Are There Complications/side Effects Of Treatment
Minoxidil may irritate your scalp and cause dryness, scaling, itching and/or redness. See your dermatologist if this happens.
With Minoxidil you might also see hair growing in other places other than your scalp . Wash your face after you apply Minoxidil and make sure you avoid other areas when you apply it.
What Is The Outcome For Someone Who Has Alopecia Areata
Sometimes, hair regrows on its own without treatment. This happens more often when someone has a few patches of alopecia areata, which have been there for less than 1 year.
When hair fails to grow back, treatment can help.
Self-care also plays an important role in the lives of people who have alopecia areata. To find out what dermatologists recommend, go to: Alopecia areata: Self-care.
ReferencesJang YH, Jung HJ, et al. Research letters: Systematic review and quality analysis of studies on the efficacy of topical diphenylcyclopropenone treatment for alopecia areata. J Am Acad Dermatol. 2017 77:170-2. Funding sources: Supported by the Basic Science Research Program through the National Research Foundation of Korea and the Ministry of Education. Conflicts of interest: None disclosed.
Lakhmiri M, Cavelier-Balloy B, et al. Nivolumab-induced alopecia areata: A reversible factor of good prognosis? JAAD Case Reports. 2018 4:761-5.
Lipner SR. Scher RK. To the editor: Alopecia areata. J Am Acad Dermatol. 2018 79:e9-e10. Funding sources: None. Conflicts of interest: None disclosed.
Murad A, Bergfeld W. To the editor: Treatment for facial alopecia areata: A systematic review with evidence-based analysis. J Am Acad Dermatol. 2018 78:601-5. Funding sources: None. Conflicts of interest: None disclosed.
Phan K, Ramachandran V, et al. Methotrexate for alopecia areata: A systematic review and meta-analysis. J Am Acad Dermatol 2019 80:120-7.
How Do Dermatologists Diagnose Alopecia Areata
Your dermatologist will examine the area with hair loss carefully and look at your nails. Your dermatologist will also ask some questions. This may be enough to diagnose you.
Because there are so many reasons for hair loss, testing is sometimes necessary to make sure alopecia areata is the cause of your hair loss.
A blood test can look for other diseases caused by the immune system. Sometimes, other tests are necessary.
If you have alopecia areata, your dermatologist will talk with you about how the disease is affecting your life and whether treatment is recommended.
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Children 10 Years Of Age And Younger
Alopecia areata often begins during childhood. If your child has difficulty coping with the hair loss, treatment can often help regrow hair.
Treatment options for children 10 years of age and younger are:
Corticosteroid you apply to the bald spots: Prescription-strength corticosteroids can help regrow hair. You apply this medication once or twice a day. For children, this alone can be an effective treatment.
Minoxidil: Also known by the brand name Rogaine®, minoxidil can help maintain the regrowth after you stop applying the corticosteroid. It has few side effects, so its considered a good option for children.
For children older than 10 years of age, treatment options are based on the amount of hair loss.
Are There Other Treatment Options For Fphl
Women want innovative treatments for FPHL. To meet this need, researchers continue to look for new ways to stimulate hair growth and stop hair breakage. Other treatments that you may find for FPHL include the following.
Lasers for at-home use: The FDA has approved laser combs, helmets, and other devices, which are available without a prescription, to treat hair loss at home. These devices emit a low level of laser light that may help stimulate new hair growth. A few studies show that this can be effective for treating FPHL.
As with minoxidil and prescription medicines, you must continue using an at-home laser device to see results. We still do not know whether these devices are safe for long-term use or if they can continue to produce new hair growth.
Platelet-rich plasma therapy:
It is believed the platelets help stimulate your cells to grow hair.
Researchers are just beginning to study this therapy as a treatment for hair loss. The early findings show promise, but more studies are needed to know whether this is a safe and effective treatment for FPHL.
Stem cells: Using stem cells to treat FPHL is still in the experimental stages. Like platelet-rich plasma therapy, more studies are needed to know whether stem cells are a safe and effective treatment for FPHL.
Hair loss shampoos: These shampoos tend to do one of the following.
Help your hair hold moisture, which makes hair look fuller and thicker
Lessen breakage, which can reduce thinning
How To Stop Thinning Hair: Hair Loss Treatment For Women
Medications are the most common treatment for hair loss in women. They include the following:
Minoxidil . This drug was initially introduced as a treatment for high blood pressure, but people who took it noticed that they were growing hair in places where they had lost it. Research studies confirmed that minoxidil applied directly to the scalp could stimulate hair growth. As a result of the studies, the FDA originally approved over-the-counter 2% minoxidil to treat hair loss in women. Since then a 5% solution has also become available when a stronger solution is need for a woman’s hair loss.
Clearly, minoxidil is not a miracle drug. While it can produce some new growth of fine hair in some not all women, it can’t restore the full density of the lost hair. It’s not a quick fix, either for hair loss in women . You won’t see results until you use the drug for at least two months. The effect often peaks at around four months, but it could take longer, so plan on a trial of six to 12 months. If minoxidil works for you, you’ll need to keep using it to maintain those results. If you stop, you’ll start to lose hair again.
Some women find that the minoxidil solution leaves a deposit that dries and irritates their scalp. This irritation, called contact dermatitis, is probably caused not by the minoxidil itself, but rather by the alcohol that is included to facilitate drying.
Help With The Cost Of Wigs
You can get free synthetic wigs on the NHS if:
- you’re under 16, or you are 19 or under and in full-time education
- you’re a hospital inpatient
- you or your partner are getting Universal Credit, Income Support, Income-based Jobseekers Allowance or the guarantee credit of Pension Credit
- you have an NHS tax credit exemption certificate
- you are named on a valid HC2 certificate
Cancer Research UK has more information on getting a wig on the NHS.
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What Questions Might Your Healthcare Provider Ask To Diagnose And Categorize Your Hair Loss
Your healthcare provider might ask about your habits:
- What kinds of hair products do you use?
- What kinds of hair styles do you wear?
- What types of food do you eat ?
- Do you have a habit of pulling your hair out ?
They might ask about your history:
- Has anyone in your immediate family experienced hair loss?
- Is there anything stressful going on in your life?
- What medications and supplements do you take every day?
- Has hair loss ever happened to you before?
- What foods are in your diet?
And, they might ask about your observations:
- How long have you been losing hair?
- Have you been shedding more?
- Have you noticed hair loss in places other than your scalp, like your eyebrows? Leg and arm hair?
- Does anything worsen your hair loss?
- Does anything improve your hair loss?
- Have you noticed hair loss occasionally or has it been going on continuously?
- Have you noticed if your hair growth has changed?
- Has your hair been breaking more often?
How Do Dermatologists Treat Alopecia Areata
If you just received your diagnosis and have had alopecia areata for less than a year, your dermatologist may recommend a wait-and-see approach. Your hair may regrow on its own, making treatment unnecessary.
When treatment becomes necessary, your dermatologist will consider many factors, including:
The amount of hair loss you have
Where you have hair loss
Its important to know that no one treatment works for everyone. To find one that helps, you may need to try a few types of treatment or different medications. Heres what your dermatologist may recommend.
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Can I Take Minoxidil And Finasteride Together
For most people, this is, in fact, the best way to treat hair loss. Twice daily application of 5% minoxidil and once-daily, oral finasteride appears to be the most effective way to treat hair loss. It tackles both the prevention of hair follicle damage and stimulating hair growth by healing follicular damage.
What Is Androgenetic Alopecia
Almost every woman eventually develops some degree of female pattern hair loss. It can start any time after the onset of puberty, but women tend to first notice it around menopause, when hair loss typically increases. The risk rises with age, and it’s higher for women with a history of hair loss on either side of the family.
As the name suggests, androgenetic alopecia involves the action of the hormones called androgens, which are essential for normal male sexual development and have other important functions in both sexes, including sex drive and regulation of hair growth. The condition may be inherited and involve several different genes. It can also result from an underlying endocrine condition, such as overproduction of androgen or an androgen-secreting tumor on the ovary, pituitary, or adrenal gland. In either case, the alopecia is likely related to increased androgen activity. But unlike androgenetic alopecia in men, in women the precise role of androgens is harder to determine. On the chance that an androgen-secreting tumor is involved, it’s important to measure androgen levels in women with clear female pattern hair loss.
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Krastase Initialiste Advanced Scalp And Hair Serum
- Price: $$$
This scalp serum contains a blend of plant-based ingredients, like gluco-peptides and wheat protein, and it claims to transform your hair in 7 days. Its designed to reduce breakage, add shine, soften, thicken, and strengthen hair.
According to Kérastase, the serum can dramatically reduce breakage due to brushing, so this option is best for people with brittle, weak hair.
Reviewers report more shine and less frizz, with a 4.5 out of 5 star average rating. Many 1 star reviews state that reviewers didnt notice any difference.
Its important to note that the website suggests checking with a medical professional before use if you have a dry scalp.
Stages Of Hair Growth Miniaturization
Hair is made up of the hair follicle and the shaft . In the hair bulb, located at the base of the follicle, cells divide and grow to produce the hair shaft, which is made from a protein called keratin. Papilla that surround the bulb contain tiny blood vessels that nourish the hair follicles and deliver hormones to regulate the growth and structure of the hair.
Hair follicles, much like all cells, have cycles. A natural part of the cycle involves shedding around 50 to 100 hairs per day.
Each follicle produces hair for 2 to 6 years and then takes a break for several months. While the hair follicle is in its rest phase, the hair falls out. There are around 100,000 follicles on the scalp, but because each follicle rests at a different time and others produce hairs, hair loss is usually unnoticeable. More noticeable hair loss occurs when there is a disruption to the growth and shedding cycle, or if the hair follicle is obliterated and replaced with scar tissue.
Scientists now understand that pattern baldness occurs through a phenomenon known as miniaturization. Some hair follicles appear to be genetically oversensitive to the actions of dihydrotestosterone , which is a hormone that is converted from testosterone with the help of an enzyme held in the follicles oil glands.
The only two drugs approved by the U.S. Food and Drug Administration to treat hair loss are minoxidil and finasteride .
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Why Am I Losing My Hair
MPB or Androgenetic Alopecia in men is the most common cause of hair loss in men. It affects an awful lot of us, with 30% of men under 30 showing at least some signs of thinning. If you feel like your hairline is receding, the chances are it is MPB: 95% of all baldness cases in men are caused by the condition. Luckily, we do know how to treat it.
MPB happens because of your bodys production of a hormone called dihydrotestosterone, or DHT. This DHT is produced from testosterone as you get older typically more during and after puberty by an enzyme known as 5-Reductase.
We need DHT when we are young for us to develop muscle mass, a deep voice, and other features. However, our scalp-level hair follicles can become sensitive to it meaning the more DHT we produce, the weaker our follicles can become. This is bad news for your hairstyle, particularly with the hair that sits above your temples and on your crown.
However, this is where effective hair loss treatments tend to intervene. By inhibiting the work of 5-Reductase the enzyme that creates DHT drugs such as Finasteride mean there is nothing to damage or weaken your follicles. And this, in turn, means that your hair growth can continue unabated.
The Main Factors When Deciding Which Treatment Is Best For You
Weve tested out the products and services in this guide and have analyzed data about the effectiveness of the treatment options. Along with this information, its important for you to consider what treatment path fits best into your life. In order to enjoy lasting success, the treatment should be a good, sustainable fit for you and the hair loss youre experiencing. Here are important factors to consider.
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Be Gentle With Your Locks
Try to be as gentle as possible when brushing or styling your hair. Constantly twisting, twirling, or pulling your hair tight can lead to hair loss.
If youre worried about hair loss, you may want to avoid the following:
- tight hairstyles, such as pigtails, cornrows, braids, and buns
- hot oil treatments
- chemicals used in perms and hair straightening treatments
- hot curling irons or straightening irons
- bleaching your hair
If you must use chemicals or bleach in your hair, seek help from a trained professional. Dont try to do it yourself at home.
How Does Finasteride Work
Hair loss is due to dihydrotestosterone , the hormone testosterone becomes when it is exposed to an enzyme called 5 alpha reductase. DHT makes the hair follicles vacate a mans scalp by slowly destroying clusters of hair follicles. DHT causes the hair follicles to miniaturize over many years. The process may begin slowly but the progression is relentless.
At first, only thinning of hair is noticed, not clear baldness. Some men embrace the process, shaving their heads in response, but many regret the appearance of aging while they still feel young and vital. Fortunately, we have an understanding of how DHT undermines hair growth and finasteride works by blocking the conversion of testosterone to DHT. It does this by inhibiting the ability of 5 alpha reductase to convert testosterone to DHT. That is why it is called a 5 alpha reductase inhibitor.
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