Hair Loss: Is It Stress, Seborrheic Dermatitis, or Genetics?

Regarding hair loss issues?

Hello Doctor, I would like to ask about a condition I've been experiencing since middle school, where I've had small pimples on my scalp.
After consulting a doctor, I was diagnosed with seborrheic dermatitis.
Over the years, my condition has fluctuated.
At the age of 24, due to hair dyeing, high stress, and frequent insomnia, I started experiencing localized hair loss, particularly in an area about the size of a five-cent coin on my left forehead, where the hair density has decreased.
I later visited a clinic, and the doctor indicated that my hair loss was due to stress and insomnia.
Now, at 29 years old, my hair density has not improved; in fact, the hair on both sides of my forehead has become increasingly sparse, resembling stage two androgenetic alopecia.
I have been taking oral medication for androgenetic alopecia, but it hasn't been effective.
My father started losing his hair after the age of 50, and I believe it was due to frequent hair dyeing.
However, I began to notice hair loss at 24.
I would like to know if my ongoing insomnia and seborrheic dermatitis are causing my hair loss, or if I am indeed experiencing hereditary androgenetic alopecia.
I am really worried about the persistent small pimples and my receding hairline.
I am unsure about the factors contributing to my hair loss.
I would appreciate your insights, thank you.

g69bvmmn, 20~29 year old female. Ask Date: 2016/02/29

Dr. Wu Yuxin reply Dermatology

Without actually observing the hair loss situation, it is difficult to confirm.
If it is causing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/02/29

More Info

Understanding hair loss can be a complex issue, especially when multiple factors such as stress, seborrheic dermatitis, and genetics come into play. Based on your description, it seems that you are experiencing a combination of these factors, which may be contributing to your hair loss.

Firstly, seborrheic dermatitis is a common skin condition that can affect the scalp and lead to symptoms such as flaking, redness, and itching. This condition can create an unhealthy environment for hair follicles, potentially leading to hair thinning or loss. The inflammation associated with seborrheic dermatitis can disrupt the normal hair growth cycle, causing hair to enter the shedding phase prematurely. If you have been dealing with this condition since middle school, it is possible that it has contributed to your hair loss over time.

Secondly, stress is a well-documented factor that can exacerbate hair loss. High levels of stress can lead to a condition known as telogen effluvium, where hair follicles prematurely enter the resting phase, resulting in increased shedding. Given that you mentioned experiencing significant stress related to your studies and other life pressures, it is plausible that this has played a role in your hair loss as well. Chronic stress can also affect sleep patterns, which can further impact overall health and hair growth.

Genetics is another crucial factor in hair loss, particularly in cases of androgenetic alopecia, commonly known as male or female pattern baldness. You mentioned that your father experienced hair loss later in life, which suggests a potential genetic predisposition. However, it is important to note that hair loss can begin at different ages and may not follow the same timeline as family members. The fact that you started noticing thinning at 24 could indicate that you are experiencing an earlier onset of genetic hair loss.

Regarding the treatments you have tried, such as oral medications for androgenetic alopecia, it is not uncommon for individuals to see varying results. Some may experience significant improvement, while others may find little to no change. It is essential to have realistic expectations and understand that these treatments often require consistent use over an extended period to see results. Additionally, if you are experiencing side effects or financial constraints, it may be worth discussing alternative options with your healthcare provider.

In conclusion, your hair loss appears to be multifactorial, involving seborrheic dermatitis, stress, and possibly genetic predisposition. It is crucial to address each of these factors holistically. Managing stress through techniques such as mindfulness, exercise, and adequate sleep can be beneficial. Additionally, continuing to treat your seborrheic dermatitis with appropriate topical medications can help create a healthier scalp environment for hair growth. Consulting with a dermatologist or a trichologist may provide further insights into your specific condition and tailored treatment options. Remember, it is essential to be patient, as hair regrowth can take time, and addressing underlying issues is key to achieving the best possible outcome.

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