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.
Just like pregnancy, birth control pills mess with your hormone levels, causing them to fluctuate. In response, you might experience hair loss. “Hormones can interrupt the natural pattern of the hair cycle, causing hairs to shed more quickly than usual or to grow with less vigor,” explains Dominic Burg, PhD, chief scientist for Advangen. Oftentimes the hormone responsible for this is an androgen, such as testosterone, which is why the American Hair Loss Association recommends low-androgen birth control pills for those who are at an increased risk for hair loss.
Oral contraceptives reduce the production of ovarian androgens, so can be used to treat female pattern baldness (androgenetic alopecia). However, your doctor needs to access the risks, considering your medical and lifestyle history, and needs to decide whether oral contraceptives are appropriate for you. Only oral contraceptives with low androgen index should be used to treat androgenetic alopecia. High androgen index pills can actually cause hair loss.

Finasteride inhibits an enzyme that converts testosterone to DHT, or dihydrotestosterone, the hormone that causes hair loss in men, and unlike minoxidil, this drug can actually help hair grow back, as well as prevent further loss. All you have to do is take one pill a day, and according to Dr. Evan Rieder, dermatologist in the Ronald O. Perelman Department of Dermatology at NYU Langone Health, two-thirds of men taking this treatment will see improvements in hair density over time.


There are few scientifically proven and FDA-approved treatments for hair loss. There are thousands of unproven claims and products to help with hair regrowth. Many conditioners, shampoos, vitamins, and other products claim to help hair grow in some unspecified way. Nioxin has been a popular brand of shampoo for hair loss, but there is no compelling evidence showing it is any more effective than regular shampoos. These products are usually harmless but generally not scientifically proven and therefore potentially useless. To slow down hair loss, there are at least four potentially effective, basic options. These include medications like Minoxidil, and Propecia, which are for long-term use. Stopping these drugs does not seem to worsen or exacerbate the prior hair loss. The patient will simply revert to the state he would have been in had he never started treatment.
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.
You might be wondering why there are so many men walking around with significant hair loss, especially considering there are a number of remedies out there that can slow down or stop male pattern baldness completely. The biggest reason is a lack of education about which hair loss treatments actually work. There’s a lot of misinformation out there regarding hair loss remedies, and most of it’s from armchair experts who boldly claim that their all-natural, homeopathic methods are guaranteed to promote hair growth and stop baldness (spoiler alert: they don’t).

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?
1. Minoxidil. It’s the only FDA-approved topical nonprescription medication that can claim to regrow hair — and it should be part of any hair-loss plan if you have serious thinning, says Rogers. Minoxidil has loads of research to back it, but it requires commitment. If you quit using it, your hair will start to lose ground again. Use a 5 percent strength, like Women’s Rogaine 5% Minoxidil Foam ($30), once daily to see results in three to four months, says Rogers.
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.
Drink plenty of water and keep yourself well hydrated. Cut down on smoking and alcohol drinking which makes you dehydrated. If you are not consuming enough water to meet your body’s daily oxygen requirements, the cells responsible for hair growth will not be able to grow and reproduce. This will make your hair brittle, withered and very dry. Not drinking enough water can stop the natural growth cycle of your hair. So drink plenty of water to get a long, shiny and luscious mane!
Androgenic alopecia is a genetic condition that can affect both men and women. Men with this condition, called male pattern baldness, can begin suffering hair loss as early as their teens or early 20s. It's characterized by a receding hairline and gradual disappearance of hair from the crown and frontal scalp. Women with this condition, called female pattern baldness, don't experience noticeable thinning until their 40s or later. Women experience a general thinning over the entire scalp, with the most extensive hair loss at the crown.
*Photograph used with permission of the Journal of the American Academy of Dermatology. This photograph was published in the Journal of the American Academy of Dermatology, Vol. # 60, Gathers RC, Jankowski M, Eide M, et al. “Hair grooming practices and central centrifugal cicatricial alopecia,” 660-8. Copyright Elsevier (2009). Journal of the American Academy of Dermatology.   
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.
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.
Last but not least, greasy hair is also one of the common hair problems that people should be aware of. The hair scalp contains one type of oil known as sebum, which is responsible for keeping the skin lubricated and generated by the sebaceous glands. However, sometimes, these glands work so hard that produce excess oil, resulting in the greasy hair. This type of common hair problems is a real trouble for many people who love the tidiness. To deal with this one, you should try washing your hair with a gentle shampoo in order to control the sebum production.
This is a short-term cure, applied while waiting for hair to grow, and therefore recommended for those with a mild to medium case of hair loss. In addition to being non-invasive, hair concealers and hair fibers are instant and affordable. Like wigs and hairpieces, they are used to effectively cover up balding spots while not getting in the way of growing hair. Compared to wigs, however, they are more natural looking and blend well with your natural hair, therefore drawing less attention when you're out in public.
"This is an oral, prescription-only medication with the brand name Propecia that’s also FDA approved to treat hair loss," says Spencer. Male pattern hair loss occurs when a hormone called dihydrotestosterone (DHT) prevents hair follicles from getting the nutrients they need. Finasteride works by blocking the production of DHT, which protects the follicles.
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A group of topical medications called prostaglandin analogs have recently began undergoing testing for potential hair regrowth. They may be used in men and women. These drugs are not currently FDA approved for scalp hair loss. Currently, these are primarily used for eyelash enhancement. One of the new medications is called bimatoprost (Latisse). Further testing and studies are required to assess the efficacy of these products in scalp hair loss. Bimatoprost solution is sometimes used off-label for help in selected cases of hair loss. It is currently FDA approved for cosmetic eyelash enhancement. Studies have shown it can treat hypotrichosis (short or sparse) of the eyelashes by increasing their growth, including length, thickness, and darkness. This medication is also commercially available as Lumigan, which is used to treat glaucoma. It is not known exactly how this medication works in hair regrowth, but it is thought to lengthen the anagen phase (active phase) of hair growth. Interestingly, during routine medical use of Lumigan eyedrops for glaucoma patients, it was serendipitously found that eyelashes got longer and thicker in many users. This led to clinical trials and the approval of cosmetic use of Latisse for eyelashes. 

During a hair transplant procedure, a dermatologist or cosmetic surgeon removes tiny patches of skin, each containing one to several hairs, from the back or side of your scalp. Sometimes a larger strip of skin containing multiple hair groupings is taken. He or she then implants the hair follicle by follicle into the bald sections. Some doctors recommend using minoxidil after the transplant, to help minimize hair loss. And you may need more than one surgery to get the effect you want. Hereditary hair loss will eventually progress despite surgery.
Drink plenty of water and keep yourself well hydrated. Cut down on smoking and alcohol drinking which makes you dehydrated. If you are not consuming enough water to meet your body’s daily oxygen requirements, the cells responsible for hair growth will not be able to grow and reproduce. This will make your hair brittle, withered and very dry. Not drinking enough water can stop the natural growth cycle of your hair. So drink plenty of water to get a long, shiny and luscious mane!
Cyclosporine is used to suppress the immune system in psoriasis and other immune-mediated skin conditions. Although cyclosporine helps hair regrowth in alopecia areata, the risks of using it may outweigh the benefits, as oral cyclosporine can suppress the immune system and increase the risk of serious infection. Other common adverse effects are hypertension and renal impairment, but these are usually reversible.
First, hair grows and gets longer in the anagen phase which can go on for several years. Then, during the ~10-day catagen phase, hair stops actively growing and separates from its follicle, which is what holds the hair in place beneath the skin. Finally, in the telogen phase, the follicle goes into rest mode for several months until the hair falls out. Then, the process starts anew.
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.
Please note that in January 2016 the Endocrine News published this article January 2016: Thyroid Month: Beware of Biotin which stated that taking biotin supplements could cause falsely high and falsely low results in a variety of laboratory tests, including thyroid lab tests because biotin interferes with the test platform used for particular laboratory tests. If you are taking biotin and your thyroid lab results begin to change and not make sense in terms of your clinical symptoms speak with your doctor about doing a retest of your thyroid labs after several days of discontinuing your biotin supplement to be sure there is no interference.
Though, it is important to point out that a lot of these companies are developing procedures that involve implanting hair, which means there is a chance they will be expensive — as we mentioned before, traditional hair transplants are costly. But a few companies and products such as Follicum’s FOL-S-005 and Fidia Pharma’s Brotzu Lotion are being designed as topical treatments.
A little farther up the follicle is the mysterious feature called the bulge. That's where follicle stem cells live. When they get the right set of chemical signals, these self-renewing cells divide. They don't divide like normal cells, in which both halves become new cells that keep splitting and developing. Only one half of the follicle stem cell does that. The other half becomes a new stem cell, and stays put for future regeneration.
The cause of female-pattern hair loss is unknown, but doctors said there is a strong genetic component. The risk can come from male or female relatives. Though it looks as if the hair is falling out, that's not really what's happening. Cotsarelis said hair follicles are becoming smaller and producing hairs that may be so small that you can't see them.  Women tend to retain more normal, thick hairs than balding men do. 

Hair transplants will likely lead to better results in the long run (you are introducing new hairs to the balding areas), but you’ll still need to use minoxidil or finasteride after surgery to maintain the results. Like all hair loss treatments, hair transplants are best when combined with other methods, and you’ll want to speak with your doctor to see what combination is best for you.
Dana Trentini founded Hypothyroid Mom October 2012 in memory of the unborn baby she lost to hypothyroidism. This is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health. Hypothyroid Mom includes affiliate links including the Amazon Services LLC Associates Program. Connect with Dana on Google+
Minoxidil is a lotion which has been known to work, but studies have shown it to be less effective than Propecia. It is a daily lotion applied directly to the scalp, and is also suited to women with hair loss. If you want to try the lotion, it is available to buy at LloydsPharmacy stores. Regaine is a branded hair loss treatment that contains Minoxidil as its active ingredient, and is available from pharmacies without a prescription.
Alopecia areata - starts suddenly and causes hair loss in patches anywhere in the body in children and young adults. This condition is also known as ‘spot baldness’. This condition is observed to run in families and experts believe this condition could be the result of autoimmune disease, where the immune system of the body mistakenly attacks the hair follicles.
Female hair loss can have various causes. Thinning hair can be due to changes in your hormones and many women experience some degree of hair loss after pregnancy. In most cases, however, thinning hair occurs as you get older and it is hereditary. This type of hair loss is not dangerous and it does not usually indicate that you suffer from an underlying illness.

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!
Traction alopecia - certain hairstyles such as when you pull on your hair tightly can cause scarring of the hair follicles. If pulling is stopped before scarring to the scalp then your hair will grow back normally. Nervous habits such as continual hair pulling or scalp rubbing can also cause scarring and ultimately permanent hair loss. Excessive shampooing and blow-drying can also cause hair loss.
Scientists have put a lot of effort into investigating the cause of gray hair, and they believe they've gotten to the root of the problem. Hair gets its color from a pigment called melanin, which is produced by melanocyte cells in the hair follicles. Researchers have discovered that melanocytes endure cumulative damage over the years, which eventually leaves them unable to produce melanin. Studies have cited DNA damage and a buildup of hydrogen peroxide in the follicles as possible causes of this disruption in melanin production. Without melanin, the new hair that grows in has no pigment, which makes it appear gray, white, or silver.
Less common causes of hair loss without inflammation or scarring include the pulling out of hair, certain medications including chemotherapy, HIV/AIDS, hypothyroidism, and malnutrition including iron deficiency.[2][3] Causes of hair loss that occurs with scarring or inflammation include fungal infection, lupus erythematosus, radiation therapy, and sarcoidosis.[2][3] Diagnosis of hair loss is partly based on the areas affected.[3]

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.
Drink plenty of water and keep yourself well hydrated. Cut down on smoking and alcohol drinking which makes you dehydrated. If you are not consuming enough water to meet your body’s daily oxygen requirements, the cells responsible for hair growth will not be able to grow and reproduce. This will make your hair brittle, withered and very dry. Not drinking enough water can stop the natural growth cycle of your hair. So drink plenty of water to get a long, shiny and luscious mane!
I stumbled upon this recent study with the title Hair Follicle Characteristics As Early Marker of Type 2 Diabetes. Now that’s a warning bell, if I’ve ever heard one, to get focused on lowering daily sugar consumption and eliminating those blood sugar swings. You know those highs you get when you eat high carb, high sugar and then come crashing down? Yes, those.
As they age, men tend to lose the hair on top of their head, which eventually leaves a horseshoe-shaped ring of hair around the sides. This type of hair loss is called male-pattern baldness. It's caused by genes (from both parents -- the idea that men take after their mother's father is a myth) and it's fueled by the male hormone, testosterone. In female-pattern baldness, the hair loss is different -- it thins throughout the top of the scalp, leaving the hair in front intact.
Make improvements in your diet to reduce hair loss. If your diet lacks marine proteins, vitamins and minerals for hair growth, it can lead to damaged hair, thinning hair, and hair loss. Eat a variety of colorful, well-balanced foods, consult a dietitian or nutritionist, and if you think you are still not getting a good hair loss diet, try a vitamin supplement for hair loss such as Viviscal.
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.
The Rogaine rep we spoke to explained that the different packaging (and therefore different prices) has to do with the FDA-approval process: “We discovered in clinical trials that the hair loss patterns between men and women are different,” she said by way of explanation. “Men typically have that bald spot on the crown of their head, where women generally have a general thinning throughout, but concentrated more on the top of the head. So for FDA approval, we had to come up with two different, gender-specific products, so the directions were more explanatory.”
A good daily multivitamin containing zinc, vitamin B, folate, iron, and calcium is a reasonable choice, although there is no good evidence that vitamins have any meaningful benefit in alopecia. Newer studies suggest that vitamin D may be somewhat helpful and worth considering. Specific vitamin and mineral deficiencies like iron or vitamin B12 may be diagnosed by blood tests and treated.
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