Hair Loss Issues – Fungal Infections, and Options When PRP and Finasteride Don’t Work for You

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A 21-year-old man says he has severe hair thinning that started in September 2014. He had 3 platelet-rich plasma (PRP) scalp injections done, which he says gave best results of the treatments he tried, but the effects only lasted a month. He also says he has a current fungal infection, and also had some hair roots damaged from cosmetic hair treatments like hair straightening in early 2014. He was also taking finasteride and fluconazole, which coincided with shedding the hair he gained with PRP treatment.

New York hair restoration specialist Amiya Prasad, MD reviews his photos and concerns in this video, explaining the actual causes of hair loss, and what treatments can be used for young men with rapid hair loss progression:

1:58 – Dr. Prasad’s background training, and experience in non-surgical hair restoration treatment with PRP and ACell’s extracellular matrix
2:37 – How a fungal infection can have an impact on the hair, and requires topical and systemic treatment
3:10 – Even if a fungal infection can cause some hair loss, he does appear to have male pattern hair loss as well
3:20 – How fluconazole and finasteride were not likely to cause hair loss
3:45 – How finasteride works to slow down hair thinning by controlling the hormone DHT, but it doesn’t stop hair loss completely
4:26 – Why many men do no not want to take finasteride due to potential side effects
4:43 – How PRP alone is useful for many regenerative and cosmetic treatments, but only has a short-term benefit for hair loss
5:28 – How people have come to Dr. Prasad after PRP hair loss treatment because they couldn’t keep up with monthly treatment, and because results were limited an unsustainable
5:46 – How Dr. Prasad uses a PRP combination treatment with ACell’s extracellular matrix called Hair Regeneration for long-term treatment for male and female pattern hair loss.
6:08 – How for more than 5 years, a single treatment session with Hair Regeneration with patients all over the world has stopped hair loss progression, reactivated hairs that were not growing, and made thinning hair grow back thicker
6:34 – How the Hair Regeneration treatment is customized, so some advanced hair loss patients may get a second treatment in the second year
6:40 – How the Hair Regeneration system has been successful, even without any other medication like finasteride
6:56 – How finasteride works on about 60% of men, with 40% being not having an effect or a substantial effect
7:05 – How hair thinning at 21 means an aggressive pattern of hair loss, so there is a limited window for a stabilization treatment like finasteride or Hair Regeneration before too much hair is lost
7:42 – How some patients can continue taking finasteride with the Hair Regeneration treatment, at least for the short-term
7:48 – How the Hair Regeneration treatment revealed that there is more to hair loss than DHT, and the treatment works for women where DHT is not a factor in their pattern hair loss
8:17 – How finasteride and fluconazole are not causing hair loss, but rather the PRP wearing off, the fungal infection, and pattern hair loss

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Source: Hair Loss Issues – Fungal Infections, and Options When PRP and Finasteride Don’t Work for You

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