The more upsetting problem is central centrifugal cicatricial alopecia, a type of baldness that starts at the crown of the head and spreads outward. "It's hugely, hugely difficult," said Susan Taylor, a dermatologist at Penn Medicine who specializes in treating women with CCCA. "It affects quality of life." She said it is seen "almost exclusively" in women of African descent. One study found it in 10 percent to 15 percent of black women, but Taylor thinks it's more common. "I could see women all day, every day, with this problem," she said.
Some hair loss can also result from the psychological condition trichotillomania. “People with this condition compulsively pull out their hair when they are stressed or even when they are concentrating, e.g. studying hard,” says Burg. “Sometimes the individual doesn’t know they are pulling their hair out, doing the activity absent-mindedly, and only notice once the bald patches appear.” Over time the hair follicles can become so damaged that they die and leave permanent bald patches. Find out why you shouldn’t pull out gray hairs either.
The hormonal process of testosterone converting to DHT, which then harms hair follicles, happens in both men and women. Under normal conditions, women have a minute fraction of the level of testosterone that men have, but even a lower level can cause DHT- triggered hair loss in women. And certainly when those levels rise, DHT is even more of a problem. Those levels can rise and still be within what doctors consider “normal” on a blood test, even though they are high enough to cause a problem. The levels may not rise at all and still be a problem if you have the kind of body chemistry that is overly sensitive to even its regular levels of chemicals, including hormones.
There’s no such thing as a drug that’s without side effects completely. However, finasteride isn’t as harmful as some of the other types of medicine on the market. In fact, such a small percentage of men experience side effects at all, making the medicine effective and safe. With that said, there are a few things that you should know about the drug before you start taking it.
Giovanni Mele, a stylist who owns Giovanni and Pileggi in Center City, said many women with thinning hair try to wear their hair long. He thinks they're much better off with short, pixie-like styles with light layering on top. He recommends that lighter-skinned women choose colors that are a little darker than blond or gray. He is a fan of a hair-thickening product made by Nioxin.

Hair loss often follows childbirth in the postpartum period without causing baldness. In this situation, the hair is actually thicker during pregnancy owing to increased circulating oestrogens. Approximately three months after giving birth (typically between 2 and 5 months), oestrogen levels drop and hair loss occurs, often particularly noticeably around the hairline and temple area. Hair typically grows back normally and treatment is not indicated.[21][22]A similar situation occurs in women taking the fertility-stimulating drug clomiphene.
Coconut milk / coconut oil. Coconut milk/oil, like aloe vera, is one of the oldest and most common natural ingredients for promoting hair growth and growing healthy, shiny hair. Coconut is rich in protein, iron and other minerals that promote healthy hair and prevent breakage. Apply the coconut milk/oil on your bald spots or all over the scalp, and leave it on overnight. Rinse the next day with cool water. You can do this every time you wash your hair.
It can be proven that Follixin truly is a revolutionary hair loss product simply by looking at the results of clinical trials or the opinions from tablets’ users who took them on a daily basis. Follixin rejuvenates clogged pores and widens the hair follicles, strengthens them at their root and thickens the sheath of each hair follicle. As a result the tablets restore previously lost hair and protect existing hair internally.
Massage your scalp with hot oil preferably coconut, castor or olive oil. Take the warm oil on hand and apply it to your scalp. Rub your fingers on the scalp in a circular motion, applying gentle pressure. Keep kneading occasionally. This will open up the blood vessels and increase blood flow to your head and strengthen your hair follicles as well, encouraging new hair growth.
Symptoms of hair loss include hair loss in patches usually in circular patterns, dandruff, skin lesions, and scarring. Alopecia areata (mild – medium level) usually shows in unusual hair loss areas, e.g., eyebrows, backside of the head or above the ears, areas the male pattern baldness usually does not affect. In male-pattern hair loss, loss and thinning begin at the temples and the crown and hair either thins out or falls out. Female-pattern hair loss occurs at the frontal and parietal.
While thinning generally worsens after menopause, doctors said hormone treatments typically do not improve hair growth. Minoxidil lotion or foam, which can be purchased over the counter, is the first line of treatment. About half of women who use it have not lost more hair a year later, Cotsarelis said. Spironolactone, a blood-pressure drug, can also help, doctors said. Some may also try finasteride — approved to treat baldness in men — off-label. The evidence that it works in women is weak, Patel said.
If you do decide to start treatment to save your hair, a good place to start is with minoxidil, more commonly known as Rogaine. Don’t expect this hair-loss treatment to create luscious locks; minoxidil is better at slowing down or preventing more loss rather than promoting hair growth. But, according to Dr. Amy McMichael, professor and chair of Wake Forest Baptist Medical Center’s Department of Dermatology, it is effective “if used as recommended, with evidence of improvement seen around six to nine months.” Simply massage the foam or solution into your scalp once or twice daily, and for best results, use a formula with 5 percent concentration.
You can also get a hair-loss kit from Hims, which comes with both minoxidil and finasteride. Keeps has one, as well. And though it might seem like overkill to take two different hair-loss treatments at once, this is one of those rare instances where more is actually better. McAndrews calls the combination of orally administered finasteride and topically applied minoxidil a “full-court press” against hair loss. “That’s doing the most you can for preventative medicine.” Rieder notes that taking both drugs together is more effective than taking either one alone.
What to do: Like anemia, simple supplementation should help the problem. So can dietary changes. Find natural vitamin B in fish, meat, starchy vegetables, and non-citrus fruits. As always, eating a balanced diet plentiful in fruits and vegetables as well as lean protein and “good” fats such as avocado and nuts will be good for your hair and your overall health.
Most men experience hair loss as they get older, but for some it starts as early as their 20s or 30s. We offer both Finasteride and Propecia as prescription-only hair loss treatments. If you order Finasteride or Propecia from our discreet online service, you can pick it up from one of our pharmacies the same day, or have it delivered the following day.
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.
The only nonchemical option offered up by the dermatologists I spoke with — short of a surgical hair transplant or platelet-rich plasma therapy, which is like Kim Kardashian’s vampire facial but for your scalp — was the laser comb. First cleared by the FDA in 2009, the HairMax LaserComb is a handheld laser device that is designed to promote hair growth. As the manufacturer explains in a letter to the FDA, “The device provides distributed laser light to the scalp while the comb teeth simultaneously part the user’s hair to ensure the laser light reaches the user’s scalp,” which, in turn, stimulates the hair follicles.
Minoxidil (Rogaine) is available over the counter and available in 2%, 4%, and 5% concentrations. It may be something of a nuisance to apply twice daily, but it has been shown to help conserve hair and may even grow some. Minoxidil tends to grow very fine small hairs wherever it is applied. It is important to avoid running the liquid onto the face or neck where it can also grow hair. It is marketed for women at the 2% concentration but may be used in higher strengths as directed by a doctor.
Women lose hair on an inherited (genetic) basis, too, but female pattern hair loss tends to be more diffuse, with less likelihood of the crown and frontal hairline being lost. Although some women may notice hair thinning as early as their 20s, the pace of hair loss tends to be gradual, often taking years to become obvious to others. There seems to be a normal physiologic thinning that comes with age and occurs in many women in their early to mid-30s. More women have underlying causes of hair loss than men. These include treatable conditions like anemia and thyroid disease and polycystic ovary syndrome (PCOS). These conditions are diagnosed by blood tests along with a historical and physical evidence. Although a few studies have suggested that baldness may be inherited through the mother's family genes, these theories require further testing. Current studies are inconclusive. Although not indicated for female pattern balding, spironolactone (Aldactone) has had some success in treating this condition.
Again, as we've mentioned at the start, these treatments and cures are dependent on the cause and type of hair loss. While massage oils and a hair spa treatment can work on hair loss in men caused by a skin or scalp infection, these may not work for cases of pattern baldness that are hereditary or caused by DHT associated with male hormones. Even medications like minodixil and finasteride cannot offer a permanent cure. In cases of permanent hair loss like pattern baldness, sometimes the best type of cure is simply management of your condition.
Though not as common as the loss of hair on the head, chemotherapy, hormone imbalance, forms of hair loss, and other factors can also cause loss of hair in the eyebrows. Loss of growth in the outer one third of the eyebrow is often associated with hypothyroidism. Artificial eyebrows are available to replace missing eyebrows or to cover patchy eyebrows. Eyebrow embroidery is another option which involves the use of a blade to add pigment to the eyebrows. This gives a natural 3D look for those who are worried about an artificial look and it lasts for two years. Micropigmentation (permanent makeup tattooing) is also available for those who want the look to be permanent.
A diet that is poor or lacking in certain nutrients, particularly iron, protein, and vitamin B, which are essential in the production of keratin, can cause a long telogen phase and a very short anagen stage. On the other hand, excess supply of vitamin A in the body, especially those taken through supplements, can prove to be toxic and can cause a range of adverse body effects including loss of appetite, fatigue and consequently, hair loss. 

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.
Hair loss vitamins such as Biotin, Niacin (Vitamin B3) and Vitamin C, and minerals for hair loss such as Zinc and Iron, provide essential hair nutrients to nourish healthy and longer hair. Eating enough of these key hair growth vitamins can help prevent hair loss in both men and women. Although some causes of hair loss, such as chemotherapy, illness and medication, may only be moderately affected by a good hair loss diet, in many cases men and women can see great results after only 3-4 months eating more vitamins and minerals for hair growth. 
Coconut milk / coconut oil. Coconut milk/oil, like aloe vera, is one of the oldest and most common natural ingredients for promoting hair growth and growing healthy, shiny hair. Coconut is rich in protein, iron and other minerals that promote healthy hair and prevent breakage. Apply the coconut milk/oil on your bald spots or all over the scalp, and leave it on overnight. Rinse the next day with cool water. You can do this every time you wash your hair.

Jimenez, J. J., Wikramanayake, T. C., Bergfeld, W., Hordinsky, M., Hickman, J. G., Hamblin, M. R., & Schachner, L. A. (2014). Efficacy and Safety of a Low-level Laser Device in the Treatment of Male and Female Pattern Hair Loss: A Multicenter, Randomized, Sham Device-controlled, Double-blind Study. American Journal of Clinical Dermatology, 15(2), 115–127.

This makes finding reliable information a challenge, and to further complicate matters, successful hair loss treatment doesn’t come in the form of a quick fix. It’s something that takes time to work – usually a couple of months – and requires consistency and dedication. A lot of people simply quit because they don’t see major results in the first couple of weeks and assume that the treatment doesn’t work .
There’s no cure for baldness, but there are ways to hold on to what you've got. The six dermatologists and the clinical studies point to three methods: minoxidil, laser treatments, and prescription finasteride. The key is finding the combination and hair loss regimen that works for you. A doctor is your best bet for that kind of guidance — but we found a few trustworthy products that will work for most people.
There are numerous ways to categorize hair loss. One must first examine the scalp to determine if the hair loss is due to the physical destruction and loss of hair follicles (scarring or cicatricial alopecia). If the scalp appears perfectly normal with plenty of empty hair follicles, this is called non-scarring hair loss. On the other hand, cicatricial alopecia permanently destroys the follicles. Non-scarring hair loss also happens in situations where there is physical or chemical damage to the hair shaft, resulting in breakage. Occasionally, it may be necessary to do a biopsy of the scalp to distinguish these conditions. Sometimes, a physician may pull a hair to examine the appearance of the hair shaft as well as the percentage of growing hairs (anagen phase). This article will concentrate on the non-scarring types of hair loss.
Telogen effluvium - occurs mainly due to the body’s reaction to stress, brought about by, illnesses such as cancer, mental and emotional disturbances, medications such as blood thinners, hormonal imbalances, stress during childbirth and so on. In this condition hair thinning occurs on the scalp. The hair usually regrows after the stress period is over.
Again, you’ll want to visit your doctor to get a blood test to check your levels in these vitamins. For example, women who have iron levels lower than 70 nanograms per milliliter are considered deficient. From there, work with your doctor to find an appropriate dose according to your deficiency level. Excessive or unnecessary supplementation can be dangerous.
As with transplants, the word toupee conjures an outdated and disagreeable image. The 70s-style rugs have mostly been traded in for spiffier "hair replacement systems." But the basic concept -- a foreign object atop your head -- can only evolve so far. Of course, the effectiveness of hairpieces is tough to evaluate. You may spot an awful one now and then, but the ones you do spot are just the awful ones. Who knows how many masterpieces slip undetected under the radar?
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