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  1. #1
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    Default Thinning crown but hairline is not receding.

    So a little background about myself. I'm a 28 year old male with a family history of thinning hair and baldness.

    - My maternal grandfather was bald and my paternal great grandfather was bald. Both lost their hair at fairly young ages.

    - My older brother went completely bald at the top and front of his head by age 25, leaving only the 'horseshoe' appearance. I would say he's probably a VI on the Hamilton-Norwood scale. His hair loss occurred very quickly.

    - My mother has fairly thin and weak growing hair as she entered her 50s and so do some of her sisters.

    People on my mom's side either have nice thick hair well into old age or are lacking hair/bald. There does not seem to be much of a middle ground. Consequently, I'm fairly paranoid about hair loss.

    Over the years, I've tried to keep an eye out for hair loss by paying attention to my hairline. I thought I might be spared from significant hair loss until my cousin pointed out that I had a bald spot with thinning hair at the back of my head.

    That definitely caught my attention. Unfortunately, I don't have any good pictures of the back of my head from years past to compare. If I am thinning, it has been gradual enough to escape my attention. I have not noticed clumps of hair in my pillow or anything like that. I do not take any drugs or medication, so I can at least rule out that as a source of hair loss.

    I've taken a few pictures of my hair, washed only with water. My biggest concern right now is the crown. A thinning spot is definitely noticeable. My family and friends think I'm being paranoid but to me the crown does look thin.

    What I find strangest of all is that my hairline has not changed at all. I still have a widow's peak and nothing has receded as far as I can tell. I always thought hair loss began at the front since that was the case for my brother and other family members with MPB. So what are your thoughts? Is this the beginning of MPB or something else? Should I consider trying a regimen of some kind or take my chances and see if it gets worse?

    Any help or advice would be appreciated.
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  2. #2
    Senior Member dex89's Avatar
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    Quote Originally Posted by Feyd View Post
    So a little background about myself. I'm a 28 year old male with a family history of thinning hair and baldness.

    - My maternal grandfather was bald and my paternal great grandfather was bald. Both lost their hair at fairly young ages.

    - My older brother went completely bald at the top and front of his head by age 25, leaving only the 'horseshoe' appearance. I would say he's probably a VI on the Hamilton-Norwood scale. His hair loss occurred very quickly.

    - My mother has fairly thin and weak growing hair as she entered her 50s and so do some of her sisters.

    People on my mom's side either have nice thick hair well into old age or are lacking hair/bald. There does not seem to be much of a middle ground. Consequently, I'm fairly paranoid about hair loss.

    Over the years, I've tried to keep an eye out for hair loss by paying attention to my hairline. I thought I might be spared from significant hair loss until my cousin pointed out that I had a bald spot with thinning hair at the back of my head.

    That definitely caught my attention. Unfortunately, I don't have any good pictures of the back of my head from years past to compare. If I am thinning, it has been gradual enough to escape my attention. I have not noticed clumps of hair in my pillow or anything like that. I do not take any drugs or medication, so I can at least rule out that as a source of hair loss.

    I've taken a few pictures of my hair, washed only with water. My biggest concern right now is the crown. A thinning spot is definitely noticeable. My family and friends think I'm being paranoid but to me the crown does look thin.

    What I find strangest of all is that my hairline has not changed at all. I still have a widow's peak and nothing has receded as far as I can tell. I always thought hair loss began at the front since that was the case for my brother and other family members with MPB. So what are your thoughts? Is this the beginning of MPB or something else? Should I consider trying a regimen of some kind or take my chances and see if it gets worse?

    Any help or advice would be appreciated.
    You should see a dermatologist or a hair specialist first before taking on a regime. If was in your shoes, propecia/proscar would be suitable. Use one treatment at a time before using a whole regime to know which treatment is working for you.

  3. #3
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    i think its slightly patchy at the crown but fine at the front, just a mature hairline. this is where its tricky, its not that noticable so im not sure about going on meds to correct something that small or whats possibly natural. get a professional opinion.

  4. #4
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    Quote Originally Posted by dex89 View Post
    You should see a dermatologist or a hair specialist first before taking on a regime. If was in your shoes, propecia/proscar would be suitable. Use one treatment at a time before using a whole regime to know which treatment is working for you.
    Right, I definitely want to see a specialist before trying anything. So is Finasteride the generic form of propecia/proscar?

    Quote Originally Posted by elnino View Post
    i think its slightly patchy at the crown but fine at the front, just a mature hairline. this is where its tricky, its not that noticable so im not sure about going on meds to correct something that small or whats possibly natural. get a professional opinion.
    To be honest I am a bit worried about or potentially making the hair situation worse through medications. I feel like I'm in a limbo state where it's not quite so bad to justify something like fin, but not okay enough to justify ignoring it. I'm just starting to read about hair loss in a more serious manner and the problem is I think my thinning has been gradual enough to catch me off guard. It's hard to say how "natural" it is.

    So what does it mean if you have thinning hair at the crown but no receding hairline. Am I still a candidate for classic MPB? Also, how quickly does MPB manifest itself? Is it variable from person to person?

  5. #5
    Senior Member mpb47's Avatar
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    Quote Originally Posted by Feyd View Post
    Right, I definitely want to see a specialist before trying anything. So is Finasteride the generic form of propecia/proscar?



    To be honest I am a bit worried about or potentially making the hair situation worse through medications. I feel like I'm in a limbo state where it's not quite so bad to justify something like fin, but not okay enough to justify ignoring it. I'm just starting to read about hair loss in a more serious manner and the problem is I think my thinning has been gradual enough to catch me off guard. It's hard to say how "natural" it is.

    So what does it mean if you have thinning hair at the crown but no receding hairline. Am I still a candidate for classic MPB? Also, how quickly does MPB manifest itself? Is it variable from person to person?
    MPB has different variations and I have read in various places that it can start in the back rather than the front. My dad never lost any noticeable hair up front yet had a spot in the back in old age. I have seen several older men who looked almost like NW0's except for having spots in the back.
    The spread of your mpb can change over time. It can come on fast...then stop for a good while..then start slowly... It is variable ...

    Take pics every 3-6 months and see if you notice any changes. If you do, go to your dr and get on meds as it is easier to stop it, than regrow lost hair. Good luck!

  6. #6
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    very nice frontal hair, I don't think you are a candidate for classic MPB considering your age, about the area on the back, it might be your natural swirl or maybe only little thinning. Only a dermo can tell you that, go and see one, what's the harm?

  7. #7
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    Update:

    Hello all, getting close to 3 years since those last pictures (taken in August). I went to see a dermatologist shortly after posting this thread and he recommended I take a wait and see approach before committing to anything.

    Over the last 3 years I have noticed a gradual diffuse thinning of the scalp. Still no Recession of the hairline but I feel like it's not going to get any better.

    I saw a dermatologist today who recommended I try Minoxidil for a few months before committing to Fin but still gave me a prescription for 1mg Propecia.

    Question: thoughts on starting Fin right away as opposed to waiting? Is it worth trying just Minox first as the dermatologist recommended? My prescription was submitted online for CVS... is there a cheap generic option that CVS offers?

    I've attached pics I took a few days ago under very bright light.
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  8. #8
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    Hello Feyd,
    Some men lose their hair in a faster way. You are lucky that 3 years has passed, but you still have full head of hair.
    As about the treatment, as I always say, everything is individual and for some men Minoxidil works, for others not. The only option to find it out is to try. I started the treatment with finasteride and I'm glad with this choice.
    I can't say anything about the CVS pharmacy, as I buy generic finasteride from ok-pharmacy, but you can always contact them to find out whether the generics are available.

  9. #9
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    Yeah it could be worse I suppose but in the end diffuse thinning results in the same thing as MPB as hair coverage simply diminishes on top of the scalp. I expect at this rate, I will be at NWVI in 5 years or so.

  10. #10
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    You are right Feyd, thinning will result in MPB, that is why the sooner you start the treatment, the better.

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