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Q. Is my DHT level causing mild hair fall and flaky scalp?

Answered by
Dr. Shalini Patodiya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 08, 2017 and last reviewed on: Feb 13, 2021

Hi doctor,

I am 19 years old. For the past three months, I have mild hair fall. I lose around 2 to 10 hair after every shower. I have never had hair fall in the past. I also did a background check with my family history; none had any baldness even in the 70s. I fear this would be the result of masturbation habit, which could have boosted DHT. So far I have lost about five percent of my hair. Though there are no visible bald spots, I can say my density has reduced a lot. I also have a flaky scalp, 1 to 2 cm sized flakes and that would cause snowfall like scenario. When I touch my hair, my scalp is shedding like a tree in fall. Would that be the reason for my hair fall or the DHT?

I have been using Noskurf lotion and Aminexil shampoo from the past 15 days, which reduced the flaking a bit. It is like my head is flakes-free for a couple of days and again it reappears. But it did nothing to stop my hair fall. I saw that most of the hair that fall are either too thin and smudged irregularly or are tiny new hair. I also feel pain and heat over the scalp which is succeeded by the localized hair loss after a couple of days. Since I joined MBBS course, I am not on a proper diet. Could this hair loss be due to biotin?

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Hello,

Welcome to icliniq.com.

Flaky scalp not responding to Noskurf (combination of Climbazole, Piroctone Olamine, Aminodermine, and almond oil) lotion may be scalp psoriasis and need steroid plus Salicylic acid 6 % combination lotion.

The pain is due to hair root inflammation, which is commonly seen in male pattern baldness.

I would suggest you get the following test done.

  1. Serum DHT (Dihydrotestosterone) level.
  2. Thyroid profile.
  3. CBC (complete blood count).

If DHT is high, then we have a specific treatment for that. Both psoriasis and hair fall may increase due to stress.

It is good that you are taking preventive steps.

Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist


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