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I have BUPA (Bald Unpatterned Alopecia). What can I do? (Photo)

baldsince93Sep 17, 2020
I’m 27 years old. At this moment I’m using oral minoxidil 2.5 mg and finasteride 1 mg/day. I started finasteride the 31th of may 2019 with minoxidil 5%. Finasteride causes me very heavy sexual side effects but I can't stop. In the last few months I've been getting worse despite the treatment. I should probably resign myself to it. I don't think a transplant is possible because of my donor. I was evaluating the body hair transplant with a beard but even that would be useless.

Answers (1)

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Glenn Charles, DO profile photo
Dr. Glenn Charles, DO
Hair Restoration Surgeon
4.7 | 32 Reviews
Answered on Sep 24, 2020
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Jeff Donovan, MD, PhD

This is one of my favourite subjects and I could go on forever about this. I can’t offer all that much because I don’t have enough information (Your story is left out). There are a few key points. First if you are losing hair equally all over the scalp, TE is possible. If it seems that it’...

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Jason Emer, MD

You need a formal evaluation to see what type of hair loss you may have. when you have hairless its best to do a full hormonal workup for internal optimization plus scalp biopsies or scrapings to rule out any stress related, inflammatory, autoimmune or infectious causes of hair loss. In general...

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Jeff Donovan, MD, PhD

It really depends if the biopsy was taken from a representative area or not. It sounds like this is some type of TE but it would be a mistake to completely assume with 100 % confidence there’s no AGA. However it certainly does not seem like it. If you have AGA in the crown, a biopsy up front w...

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