Diagnosis of the state of my scalp, are there any other methods but biopsy? Please, help. (photos)
Doctor Answers 4
Seeking Answers-Hair Loss Treatment: PRP and Progesterone
You don't necessarily need a biopsy, a scalp evaluation can be helpful in diagnosis. I suggest seeing an expert to evaluate the cause of your hair loss and consider the best treatment options. There are great non-invasive options like PRP/progesterone and/or hair transplantation. See an expert. Best, Dr. Emer
A consultation with a dermatologist at the very least, or a consultation with a hair restoration expert can help with diagnosis. Your medical history as well as symptoms will be reviewed, and your scalp and hair evaluated. You may still need a biopsy, and may find a physician who does it if it is found to be warranted.
Females hair loss
To rule out scarring alopecdias, you must have a biopsy. Even with scarring alopecias, we have been doing scalp micropigmentation for females with thinning, see below
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Do I have a subtle scarring alopecia?
Even if you have a subtle scarring alopecia, there are usually clues
1.sometimes itching, burning and pain
2. sometimes a positive pull test for anagen hairs
3. evidence of scalp redness and loss of ostia (follicular pores).
Most people with hair loss have normal blood tests so that statement in and of itself is not helpful. Patients with genetic hair loss often have normal blood tests as do the majority with alopecia areata and scarring alopecia.
IF doctors refuse to do a biopsy, there's a few options including searching for another doctor. Your doctor if he or she knows what they are doing may be trying to protect you. Biopsies are NOT 100 %. What will you do if your biopsy comes back showing a scarring alopecia and that's not truly what you have? A biopsy is never what a patient NEEDS. What a patient always needs someone who can put everything together. Every single day of my clinic, I have to explain to patients that "even though this is what your biopsy shows, this is not what you have"