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.
Hair grooming, but more importantly, having a head-full of hair is as important to men as it is to women. To women, it may be an important accessory of beauty, and for men, it adds to a sense of manliness, enhances their looks and makes them more appealing and attractive to women. Balding to men is associated with aging (only old men are expected to lose hair) and therefore, having hair on one's head is a sign of virility and masculinity.
It may seem a peculiar American vanity that men have in-boxes full of hair loss treatment offers and spend billions of dollars on hair loss treatments each year. Not so. As Gersh Kuntzman illustrates in his book Hair! Mankind's Historic Quest to End Baldness, chrome-dome anxiety has tormented us for ages. Caesar's laurel wreaths? Classic red herring, Kuntzman says.
Testosterone replacement is becoming popular for men. Cotsarelis warns that this may accelerate hair loss. Propecia might help -- but because it prevents testosterone breakdown, it might affect the dose of male hormone replacement therapy. Cotsarelis warns men taking both Propecia and testosterone replacement to make sure their doctor carefully monitors their testosterone levels.
Once male-pattern baldness starts, it’s not going to stop until every last hair on your head has shrunk or shed, though the rate at which this happens differs from person to person and depends on genetics. And since the grind of hair loss is unending, it’s important to start treatment as soon as your hairline starts bothering you. If you’re looking for a more quantitative metric, Dr. Paul McAndrews, clinical professor of dermatology at the USC School of Medicine and member of the International Society of Hair Restoration Surgery, assures me that “you have to lose half your hair before the human eye can tell.” (Of course, if you don’t care about losing your hair and are fine with going full Prince William and shaving your head, go for it. We’ve got some recommendations for razors and hair trimmers to help you out on that front.)
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.

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.


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!
4. Tinted dry shampoo. Camouflage spots where you’re seeing more scalp than you want to (your hairline, a widening part, a thinning crown) and add volume with a colored dry shampoo (try Orlando Pita Color Boost Dry Shampoo in Light or Dark Tones, $22). But be sure to give your scalp a vigorous shampoo during your next shower — dermatologists recommend keeping your scalp free of styling products so you’re not clogging already taxed pores.
It took me a while to decide to write this review because I wanted to have facts and not just hope. That meant waiting more than 30-60 days to comment. I am a 59 year old male. My father had male pattern baldness but until I hit about 56, I assumed I inherited my mom’s hair traits. But when I started noticing shedding I started doing research which led me to using minoxidil for about 2 years. In Jan I decided it wasn’t helping much because the shedding was still happening, so did additional research. My hair was not only thinning but the follicles were getting finer and finer. It turns out scientists don’t know all reasons for hair loss, but two common ones in men are reduced blood flow in the scalp (minoxidil is for this) and elevated levels of DHT in the scalp. It seems that if you don’t inherit the gene for hair loss then these issues don’t cause it, but if you did, then goodbye hair! After a blood test showed that I had high DHT levels in my system, I concluded that I likely had that issue in my scalp so bought Lipogaine shampoo which is supposed to block DHT and stopped using minoxidil. After 2 months the shedding was so bad I started getting very worried and restarted with minoxidil, and was using both now. By May but hair loss was so extensive that I had to wear a hat to avoid sunburn on my scalp! I hated swimming because as soon as my head was wet it was evident how thin my hair was. This led me to discovering Hair Growth Essentials and giving it a try. My wife took a picture of my receding hairline and crown on Memorial Day so we could compare for improvement. By Jun 30th my shedding had greatly decreased and I was suspecting my hair follicles were getting thicker. At that point my wife started taking it also because of her thinning hair. By Jul 30th I was pretty certain I was seeing a lot of improvement. By Aug 30th there was no question and it is a dramatic change when compared to the picture taken just 3 months earlier. My hair was thicker and denser. My wife’s hairdresser commented that she also had a lot of new hair growing in.
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.
My name is Marsha… I have hypothyroidism… Type 2 diabetic. I’m currently taking Levothyroxine and Metformin… I am so depressed. My hair is brittle everytime I brush or comb it comes out in clumps. It’s very thin it literally feels like a Brillo pad no matter how much I moisturize it comes falling out I can just brush my hand across it and the hair just falls out like snow. I just went to the doctor last week and he says everything is normal and He suggests that I see a dermatologist is the dermatologist the person I should see? Or should I see an endocrinologist. I’m at my wit’s end I’m tired of searching for the right wig to wear nothing is more appealing than my own hair and a long to get it back. But I need to find the right doctor that can perform the right test. My doctor doesn’t seem to be helping me I don’t even know where to start. I don’t go out anymore… I’m just home hibernating period. A woman’s hair has a lot to do with the self esteem in mind is very low at this time. My whole wardrobe consist of every color scarf and hat you can imagine… Where should I start what doctor should I see first?
The scalp contains a natural oil called sebum, which helps keep the skin lubricated. Sebum is produced by the sebaceous glands. Sometimes these glands work overtime and produce too much oil, leading to a greasy scalp. Greasy hair can look dull, limp, and lifeless, and it may be more difficult to manage. To treat greasy hair, try washing with a gentle shampoo that is specially formulated to control sebum.

Vigorous styling and hair treatments over the years can cause your hair to fall out. Examples of extreme styling include tight braids, hair weaves or corn rows as well as chemical relaxers to straighten your hair, hot-oil treatments or any kind of harsh chemical or high heat. Because these practices can actually affect the hair root, your hair might not grow back.
Alopecia areata - bald patches develop on the scalp, beard, and possibly eyebrows. eyelashes may fall out as well. This is thought to be an autoimmune disease, where the immune system attacks the hair follicles and leads to hair loss on the scalp and other parts of the body. However, the hair follicles are alive so there is potential for hair to regrow when the underlying problem has resolved. Growth may occur even without treatment and even after many years. In most cases hair loss only happens in a few places, leaving a few bare patches. In some cases though, the disease can advance to total loss of hair from the head (alopecia areata totalis) or complete loss of hair on the head, face and body (alopecia areata universalis).

Natural oils such as coconut, olive, castor, almond, jojoba, sesame, etc., can be used to massage the scalp for countering hair fall and encouraging new hair growth. As we discussed, hair fall problems are majorly caused due to the health of your scalp. Using a hair oil treatment twice a week helps stimulate your scalp and improves the blood circulation, boosting the amount of nourishment that the hair follicles receive. It also helps keep away issues such as dandruff, dryness, and flaking. Not only do these treatments improve scalp health, but they also improve the strength of your hair and help keep it conditioned. But oil is not the only nourishing treatment your hair can receive. In fact, there are a number of remedies you can whip up in your kitchen to reduce hair fall.

SOURCES: George Cotsarelis, MD, director, Hair and Scalp Clinic, University of Pennsylvania School of Medicine, Philadelphia. Andrew Kaufman, MD, assistant professor, department of dermatology, University of California, Los Angeles; medical director, Center for Dermatology Care, Thousand Oaks, Calif. Tom Barrows, PhD, director of product development, Aderans Research Institute Inc., Atlanta. Cotsarelis, G. and Millar, S.E. Trends in Molecular Medicine, July 2001; vol 7: pp 293-301. American Society for Dermatologic Surgery web site. American Academy of Facial and Reconstructive Plastic Surgery web site. American Hair Loss Council web site. Springer, K. American Family Physician, July 1, 2003; vol 68: pp 93-102. Hair Loss Help web site, "Interview with Dr. Ken Washenik from Bosley." Fuchs, E. Developmental Cell, July 2001: vol 1: pp 13-25.


One of the common hair problems that will be revealed in this article is the split ends. This condition normally happens when there is a damage happening with the hair protective outermost layer, making it peel back. Women hair is more likely to suffer from split ends due to the high frequency of chemical treatments, including coloring, straightening, and excessive styling.
Hair lost to male-pattern and female-pattern baldness won't grow back on its own, but there are medications that can help slow hair loss and even regrow hair. Minoxidil (Rogaine) is a topical medicine that is available over the counter to treat men and women. Finasteride (Propecia) is a pill that is available to men only by prescription. Injectable cortisone may also help regrow hair lost to certain conditions.
Minoxidil typically comes in 2% and 5% dosage. With the former, hair growth is not visible up until the fourth month (16 weeks) of use, but it could be faster with the 5% dosage.This is most effective especially if you haven't been bald for more than 5 years, your bald patches are less than 10cm across, and most of all, if the bald spots still have some tiny, fine hairs. Studies found that people who have used minoxidil have observed at least minimal to moderate hair growth. The new hair is typically downy soft, but with continued use, it will grow in thickness as the rest of the hair.
In-office laser light treatments or at-home handheld devices, such as the HairMax LaserComb, supposedly grow new hair by stimulating blood flow to the area (think: an amped-up version of a scalp-stimulating shampoo). Just don’t expect the device to make your noggin go from looking like George Costanza’s to Jerry Seinfeld’s. “These lasers won’t grow any new hair. If anything, they may just help you hang on to some of the hair that you already have a bit longer,” says Dr. Joyce.

NATURAL INGREDIENTS BACKED BY SCIENCE: We all know how biotin alone can do wonders for your hair, but most aren't aware that it also interacts incredibly well with other ingredients to boost its effectiveness. Our team of experts has formulated a natural, synergistic blend that combines several essential vitamins, minerals, and amino acids that work in conjunction to create a truly superior blend for maximum results.
Of course, there are plenty of men who wish desperately to restore their youthful locks, and a few — we can think of one powerful one — who cling to elaborate comb-overs, but many balding men simply clip their hair short and go on with their lives. Dermatologists say hair loss is emotionally harder for women, who are often deeply embarrassed by thinning hair even though it's quite common. By the time they reach 50, about 40 percent of women are experiencing what's known as female-pattern hair loss, said Gopal Patel, a dermatologist with Aesthetic Dermatology Associates in Media. Women of African descent struggle with even more conditions that can damage hair follicles and cause bald spots.

But here's one thing that most people miss when they talk about hair loss: It's part of the natural process of the hair growth cycle. Shedding hair is normal, and losing hair as we age is normal. However, there are instances when we are shedding hair at an abnormally faster rate than usual - and this is something that we have to pay attention to. It's also perfectly understandable and acceptable that some people would like to reverse the hair loss that comes as part of the aging process.
For those concerned that the existing treatments lack a certain sci-fi quality, behold the Laser Comb. The Laser Comb recently became only the third hair loss treatment to receive FDA approval. And it is the first that doesn’t use drugs or surgery. By stimulating follicles with a low-level laser, the hand-held device was shown in test trials to increase hair volume in a majority of patients.
According to the idea of Ladies Home Journal, frizzy hair can be improved with silicone-based products, which can help fight off frizz while smoothing down the cuticle. Moreover, frizz-fighting products containing certain types of proteins, for example, soy or wheat protein can help with hydration. Lastly, there is something that should not be done in order not to worsen the condition, such as brushing dry hair or over- process hair [4].
It’s become “trendy” to not wash your hair for several days; in fact, some believe it’s beneficial for the hair. While you shouldn’t over-wash your hair, under-washing—washing your hair once or twice a week—and camouflaging dirt and grime with dry shampoos isn’t good for your hair either. “Overuse of dry shampoos leads to clogged follicles, which, over time, can cause permanent damage leading to hair loss,” warns Halasz. “To prevent this from happening, try to wash your hair a minimum of every three to four days.” Learn all the tricks you need to know when using dry shampoo.
Biotin, also known as B7 or H, is a water-soluble vitamin for hair loss. Biotin has been shown to promote hair growth, thicken the hair strand, and prevent hair loss. If your diet lacks B vitamins like Biotin, it may result in hair loss and you should take vitamins for hair growth or a hair growth supplement like Viviscal to nourish thinning hair with B vitamins and other essential nutrients for healthy hair growth. 
Patel said the problem with those treatments is that they have not been subjected to large or head-to-head research. There's great variation in how doctors give the plasma treatments and in laser-based devices, so it's hard for patients to know whether they're getting a proven regimen. Nutrafol seems promising, he said, but he does not think that company-funded research showing its effectiveness has been replicated. He has not recommended it yet.
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.
When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.
Has your doctor told you that your blood sugar levels are too high? Low thyroid is one potential cause of diabetes, and it may be your red flag to have your thyroid re-evaluated. When my doctor once mentioned that my blood sugar was at the high pre-diabetic level and suggested starting diabetes medication, I asked for 6 months to try replacing my regular multivitamin with this one Designs for Health Metabolic Synergy (created by a nationally prominent doctor specializing in blood sugar) and by my follow-up appointment my blood sugar was completely normal and diabetes medication was not needed (what a relief).
Not surprisingly, treatments with 5 percent minoxidil work better than treatments with 2 percent minoxidil. A randomized clinical trial published in the American Journal of Clinical Dermatology in 2002 found that, in men with androgenetic alopecia, “5 percent topical minoxidil was clearly superior to 2 percent topical minoxidil and placebo in increasing hair growth.” The difference was actually pretty astounding — after 48 weeks, the men who used 5 percent minoxidil experienced 45 percent more hair growth than the men who used the 2 percent treatment.
When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.
3. Scalp tonic. Serums with peptides or procyanidins (a class of antioxidants) such as niacinamide can help support overall scalp health and reduce inflammation, which is a major component of hair loss, says New York City dermatologist Doris Day. Try René Furterer Triphasic Progressive Concentrated Serum ($82), Julien Farel Magnifique Delay the Gray Hair & Scalp Serum ($135), or Day’s own Rapid Regrowth Serum ($55) once daily before massaging a minoxidil product into the scalp (there’s no need to wait for it to dry in between). “In addition to being anti-inflammatory,” Day says, “scalp tonics help minoxidil penetrate the scalp better and can minimize potential irritation from it.”
If you’re a lady and can remember the one difference in directions (or just scope out the instructions online) we recommend saving the cash. Similarly, you could go generic with Equate Hair Regrowth Treatment for Men or Costco’s Kirkland Signature Hair Regrowth Treatment Minoxidil Foam for Men. These alternatives offer the same percentage of active minoxidil and near-identical inactive ingredients for as little as half the price — a great option for both genders.
Contact immunotherapy. Another drug that can be administered for cases of alopecia areata is contact immunotherapy and is recommended for severe cases. Diphenylcyclopropenon (DPCP) is applied on the scalp every week, and the dosage of the drug is increased over time until a mild allergic reaction is observed, which signals that the drug is taking effect. Regrowth may be observed within three months from the beginning of treatment.

Despite advances in our understanding of hair loss, there are limits to current treatment. In particular, age-related hair loss and inherited forms of hair loss are difficult to reverse, although treatment may prevent further loss and produce partial regrowth. Non-surgical treatments include lotions and tablets. These generally need to be used continuously for the benefits to be maintained. If you stop treatment, regrowth will cease and hair loss will resume.


When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown. 

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.
Low ferritin (the stored form of iron) is one of the most common causes of hair loss in women. Given low ferritin is also a common problem for hypothyroid people, it is important to have iron testing including ferritin especially if you are experiencing hair loss. It is not enough to be told by your doctor that your iron levels are ‘normal’. Ferritin levels are not always tested. Get a copy of your lab results and be sure ferritin has been specifically tested. Even if ferritin is within the ‘normal’ range that doesn’t make it ‘optimal’.
Has your doctor told you that your blood sugar levels are too high? Low thyroid is one potential cause of diabetes, and it may be your red flag to have your thyroid re-evaluated. When my doctor once mentioned that my blood sugar was at the high pre-diabetic level and suggested starting diabetes medication, I asked for 6 months to try replacing my regular multivitamin with this one Designs for Health Metabolic Synergy (created by a nationally prominent doctor specializing in blood sugar) and by my follow-up appointment my blood sugar was completely normal and diabetes medication was not needed (what a relief).

Finasteride (Propecia): This medication is FDA approved for use in only men with androgenic hair loss. Finasteride is in a class of medications called 5-alpha reductase inhibitors. It helps reduce hair loss by blocking the action of natural hormones in scalp hair follicles. Propecia is a lower-dose version of a commercially available drug called Proscar that helps shrink enlarged prostates in middle-aged and older men. Women of child-bearing potential should avoid finasteride. Propecia 1 mg tablets are available by prescription and taken once daily. Propecia may grow and thicken hair to some extent for some people, but its main use is to keep (maintain) hair that's still there. Studies have shown that this medication works well in some types of hair loss, and patients should use it for about six to 12 months before full effects are determined. This medication does not "work" in days to weeks, and its onset of visible improvement tends to be gradual. It may be best for men who still have enough hair to retain but also can help some regrow hair. Possible but very unlikely side effects include impotence or a decreased sex drive (libido). Studies show that these side effects were possibly slightly more common than seen in the general population and are reversible when patients stop taking the drug. The cost is about $70-$100/month, and most health insurers do not reimburse for the expense.
Are you worried about hair loss? If so, you’re not alone. Roughly 9 out of 10 guys admit that male pattern baldness is something that’s a source of stress and anxiety. By virtue of being here, however, you’ve taken more action than a lot of men have regarding hair loss – you’ve started researching ways to prevent, stop, or reverse male pattern baldness.
If proper treatments are not carried out, the dry conditions can lead to other serious common hair problems such as frizzy hair, split ends, thinning hair, hair loss, and hair breakage at an early age. Therefore, it is important for you to moisturize and hydrate the hair strands. High- quality conditioner is strongly required for those common hair problems. Some types of essential oils can be perfect choices for you by making your dry hair shiny and soft again. Remember not to comb your hair if it is still wet to avoid breakage and split ends.
Minoxidil (Rogaine): This topical medication is available over the counter, and no prescription is required. Men and women can use it. It works best on the crown, less on the frontal region. Minoxidil is available as a 2% solution, 4% solution, an extra-strength 5% solution, and a new foam or mousse preparation. Rogaine may grow a little hair, but it's better at holding onto what's still there. There are few side effects with Rogaine. The main problem with this treatment is the need to keep applying it once or twice daily, and most men get tired of it after a while. In addition, minoxidil tends to work less well on the front of the head, which is where baldness bothers most men. Inadvertent application to the face or neck skin can cause unwanted hair growth in those areas.

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.
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.
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