Dermatologist diagnosed me with cc alopecia, but reluctant to take Rogaine. Have thick curly hair. (Photo)

Question

Meds: mvi, Pmhx: asthma, seasonal allergies,relaxer burn 7 yrs ago with infections in scalp 7yrs ago. 5'5 112 lb, AA. No surgeries in past. Mom hx total alopecia. Scratching/Picking area for 7yrs. No current pus in area. Itchy. Only bald patch. Md prescribed loprox shamp. And temovate+rogaine2%+salicylic acid15%cream. Reluctant to take rogaine compound due to SE. Thinking about buying pumpkin seed powder to block dhts. Labs ok. Can I ask md for temovate w/o rogaine? Goal is no expansion of patch

Jae Pak, MD · Answer

There is not much  you can achieve from resources on the Internet with a complicated medical problem that has been evaluated.  I realize you are seeking opinions, but the Internet is not a great source for personal medical treatment options and recommendations.  You will likely end up with conflicting information from doctors who don't have the complete "picture" that will lead to more confusion.  You have a complicated problem. If you don't like your doctors treatment recommendations, you need to seek another doctor for a second opinion.  You have to understand your diagnosis and the benefits of any treatment options.  I do not know how pumpkin seed will help if you have a scarring type of alopecia.  Dr Jeff Donovan here makes a concise general summary of Central Centrifugal Cicatricial Alopecia (CCCA)

Jason Emer, MD · Answer

Thinning Hair -- Rogaine, Propecia, Viviscal, Progesterone, PRPIf you have thinning hair you really need an evaluation to see if it is genetic or from another cause like stress or autoimmune. Scarring type alopecias may also require steroid injections or topical solutions and hair practices (such as picking, brushing, coloring etc will have to be minimized).  If it is determined to be genetic there are many options and traditional treatments like rogaine foam and propecia pills can be used.  I have great success in my practice using injectable progesterone and prp to the scalp.  Postmenopausal women also benefit from spironolactone.  I suggest seeing a dermatologist with expertise in hair loss.  Best, Dr. Emer.

Jeff Donovan, MD, PhD · Answer

Central centrifugal cicatricial alopecia (CCCA) is a scarring alopecia that occurs in women with afro-textured hair. Many factors go into the decision on what treatments to use.In general treatment for CCCA includes:topical steroidstopical calcineurin inhibitorssteroid injectionsoral anti-inflammatories such as doxycycline or tetracyclinereplacement of iron and vit D if lowpossible use of minoxidil reduction in damaging hair care practices

William Rassman, MD (retired) · Answer

Then you must stop messing with it. Don't pick it. This has to be managed by a good doctor and not by a doctor over the internet. This is not an easy problem so just taking a steroid because some doctor tells you to do this, will not solve the problem.

Dermatologist diagnosed me with cc alopecia, but reluctant to take Rogaine. Have thick curly hair. (Photo)

Answers (4)

Answer: If you truly have central centrifugal cicatricial alopecia (CCCA)

Answer: If you truly have central centrifugal cicatricial alopecia (CCCA)

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Everything you need to know about Rogaine

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Dermatologist diagnosed me with cc alopecia, but reluctant to take Rogaine. Have thick curly hair. (Photo)

Answers (4)

Answer: If you truly have central centrifugal cicatricial alopecia (CCCA)

Answer: If you truly have central centrifugal cicatricial alopecia (CCCA)

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Recommended reading

Everything you need to know about Rogaine

Our mission is to create a world where every investment in modern beauty is Worth It.