Hi everyone,
A month ago I went to see a dermatologist. She diagnosed me with AGA just looking at my hair. The only concerns with my blood tests is mild deficiency in Vitamin D. She then got me to do a scalp biopsy to confirm AGA or any other form.
We didn’t really talk about my past hair health. The only reason I have gone to a dermatologist is because my hairdresser last year said my hair looked like it was thinning.
My biopsy came back: no extensive scarring/fibrosis. Focal peri-infundibular chronic inflammation is observed without extensive immature concentric perfollicular fibrosis, and review of this the features are not considered diagnostic of lichen planopilaris. It is presumed that the clinical features/pattern of the alopecia is not typical of lichen planopilaris. The number of catagen telogen hairs is not increased. The subjective impression of possible anisotrichosis, in conjunction with the peri-infundibular inflammation could support a clinical diagnosis of androgenic alopecia, however the histopathologic features are not considered diagnostic.
She told me it’s AGA and just to take minoxidil and that was basically it.
Is it worthwhile getting a second opinion or should I take my dermatologist’s word for it. They’re not a dermatologist that specialises in hair, not to say that they’re wrong, but maybe I should have gone to one who does.