Think I have MPB

[The Prestige]

No, you have a full head of hair. Simple as that.

Like I said, its thinner on top. I never use to get sunburns, or was able to see my scalp in any sort of light.

[BigThinker]

Like I said, its thinner on top. I never use to get sunburns, or was able to see my scalp in any sort of light.

You know your body better than anyone, let alone some untrained person on the internet aided by only a handful of photos.

Go see a dermatologist and get it resolved sooner rather than later.

[Morbo]

What bigthinker said. Your hairline is not receding so you shouldn't bother with 'close up hairline pictures'. The center of your hair however has thinned out. Whether that's due to mpb or (quite likely) your meds, you cannot expect us to know that from our pov. It's apparently bugging you since made a sortlike thread last year so the best advice is to seek out a specialist.

[The Prestige]

What bigthinker said. Your hairline is not receding so you shouldn't bother with 'close up hairline pictures'. The center of your hair however has thinned out. Whether that's due to mpb or (quite likely) your meds, you cannot expect us to know that from our pov. It's apparently bugging you since made a sortlike thread last year so the best advice is to seek out a specialist.

That's the thing. I'm not sure who to talk to. In 2009 I went to a dermatologist about my hairline (when it went from juvinelle to now) and she said I was receding and should get on rogaine. Well I never did and it hasn't moved one bit since that day.

My new dermatologist said it could be or couldn't be. Too early to tell he said and it would appear to be mild if it was.


So I'm at a loss as to who to see and I mean its not like there are tests to confirm or deny.

[WR1981]

Here is some more info:

• From 2006-2011 I was on Crohn's medicine
• 2011 I was off medicine
• 2012 got back on medicine

September 2009 (on crohn's medicine)


June 2010 (on crohn's medicine)


September 2011 (off crohn's medicine)


December 2011 (off crohn's medicine)




July 2013 (on crohn's medicine)




To me it appears 2011 off medicine made my hair thicker, so I'm not sure what to believe anymore.

It's very hard to tell any difference in these pics, but in all of them, the hair looks completely normal. Remember too, though, about Crohn's - the meds work to suppress the immune response and often involve a steroid - that alone can cause hair loss. Also, Crohn's, like Celiac's, is a disease of malabsorption. So you've got a double whammy working against you. But with your original pic, it doesn't *look* like MPB - it looks patchy/unpatterned. If it were me, I would definitely be challenging what the derm was saying. If you feel like you are being dismissed, flat out say it. Reductive reasoning is not helpful to concerned patients and a more HONEST answer on his part would simply be "I don't know." By all means though, don't do anything in terms of your Crohn's therapy that could jeopardize your health or worsen your condition

[BigThinker]

That's the thing. I'm not sure who to talk to. In 2009 I went to a dermatologist about my hairline (when it went from juvinelle to now) and she said I was receding and should get on rogaine. Well I never did and it hasn't moved one bit since that day.

My new dermatologist said it could be or couldn't be. Too early to tell he said and it would appear to be mild if it was.


So I'm at a loss as to who to see and I mean its not like there are tests to confirm or deny.

Seek consultation from another specialist or do why they suggest - wait. Idk why one recommended rogaine for a juvenile hairline though.

If it's really that slow, I'd just play it slow and just keep an eye on it. A for tests, I think getting your miniaturization mapped it what's due.

[The Prestige]

Seek consultation from another specialist or do why they suggest - wait. Idk why one recommended rogaine for a juvenile hairline though.

If it's really that slow, I'd just play it slow and just keep an eye on it. A for tests, I think getting your miniaturization mapped it what's due.

I saw the first one in 2009 right after the picture was taken in my opening post. Like I said all she said was rogaine and some biotin and threw me out the door. In 2010 I went to another dermatologist and he said MPB, but the second I said crohn's and showed him my blood work (was anemic and stuff), he goes, well now I'm not too sure.

Truth be told I go through phases of caring about my hair. And I just don't want to make a commitment on something like rogaine if its not going to do anything because this isn't typical MPB (not saying it would for sure do anything even if it was, but any % is better than 0%)

I just don't know who else to go to. According to my insurance there are no "hair specialists".

Also how do you tell about miniaturization? Honestly I'm not sure if I'm losing more hair or if my hair is just getting finer, which is the difference between 2009 to 2011 to 2013. From what I understand miniaturization is hairs getting finer and slowly shorter and shorter. I'd say a vast majority of my hairs are very fine (all over[the kind where you have to be looking to see them or put them on a white background]), but can all still grow very long.

[DangHair]

I'll be honest man, truth is, its is almost impossible to tell with the naked eye if you are balding unless 50%, or close to it, of your hairs are at a miniaturized state. I'm sure you may be like me, and maybe feel a difference if you run your hands through and have other signs of something not being right - but that could be anything. From your pics I think your hair looks great. Angles, lighting, sweat, wet hair, gel etc all play are role with scalp being noticeable. Considering the very early stages of balding are a tough call (as things could be a maturing hairline or just overall hair changes with the body), I would go see a doctor who can either perform a miniaturization test or a bulk analysis. This way you can see if and where your hair is thinning, and if whats going on is within normal range. As 20% hair miniaturization can be normal. But from what you're showing, things look pretty good from here.

PS. I had a killer time trying to find someone who could perform these test's where I live too. But call up some reputable HT doctors, see if they can direct you, even your family doctor or dermatologist, just get on that phone and make calls. Just make sure if you see a Hair transplant doctor that they are reputable and not snake oil salesman. But those are the two tests to ask for - miniaturization tests and/or bulk analysis.