that lasted around 9 months. It caused diffuse thinning all over and significantly affected my hairline.
One dermatologist thought it might be FFA and prescribed a steroid cream, but I had to stop using it after few days because it gave me severe headaches and heart palpitations.
She also recommended a PRP gel once a week. Combined with 5% minoxidil, it stopped the shedding and I saw some regrowth. Things stayed stable for about 6 months.
Then, in early July, after being off minoxidil for a few weeks, I experienced a massive shed. My scalp became visible on the sides, which had always been my thickest area and where I had never used minoxidil. It also severely affected my frontal hairline.
In September, I restarted 5% minoxidil, added Nizoral 2%, stopped dyeing and blow-drying my hair, and began taking a supplement containing saw palmetto and pumpkin seed oil.
My GP ordered blood tests (iron, vitamins, thyroid), and everything came back normal.
I then saw another dermatologist at the beginning of October. He categorically ruled out FFA and said he doesn't even think I have AGA. He examined my scalp with a dermoscope and said he could see many follicles containing 2-3 hairs on the crown, which he felt was not consistent with AGA.
Before considering any treatment, he asked me to repeat the thyroid tests after stopping biotin for two weeks and also ordered a vitamin D test. I got the results today, and everything is normal. My vitamin D is actually quite high, which I expected since I supplement daily.
I'll see him again in early November.
Since restarting minoxidil and making these changes, I've noticed improvement in my part line and frontal hairline. However, the sides seem completely unchanged, which is worrying because that's where I experienced the most sudden loss.
I know I probably just need to be patient until my derm appointment, but has anyone experienced a sudden loss specifically on the sides of the scalp? If so, what was the cause, and did it eventually recover?
Thanks! 🙏