Black Dots in Trichoscopy After COVID-19: Can It Be Telogen Effluvium?

The user experienced chronic telogen effluvium and mild male pattern baldness, treated with finasteride, oral minoxidil, and later switched to dutasteride, which stopped excessive hair shedding. Other treatments like low-level laser therapy, hair loss shampoos (except ketoconazole), and supplements were ineffective.

The user has been using topical minoxidil and finasteride for hair loss, with some regrowth at the temples but continued hairline thinning. The dermatologist suggested possible telogen effluvium due to stress and deficiencies, prescribed oral minoxidil, and may consider dutasteride if the condition doesn't improve by January 2026.

After 12 years of success with oral finasteride and topical minoxidil, the user is experiencing hair thinning and scalp discomfort. They are considering options like switching to oral minoxidil, adding dutasteride, or using ketoconazole shampoo, topical caffeine, rosemary serum, and supplements.

The user experienced hair regrowth over three months using oral finasteride daily, topical minoxidil 5-6 times a week, a weekly derma stamp, and tretinoin 2-3 times a week. The regrowth includes small hairs, attributed to the treatments.

The user has been using topical minoxidil with tretinoin for 9 months without much regrowth and suspects finasteride is responsible for any improvement. They are inquiring about tests to determine response to topical minoxidil and seeking advice on switching to oral minoxidil, including potential side effects and monitoring requirements.

The conversation is about using minoxidil for diffuse thinning after finasteride showed no regrowth. Tips include applying minoxidil directly to the scalp, considering potential shedding, and being cautious with combining tretinoin due to possible irritation.