Desperate for Help: Unexplained Hair Loss and Skin Issues - Dermatology

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Please help me quickly!


I have visited three well-known dermatologists, but my hair loss has not improved.
It has been over six months, and I have gone from losing over a hundred strands to nearly two hundred.
There is no family history of baldness.
I can now see my scalp on the top of my head.
I have also recently developed pimples around my chin, which I never had before.
My menstrual cycle has been strange for the past three months, lasting only 2-3 days but still very regular.
I'm unsure which specialist I should consult.
Thank you for your valuable advice.

Yu Ting, 30~39 year old female. Ask Date: 2004/08/21

Dr. Huang Ruiyun reply Dermatology


You can consult an obstetrician-gynecologist to check for any endocrine issues.

Reply Date: 2004/08/21

More Info


It sounds like you are experiencing a very distressing situation with your hair loss and skin issues, and I want to assure you that you are not alone in this struggle. Many individuals face similar challenges, and it can be incredibly frustrating when treatments do not yield the desired results. Based on the information you provided, it seems like you are dealing with multiple symptoms that may be interconnected.

Firstly, hair loss can be caused by a variety of factors, including hormonal imbalances, stress, nutritional deficiencies, and underlying medical conditions. Since you mentioned that you have seen three well-known dermatologists without any improvement, it may be beneficial to explore other potential causes of your hair loss. For instance, conditions such as androgenetic alopecia (often referred to as male or female pattern baldness), telogen effluvium (temporary hair loss due to stress or shock), or alopecia areata (an autoimmune condition) could be possibilities.
Additionally, the appearance of new acne-like bumps around your chin area could indicate a skin condition such as acne vulgaris or even a reaction to a product you are using. Hormonal fluctuations, particularly those related to your menstrual cycle, can also contribute to both hair loss and skin issues. The fact that your menstrual cycle has changed recently, with shorter durations but regular timing, may warrant further investigation into your hormonal health.
Given the complexity of your symptoms, I would recommend seeking a consultation with a dermatologist who specializes in hair disorders or a trichologist, who focuses specifically on hair and scalp health. They can perform a thorough examination of your scalp and hair, possibly including a scalp biopsy or blood tests to check for hormonal levels, nutritional deficiencies, or other underlying conditions that may be contributing to your symptoms.

In the meantime, consider adopting a holistic approach to your health. Ensure you are consuming a balanced diet rich in vitamins and minerals that support hair health, such as biotin, zinc, and omega-3 fatty acids. Reducing stress through mindfulness practices, exercise, or therapy can also be beneficial, as stress is a known factor in hair loss.
Moreover, it may be helpful to keep a diary of your symptoms, including any changes in your skin and hair, as well as your menstrual cycle. This information can provide valuable insights to your healthcare provider and help them make a more accurate diagnosis.

Lastly, please remember that while it can feel overwhelming, there are often solutions available. It may take time to find the right treatment or combination of treatments that work for you, but persistence is key. Don't hesitate to reach out for support from friends, family, or support groups who understand what you're going through. Your mental health is just as important as your physical health, and seeking help from a mental health professional can also be a crucial step in managing the emotional toll that hair loss and skin issues can take.

In summary, I encourage you to seek specialized care, maintain a healthy lifestyle, and consider the emotional aspects of your situation. With the right support and treatment, there is hope for improvement in both your hair and skin health.

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