My question, before you start reading my situation, is simply and purely “what should I do?” I’m a gay, 18 year old male who in the last six months has noticed his hair considerably thinning and then, about two months ago, considerable amounts falling out. My hairline near my temples has receded about an inch a month, the rate is staggering. With my fringe covering my hair, however, it is not at all noticeable and my hair at the back (although thinner) has produced no visible bald spots as of yet, though that is inevitable.

My problem is my mood. I have been to my GP for blood tests and tests on my thyroids, all of which came back as fine (worse than fine, optimum!) So, alas, I have to accept it is baldness. However, I’m struggling to accept it. It turned me from the hip socialite to the withdrawn type who has not only considered suicide, but actually planned it now. I’ve always had a problem with my own face with short hair (having had long hair from a very young age!) and do not find men with short hairstyles or shaved heads attractive in the slightest, so why should I expect them to find me attractive?

I spend every day miserable, and angry. I have fits of rage, and fits of tears and it simply can’t continue. I’ve lost over 50lbs in weight through not eating and I have no interest in doing so. The advice of most is, “that’s the cards you’ve been dealt, you HAVE to deal with it.” However, this is not an option for me and, realistically, I know that if that’s all there is, I will most likely end up killing myself. What do I do?

I am concerned about your mental health, as you should be. People who seriously entertain suicide for hair loss need professional help. You should understand there are many young men in the world in your exact situation, and there are many things you can do about treating hair loss.

There’s no easy answer to the question you posed in the opening sentence of your email. Any hair loss you’re seeing could be attributed to your extreme diet or genetics, but there’s no way for me to know without an examination. I would suggest you see a doctor about hair loss and treatment options, but more importantly consider discussing your issues with friends or counselors. Losing hair is not the end of the world. You should really seek out someone who will help you deal with life.

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