As long as the new hair that grows from that follicle is the same as the one it replaces, the hair density will remain constant. In patterned hair loss, hormones affect the follicle, making it smaller and the new hair becomes shorter and finer than the one it replaces. Eventually, the new hairs are so short and fine they become invisible and the scalp becomes bald.


The common cause of hair loss is stress, changing hormones, menopause or medication such as antidepressants, blood thinners, retinoids, NSAIDs, birth control pills and high blood pressure medications. People with an autoimmune condition known as alopecia areata can suffer from hair loss in the scalps and several parts of the body. Other disorders and health conditions that can result in hair loss include:
Hair-fiber powders: Colored, powdery fiber sprinkles are commercially available and may work to camouflage balding areas. These colored sprinkles have special properties that help them attach to hair and give a fuller appearance. Toppik is one manufacturer of these products and can be found online. These cosmetic products are available without a prescription, are fairly inexpensive ($20-$40 range), and quite safe with minimal risk. Often these may be used in addition to medical treatments like Rogaine, Propecia, and hair transplants, and they are a great temporary measure to tide one over for special occasions.
The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.
While natural hairpieces are available, many hair loss consumers have little idea what to look for when purchasing a hairpiece. Unfortunately, the hair loss industry includes some companies that may take advantage of hair loss sufferers. Research conducted by the American Hair Loss Association estimates that more than 70% of nonsurgical hair loss consumers are unhappy with the quality, service, and price provided by their hair replacement salons.
Sex hormone testing, especially for women and men with hair loss, should include DHT (DiHydroxy Testosterone). DHT is a derivative of the male hormone testosterone. In women, perimenopause and menopause marks a drop in estrogen which leaves hair particularly vulnerable to DHT. Women with PCOS struggling with hirsutism (excessive body hair in women in areas where men typically grown hair including the fat, check, and back ) and male-pattern hair loss should be sure testosterone and DHT are part of their lab testing too. The American Hair Loss Association describes DHT as “the enemy of hair follicles on your head”:
Hair transplant/surgery. A hair transplant or surgery is the quickest treatment for permanent cases of hair loss, although the most expensive. In pattern baldness, for example, where the top of the head is the most affected area, a hair transplant allows the surgeon to use existing hair to implant it into the bald sections of the head. It works by removing a graft or follicular sample in parts of the head that still have hair (usually this is the back of the head as this area is most resistant to hormonal changes), and placing this graft in the areas that are bald.

Hair transplant/surgery. A hair transplant or surgery is the quickest treatment for permanent cases of hair loss, although the most expensive. In pattern baldness, for example, where the top of the head is the most affected area, a hair transplant allows the surgeon to use existing hair to implant it into the bald sections of the head. It works by removing a graft or follicular sample in parts of the head that still have hair (usually this is the back of the head as this area is most resistant to hormonal changes), and placing this graft in the areas that are bald.
Finasteride is available on private prescription in a tablet form. It prevents the hormone testosterone being converted to another hormone called dihydrotestosterone (DHT), which is known to shrink hair follicles. Blocking this action can help the hair follicles to return to their normal size. It usually takes three to six months of daily use to see an effect, and the process starts again if treatment is stopped.
As male pattern baldness is a hereditary condition it does not have a cure, but preventative treatments can be taken to slow the process down and even regrow your hair. LloydsPharmacy Online Doctor can prescribe Propecia – a hair loss tablet which is taken once a day. By inhibiting testosterone from converting into DHT, Propecia helps prevent hair loss and increase hair growth. It is particularly effective among those who show mild to moderate hair loss.
Surgery or hair transplants: Surgical hair restoration approaches include various versions of hair transplantation (taking hair from the back and putting it near the front) or scalp reduction (cutting away bald areas and stitching the rest together). Transplant procedures have improved greatly in recent years. They can produce much more attractive and natural-looking results than older methods that sometimes leave a "checkerboard" or hair plug look. Many transplant patients now take Propecia to maintain or keep what they've transplanted. When considering a hair transplant, check the surgeon's credentials and experience carefully. Micrografts are some of the newest techniques whereby surgeons transplant single one to two hair follicles. Hair transplants may be very expensive and time-consuming procedures ranging widely anywhere from $1,000-$20,000, depending on the number of hair grafts transplanted. Typically, 500 or more hairs may be transplanted in a session.
Laser treatments. Low-level laser therapy (LLLT) is used for the prevention and reversal of hair loss. Also known as red light therapy, cold laser, and soft laser, it is a form of light/heat treatment (therefore generally safer) that is used on cases of pattern baldness and alopecia areata. The procedure uses a device that emits light that penetrates into the scalp. The more commonly used lasers are the excimer, helium-neon and fractional erbium-glass. The procedure can increase the blood flow in the scalp to stimulate the follicles that are in resting or dormant phase to go into anagen, and at the same time, prevent the production of DHT, which destroys the hair follicles.
Taking hair supplements can be helpful for anyone who is experiencing hair loss or hair thinning. Dendy Engelman, MD, a board-certified dermatologic surgeon at Medical Dermatology & Cosmetic Surgery in New York City, previously recommended Nutrafol, a research-backed hair supplement, to Prevention. "This uses highly concentrated botanicals to address every stage of the growth cycle," she says. Nutrafol's hair supplements include vitamin E and ashwagandha (an adaptogen that helps balance cortisol levels in the body), among others.
There can be several factors behind hair loss such as environmental effects, aging, too much stress, excessive smoking, nutritional deficiencies, hormonal imbalance, genetic factors, scalp infections, use of wrong or chemically enriched hair products, certain medicines and medical conditions like thyroid disorder, autoimmune diseases, polycystic ovary syndrome (PCOS), iron-deficiency anemia, and chronic illnesses. 

The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.
Your body needs a way to convert hair growth  nutrients floating around your bloodstream into something it can use. Enter magnesium. This enzyme-related element assists in breaking down nutrients into useable compounds and creating new proteins for hair production. One of these compounds is melanin, responsible for giving your hair its natural color.
“If you don’t want a scar because you like to wear your hair short, you might opt for a “scarless” hair transplant,” says Dr. Joyce. Also known as follicular unit extraction (FUE), grafts are harvested one at a time with tiny punches that heal virtually undetected so you can still buzz your head. “If you’ve gone so bald that you don’t have a lot of donor hair on your head, we can do FUE extractions with body hair such as on your chest, stomach, back, and sometimes even the pubic area,” says Dr. Joyce.
The psychology of hair thinning is a complex issue. Hair is considered an essential part of overall identity: especially for women, for whom it often represents femininity and attractiveness. Men typically associate a full head of hair with youth and vigor. Although they may be aware of pattern baldness in their family, many are uncomfortable talking about the issue. Hair thinning is therefore a sensitive issue for both sexes. For sufferers, it can represent a loss of control and feelings of isolation. People experiencing hair thinning often find themselves in a situation where their physical appearance is at odds with their own self-image and commonly worry that they appear older than they are or less attractive to others. Psychological problems due to baldness, if present, are typically most severe at the onset of symptoms.[11]
Proper levels of this promote optimal hair growth and longevity, leading to hair that is healthy, lustrous and more abundant. According to a paper produced by the Ohio State University, found that it is “critically important in the development and maintenance of multiple epithelial tissues, including skin, hair, and sebaceous glands.”  Getting the proper amount of Vitamin A can directly stimulate hair growth in both men and women.
Wash your hair at least once every three days with a gentle hair cleanser or shampoo to remove all the accumulated dust, dirt, oil, and bacteria build up. Keep it clean at all times to avoid hair fall from clogged follicles. It is also important not to wash your hair more than thrice a week. Overwashing will strip your scalp and hair of the natural oils that are essential for healthy hair growth.
Male pattern baldness is caused by a very sensitive reaction to DHT (dihydrotestosterone) – a type of testosterone. This reaction causes the hair follicles (hair roots) to shrink and thereby lose the ability to grow new hair. This process also cuts short the lifespan of hair follicles so you lose hair more quickly. The combination of losing hair more quickly and the slow replacement rate results in baldness.

Do not lose sleep over it. The more one obsesses over the loss of hair, the more depressed one can get. This can lead to unhealthy habits that can only worsen or aggravate hair loss, such as consuming too much sugar or sleeping less, which can contribute to increased stress and physiological trauma to the body. Proper management of the depression that comes with hair loss is important. Having a strong support group that one connects with and shares feelings and advice is a big help. It's also a big boost if one can learn how to make the most of their appearance to divert attention from their head by playing up other features of their body, such as wearing make-up or putting on a statement jewelry or a striking piece of clothing.
Procepia and Finasteride will only prevent hair loss and aid hair regrowth for the duration of your treatment. As soon as you stop taking them, any hair loss you would have had during that time will happen within a few months of ending the treatment. A doctor needs to check whether you can use either medication. You can order your treatment online from Superdrug and get your prescription from one of our online doctors, who will review your order.

Certain foods have also been found to aggravate or worsen hair fall, such as sugar, which triggers the overproduction of the male hormone, androgen, which in turn causes the hair follicles to shrink in size and for hair to fall out or stop growing. Fish products that are known to contain high levels of mercury like tuna, mackerel and swordfish can also cause hair weakening and excessive hair fall. Studies have also found that fried foods are associated with the production of high levels of DHT.
Like a Ferrari production plant where luxury automobiles are painstakingly assembled from carefully crafted parts, hair growth depends on a number of carefully coordinated systems that work together. It’s no secret that supplements can have a positive effect on other parts of your body, such as your immune system and your heart. Can hair growth supplements have a similar effect on hair loss (androgenetic alopecia) to promote healthy hair growth naturally? Absolutely. In order to understand why, first it’s important to know how your hair grows.
This refers to the habitual pulling or twisting of one's own hair. The scalp and eyelashes are often affected. Unlike alopecia areata patches, which are perfectly smooth, hair patches in trichotillomania show broken-off hairs. Treatment is often entirely behavioral. One has to notice the behavior and then consciously stop. Severe or resistant cases may require stress counseling with a therapist or psychologist or medical treatment with a psychiatrist. Several antidepressant or anti-anxiety medications can help with this condition.
Ms. Imhof, who lives in Land O’Lakes, Fla., was skeptical. The company’s before and after photos seemed too good to be true. But she went for a consultation and made the cut. (Harklinikken’s products are not available to anyone with autoimmune illnesses like alopecia or baldness from scarring, or anyone who is unlikely to see at least a 30 percent increase in growth.)
Losing your hair in the typical male pattern (where your hairline starts receding before getting thinner at the crown and the temples) is very common. When these two areas meet, it leaves hair at the sides and the back – in a horseshoe pattern. Eventually some men may go completely bald, while others might keep their hair around the back and sides (although some choose to shave these areas off anyway ).
It will be a mistake if lack of volume does not appear on the list of common hair problems. Happening for both men and women, lack of volume can be the factor that destroys one’s hair and affects his or her look. There are plenty of reasons leading to the lack of volume of flat hair, including thyroid problems, hormone-related conditions, low iron levels, and nutrition. It is believed that the wrong shampoo or inappropriate conditioner can make your hair too heavy and result in lack of volume. Sometimes, product build-up can be the hidden causes for most of the common hair problems, including lack of volume.

The normal cycle of hair goes through a phase of growth and rest. Each individual hair survives for an average of three and a half years. The growth phase of hair generally lasts two to three years, during which time it grows about half an inch a month. This growing phase is called anagen. This is followed by a resting phase called telogen, which lasts for about three to four months. Usually in its fourth year the hair falls out and is replaced within 6 months by a new one.
Choosing where and who will perform your hair transplant is as important a consideration as to what kind of hair transplant to get. Of utmost consideration is that this should be done by the dermatologist /surgeon, and not his/her technician. The surgeon himself/herself should also oversee the design of your hairline and how the extraction of the graft will be done.
The pluck test is conducted by pulling hair out "by the roots". The root of the plucked hair is examined under a microscope to determine the phase of growth, and is used to diagnose a defect of telogen, anagen, or systemic disease. Telogen hairs have tiny bulbs without sheaths at their roots. Telogen effluvium shows an increased percentage of hairs upon examination. Anagen hairs have sheaths attached to their roots. Anagen effluvium shows a decrease in telogen-phase hairs and an increased number of broken hairs.
“While nutritious eating isn’t going to bring your hair back by any means, eating plenty of protein-rich foods and healthy fats can make the hair that you still have look thicker and shinier.” Skimping on the B vitamins in particular can interfere with the formation of hair cells and, therefore, hair growth. The best sources of Bs are protein-packed foods like chicken, fish, eggs, and pork, as well as leafy greens such as spinach. (These foods are also good for melting belly fat, so it’s a win win).
All men and women will be affected by patterned hair loss at some stage in their lives. While the majority of men have developed temporal recession by their mid 20s and noticeable balding by their mid 50s, for most women, hair loss is mild and only occurs later in life. However, when hair loss is premature or severe, it can cause distress. A range of treatments is available to slow or reduce hair loss, and stimulate partial regrowth
Periods of prolonged or severe illness can affect the hair. “As with extreme stress and extreme diets, this also comes down to the body preserving its energy balance and shutting down non-essential functions in order to battle the illness more effectively,” Berg says. “In fact, physicians have used an inspection of the fingernails and hair quality as part of standard examinations of overall health for many years. Changes in these features provide some clues about the length and severity of illness.” Other diseases, such as diabetes and lupus, can also cause hair loss. Check out these other things your hair can reveal about your health.
My hair began to thin when I was 28 years old. Now I am 44 and the top of my head is bald. Recently, I considered using medicine to treat my hair loss and see if any hair would regrow. After reading the literature and talking to my doctor, I decided not to take medicine because it is unlikely to make a huge difference in my hair—and I don't want to take medicine forever!
And though this treatment appears to be safe and somewhat effective, it’s hard to tell who will react well to this low-level light therapy, which is why the doctors I spoke with were hesitant to fully endorse it. “We’re not sure what the optimal power is, what the optimal wavelength is, we don’t even really know the mechanism of action of how this is working,” says Rieder. Plus, it doesn’t work on everyone. “There are subpopulations of patients who do respond to low-level laser light, but this is not easily predictable,” explains McMichael, though she adds that the risk of using the LaserComb is low.
If your doctor recommends it, a product like minoxidil can increase hair growth in male- and female-pattern baldness. Alopecia areata can be helped by treatment with corticosteroid creams or injections on the scalp. If your doctor thinks that nutritional deficiencies are causing your hair loss, he or she might refer you to a dietitian or other nutrition expert. 

The trick about all of these hair-loss products and treatments is that they’ll stop working as soon as you stop using them. “They have to be ready for a lifetime commitment,” says Rieder. But, just like brushing your teeth, as long you keep on keeping on with the scientifically proven preventative treatments, those hairs on your head should be just fine.
It's for this reason that grocery stores have shelves stocked full with hair care and hair grooming products of all forms and kinds, for different purposes, and even specialized and customized for use of men and women. In one study, it was found that more than half of the men in the UK use about six to ten hair grooming products alone, from the staple shampoos and conditioners to hair gels and other styling products.

Central centrifugal cicatricial (scarring) alopecia: This type of hair loss occurs most often in women of African descent. It begins in the center of the scalp. As it progresses, the hair loss radiates out from the center of the scalp. The affected scalp becomes smooth and shiny. The hair loss can be very slow or rapid. When hair loss occurs quickly, the person may have tingling, burning, pain, or itching on the scalp. Treatment may help the hair re-grow if scarring has not occurred.
As I mentioned before, the causes of hair fall are innumerable, and so it becomes crucial to get to the root of the problem. The best way to go about dealing with the problem would be to get the correct diagnosis to begin with. This can be made simpler by finding the areas where thinning is most prominent and also monitoring how much hair you are losing whenever you comb or shampoo. Consult a physician to find out whether you have any underlying medical issues causing the hair fall.
To us, that meant any product with zero proven ingredients, case studies, or FDA clearance — which shrunk our list by a whopping 180 contenders. That’s right, there are only three treatments that have actually been cleared by the FDA and supported with clinical studies: finasteride (commonly marketed as Propecia), minoxidil, and laser treatments. And, since finasteride is prescription-only, it left us with two.
Daily hair counts are normally done when the pull test is negative. It is done by counting the number of hairs lost. The hair from the first morning combing or during washing should be counted. The hair is collected in a clear plastic bag for 14 days. The strands are recorded. If the hair count is >100/day, it is considered abnormal except after shampooing, where hair counts will be up to 250 and be normal.[citation needed]
While trauma can come on suddenly and unexpectedly, you may be able to help manage ongoing stress in your life with exercise, like yoga, or mindfulness techniques, like meditation. Some researchers are even exploring these alternative healing modalities in relation to reversing hair loss. The idea is that yoga and meditation may help regulate blood sugar and enhance circulation, promoting regrowth.
George Cotserelis, MD, is director of the University of Pennsylvania's Hair and Scalp Clinic. He agrees that there's no evidence these alternative hair loss treatments have any effect. "If any of it did work," he says, "I'd be very worried about using that product. The fact that it’s working would mean it's doing something to the testosterone and could be having adverse effects."
To us, that meant any product with zero proven ingredients, case studies, or FDA clearance — which shrunk our list by a whopping 180 contenders. That’s right, there are only three treatments that have actually been cleared by the FDA and supported with clinical studies: finasteride (commonly marketed as Propecia), minoxidil, and laser treatments. And, since finasteride is prescription-only, it left us with two. 

One is how much emphasis the company places on compliance, the major stumbling block in the efficacy of any treatment, said Dr. Senna, an author of studies on the subject. Prospective users are questioned about their ability to stick to a regimen because the extract must be applied every day, and they are told that the more conscientious they are, the better. Users are also reminded and encouraged with regular check-ins.
It will be a mistake if lack of volume does not appear on the list of common hair problems. Happening for both men and women, lack of volume can be the factor that destroys one’s hair and affects his or her look. There are plenty of reasons leading to the lack of volume of flat hair, including thyroid problems, hormone-related conditions, low iron levels, and nutrition. It is believed that the wrong shampoo or inappropriate conditioner can make your hair too heavy and result in lack of volume. Sometimes, product build-up can be the hidden causes for most of the common hair problems, including lack of volume.
One hair loss tablet that targets hormones is Propecia. This targets a specific androgenic hormone (male sex hormone) named dihydrotestosterone (DHT). DHT is present throughout the body, and prompts the growth of hair and spurs sexual development around puberty. However, in later years, it binds to hair follicles and causes them to shrink, occluding hair shafts and making healthy hair growth impossible. 

In our research and our conversations with experts, one name kept popping up repeatedly: Rogaine. As the first topical brand FDA-approved to help regrow hair (all the way back in 1988), Rogaine benefits from more than 20 years of clinical trials and consumer feedback. Rogaine was the first brand to offer a 5 percent minoxidil foam solution when it debuted Men’s Rogaine Unscented Foam in 2006, and virtually every treatment developed since (for both men and women) has been an imitation or derivation of that formula.
"Firstly, even the very good ones won’t get to the root of the issue - pardon the pun - and prevent or treat male or female pattern baldness which is caused by genetics, nor deal with hormonal issues at the heart of female hair loss. But they can help make the hair you do have stronger and healthier. And they can be useful in putting a hair loss regime in place, along with medication like Minoxidil or Finasteride and/ or a hair transplant.
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