Finally, if these tests come back normal, your dermatologist may suggest a scalp biopsy of a couple of two-millimeter sections taken from your scalp under local anesthesia ($400 and up). It can determine whether genetic hair loss, telogen effluvium (a condition in which hair falls out from stress or rapid weight gain), or a disease (such as lupus) is the cause of your shedding, and your dermatologist can treat you accordingly.
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.
However, the high incidence of androgenic alopecia is caused by the male hormones. Testosterone in the scalp is converted into dihydrotestosterone (DHT) that causes the follicles to shrink in size, therefore inhibiting the growth of hair, which eventually leads to baldness. However, hair follicles on the sides and back of the head do not have as much DHT compared to the top, hence why hair loss is concentrated on the crown of the head. Interestingly, DHT is known to help in the growth of the beard and hair on the chest, a reason why most bald men have hairy chests and grow their beards much faster.
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.

Men’s Rogaine Extra Strength Solution is the liquid version of our top pick. It didn’t make our final cut because it includes propylene glycol, which causes irritation in roughly one-third of its users. With that said, Dr. Wolfeld finds that it can be even more effective in practical daily use. In his experience, “the solution can penetrate and get into your scalp a little bit better” than the foam — especially if you’re not taking the time and effort to apply the foam correctly. This seems crazy to us since the foam so quickly dissolved into a liquid in our tests, but if you’re worried, try a one-month supply of the liquid and make the switch to foam if you notice any irritation.


If a pregnant woman comes in contact with crushed or broken Finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in Finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in Finasteride, the male baby may be born with sex organs that are not normal.
Fenugreek. Fenugreek seeds have been found to help in treating hair fall and hair loss. They contain hormones and protein that rebuild the follicles and stimulate growth of hair. Soak a cup of fenugreek seeds in water overnight. Grind it to a paste and apply on your hair. Cover your hair with a shower cap and let it stay for 40 minutes, and then rinse. You can do this every day for a month.
There are many hair growth supplements in the market that help thicken hair and curb hair fall. Even certain vitamin supplements go a long way in improving the health and volume of your hair. However, do not start taking any supplements without consulting a healthcare professional first. Minoxidil (Rogaine) is one of the most effective, FDA-approved and commonly prescribed medications from doctors worldwide for arresting hair fall and treating alopecia-related problems.

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

Hats do a great job of covering your hair, protecting your scalp from sun and environmental stresses, but Halasz warns that hats also rub in the same spot over and over, especially if worn for consecutive days. “This type of friction can pull the hair, which can lead to inflammation of the follicle,” she says. “Prolonged inflammation can lead to permanent damage, which in turn leads to hair loss.” Bottom line: Give hats a rest for a few days to protect your strands. Plus, learn the surprising reason your bag could make your hair fall out.
Instead, you may want to add vitamin D (about $15) to your shopping cart. A vitamin D deficiency can exacerbate hair thinning and make it almost impossible for any over-the-counter product to reverse hair loss, says Dhaval Bhanusali, a dermatologist in New York City, who recommends taking 5,000 international units of D3 a day (and it’s generally beneficial for bone health in women over 40). “There’s also a link between low iron and zinc levels and temporary hair shedding, called [telogen] effluvium,” says Rogers.

Take in natural supplements. If you aren't getting enough nutrients from the foods you eat, you can also try taking natural supplements to address your nutritional deficiencies. Multivitamins that especially contain vitamins A, C, and the B-complex vitamins can be taken once a day. Fish oil capsules that contain omega-3 fatty acids are also recommended.
Fenugreek. Fenugreek seeds have been found to help in treating hair fall and hair loss. They contain hormones and protein that rebuild the follicles and stimulate growth of hair. Soak a cup of fenugreek seeds in water overnight. Grind it to a paste and apply on your hair. Cover your hair with a shower cap and let it stay for 40 minutes, and then rinse. You can do this every day for a month.

Hair concealers and hair fibers. These are one of the newest cosmetic answers to hair loss. As the name suggests, these products are applied on the scalp or hair to camouflage hair loss and give the appearance of fullness to thinning hair. Some of these are applied directly on the scalp, while others (hair fibers) are attached to the hair, much like hair extensions, to add volume.

Harklinikken (“hair clinic” in Danish) inspires great loyalty. Four out of five users come as referrals from satisfied customers, said Lars Skjoth, the company’s founder and chief scientist. The results are certainly compelling. After four months of daily application — that is, working the tea-colored tonic into the hair section by section, then letting it sit on the scalp for six hours — most users regain at least 30 percent of lost density, and some as much as 60 percent, according to company figures.


Androgenic alopecia. In this condition, hair loss begins at the crown of the head, the top and center, forming the popular horseshoe shape. Because hair thinning seems to follow a particular path, the condition is also commonly referred to as pattern baldness. It is more common among males than females, and is generally thought to be due to genetics/heredity and the natural aging process (about 40% of men start to have noticeable hair loss in their 30s and lose about 65% of hair by the time they reach 60.).
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.
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.

Correct ferritin levels maximize your hair’s “anagen” or “growing” phase and encourage your hairs to grow to their full length. When you aren’t getting enough iron through your diet, your body takes ferritin stored in non-essential tissue, like your hair bulb, and gives it to essential tissue, such as your heart. Because your hair bulb is where all your hair cells are produced, this leeching of ferritin can cause your hair to shed before it reaches its maximum length.

Dr. Shruti is indeed a very dedicated and gifted professional. Her treatment has immensely helped in arresting my hair fall and helping new hair line return to the crowning on my head thereby giving me a new ray of hope. Even when I was restless and erratic in my medicine application she regularly followed up if I was following the prescribed medical advice and her foresight and easy explanations of medical problems and remedies helped a lot. Her understanding of her field is truly commenable....Read Less

Traumas such as childbirth, major surgery, poisoning, and severe stress may cause a hair loss condition known as telogen effluvium,[19] in which a large number of hairs enter the resting phase at the same time, causing shedding and subsequent thinning. The condition also presents as a side effect of chemotherapy – while targeting dividing cancer cells, this treatment also affects hair’s growth phase with the result that almost 90% of hairs fall out soon after chemotherapy starts.[20]


Brushing your hair every morning about 30 mins and evening about the same duration of time with rounded tip hair-brush, will do recondition your scalp with better blood circulations. Do not use comb, it will damage your scalp. Also take hair supplements/vitamins. Believeth or not, ladies still flirting on me, even-though I’m in my mid 40s with lots of hair. 🙂
Surgical options, such as follicle transplants, scalp flaps, and hair loss reduction, are available. These procedures are generally chosen by those who are self-conscious about their hair loss, but they are expensive and painful, with a risk of infection and scarring. Once surgery has occurred, six to eight months are needed before the quality of new hair can be assessed.
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.
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.”
Propecia (finasteride) is a 5 alpha-reductase inhibitor. It works by inhibiting the conversion of testosterone into 5 alpha-dihydrotestosterone (DHT), a hormone that plays an important role in hair loss. Propecia is a prescription medicine and is only approved for use in men. There are other 5 alpha-reductase inhibitors on the market but Propecia is the only one approved for androgenetic alopecia.

Any kind of physical trauma—surgery, a car accident, or a severe illness, even the flu—can cause temporary hair loss. This can trigger a type of hair loss called telogen effluvium. Hair has a programmed life cycle: a growth phase, rest phase and shedding phase. “When you have a really stressful event, it can shock the hair cycle, (pushing) more hair into the shedding phase,” explains Marc Glashofer, MD, a dermatologist in New York City. Hair loss often becomes noticeable three-to-six months after the trauma.
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.

While pregnant, many women notice that their mane becomes thicker, fuller, and shinier, thanks to a surge of pregnancy hormones. However, once they deliver, this flood of hormones leaves their body at a rapid pace, often leaving them with little time to adjust. One side effect of this depletion of hormones is hair loss. Thankfully, for many women, their hair goes back to normal a few months postpartum. Check out these other surprising ways you look different when you’re pregnant.
“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.
Another type of baldness that goes with hair styling can be permanent: Wearing your hair in a style that pulls too tightly can cause something called traction alopecia. Traction alopecia can permanently damage the hair follicles if you wear a style that pulls on your hair for a long time. if you are getting your hair styled and it hurts, ask the stylist to redo it so that it is no longer painful. Pain is a sign of too much traction on the hair.
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?
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.)
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I tried various iron supplements and many of them gave me digestive issues including gas, stomach cramps, and constipation. With a life-long history of constipation, that was the last thing I needed. I have personally found this brand Perfect Desiccated Liver Capsules from grass-fed cattle works well for my body. My doctor regularly checks my iron levels including ferritin to be sure I am taking the right dosage of iron supplements for my body and that I’m not taking too much because over-dosing on iron can be dangerous.

Thinning hair in women is worth investigating for more than its impact on physical appearance. While many conditions that lead to temporary hair loss will go away without treatment or with simple lifestyle measures, others may be signs of potentially irreversible loss or health conditions. Others yet may respond well to treatments to promote regrowth, so starting sooner rather than later is key.
Topical creams and lotions: Over-the-counter minoxidil (also known as the brand name Rogaine) can restore some hair growth, especially in those with hereditary hair loss. It is applied directly to the scalp. Prescription-strength finasteride (Propecia) comes in pill form and is only for men. According to the American Academy of Family Physicians (AFP), it may take up to six months to tell if these medications are working. 

Common types include: male-pattern hair loss, female-pattern hair loss, alopecia areata, and a thinning of hair known as telogen effluvium.[3] The cause of male-pattern hair loss is a combination of genetics and male hormones, the cause of female pattern hair loss is unclear, the cause of alopecia areata is autoimmune, and the cause of telogen effluvium is typically a physically or psychologically stressful event.[3] Telogen effluvium is very common following pregnancy.[3]

1. Hair color. Anytime you dye your hair, you’re increasing the diameter of each strand, which can help add volume when your hair is sparse and fine. As a general rule, ask your colorist to make sure highlights are finer at the top of the head, where hair is the thinnest, and more intense at the bottom, where it’s thickest, says Eva Scrivo, a hairstylist and the owner of the Eva Scrivo Salon in New York City. And beware: A color that contrasts with your scalp (blonde tones if your scalp is dark, deep brunettes if your scalp is light) will make any visible scalp more obvious.
People have between 100,000 and 150,000 hairs on their head. The number of strands normally lost in a day varies but on average is 100.[8] In order to maintain a normal volume, hair must be replaced at the same rate at which it is lost. The first signs of hair thinning that people will often notice are more hairs than usual left in the hairbrush after brushing or in the basin after shampooing. Styling can also reveal areas of thinning, such as a wider parting or a thinning crown.[citation needed] 

Alopecia areata: Researchers believe that this is an autoimmune disease. Autoimmune means the body attacks itself. In this case, the body attacks its own hair. This causes smooth, round patches of hair loss on the scalp and other areas of the body. People with alopecia areata are often in excellent health. Most people see their hair re-grow. Dermatologists treat people with this disorder to help the hair re-grow more quickly.
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.
There's a chance you're genetically predisposed to hair thinning, which means you may see a progressive, gradual reduction in hair volume. "In these instances, certain hair follicles are sensitive to male hormones – and this sensitivity causes follicles to gradually shrink and produce slightly finer and shorter hairs with each passing hair growth cycle." Explains Anabel.

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’.
Even men who never "go bald" thin out somewhat over the years. Unlike those with reversible telogen shedding, those with common male-pattern hair loss don't notice much hair coming out; they just see that it's not there anymore. Adolescent boys notice some receding near the temples as their hairlines change from the straight-across boys' pattern to the more "M-shaped" pattern of adult men. This normal development does not mean they are losing hair.
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.

2. Oil-rich conditioner. “Oils improve hair’s tensile strength,” says Paradi Mirmirani, a hair-loss specialist and dermatologist in Vallejo, California. In other words, oils make hair less likely to break under pressure, which is especially important for thinning hair that’s prone to snapping when brushed or styled. Mirmirani recommends using a conditioner fortified with natural oils, like Burt’s Bees Very Volumizing Pomegranate Conditioner, which contains avocado oil ($8), or Honest Company Conditioner with coconut oil ($10). That one’s got an added benefit: “Coconut oil has been shown to penetrate hair,” says cosmetic chemist Randy Schueller, so it makes your hair stronger from the inside out. (Just don’t load up on pure coconut oil. “You might overshampoo your hair to get it out, and then you’ll end up drying your hair and undoing any benefit,” says Fusco.)


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.
Always shampoo and condition your hair regularly. Let your hair breath by avoiding wigs that are made with cotton and nylon caps that absorb moisture and lead to drier and more damaged hair. Instead, choose those with netted caps. Make sure your wig isn't too tight. Secure it with hypoallergenic double-sided tapes. Do not put your wig on over wet hair to avoid the growth of mildew and bacteria.

Collagen is the most abundant protein in your body found in your skin, hair, bones, and tendons. Our body produces less and less of it as we age. I’ve long read about the benefits, including improved skin and nails and even pain reduction, of replenishing our depleting collagen stores with a form easily assimilated by the human body including hydrolyzed collagen and gelatin. I became particularly interested in collagen for hair loss when I read about a study published in Science in 2016. It all started with investigating the hair follicle stem cells of mice where researchers discovered that age-related DNA damage triggers the destruction of a protein called Collagen 17A1. The hair follicles of older people then convert themselves into skin cells, and over time baldness ensues. Think of the image of each hair follicle on your head disappearing leaving behind bare skin one at a time and on and on. My favorite brand is Vital Proteins Collagen Peptides grass-fed and pasture-raised.

Acupuncture is a form of Chinese medicine that has been practiced for thousands of years. Its applications are many, and some researchers believe that it may help with hair loss from alopecia areata. How? The needles inserted into the scalp may help stimulate hair follicles and promote regrowth. More research needs to be done in this area, but consider asking your doctor for a referral to a licensed acupuncturist if this treatment sounds appealing to you. (Learn more about acupuncture for hair loss.)
There are many hair growth supplements in the market that help thicken hair and curb hair fall. Even certain vitamin supplements go a long way in improving the health and volume of your hair. However, do not start taking any supplements without consulting a healthcare professional first. Minoxidil (Rogaine) is one of the most effective, FDA-approved and commonly prescribed medications from doctors worldwide for arresting hair fall and treating alopecia-related problems.
Dull hair will be the next one on the list of common hair problems that are mentioned in this article. The dull hair will not only make you uncomfortable but also make you look older than your real age. Dull hair can be caused by chemical damage, heat styling damage, improper styling techniques, and sometimes environmental soils as well as stresses, which can roughen the hair’s cuticle.
Jenn Sinrich is an experienced digital and social editor in New York City. She's written for several publications including SELF, Women's Health, Fitness, Parents, American Baby, Ladies' Home Journal and more.She covers various topics from health, fitness and food to pregnancy and parenting. In addition to writing, Jenn also volunteers with Ed2010, serving as the deputy director to Ed's Buddy System, a program that pairs recent graduates with young editors to give them a guide to the publishing industry and to navigating New York.When she's not busy writing, editing or reading, she's enjoying and discovering the city she's always dreamed of living in with her loving fiancé, Dan, and two feline friends, Janis and Jimi.

Retin-A, or topical tretinoin, is sometimes used as a combination therapy with minoxidil for androgenic alopecia. It’s important to use this type of medication under the guidance of your doctor. In some circumstances, tretinoin can actually cause hair loss. Some people who have used it at home report that topical retinol creams, serums, and lotions may make hair loss worse.


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.
Pattern balding is most common among middle-aged men, but signs can actually begin as early as the mid-20s. Once the hair loss starts, it generally takes about 15-25 years for most men with this condition to lose most of their hair. In some cases though, the progression of the condition can be fast so that others are already completely bald in just five years.
Disruptions in the normal length of each phase, which can cause hair loss and hair thinning, may be the result of a number of internal and external stimuli. These are also what we call the triggers and causes of your hair loss. As a quick example, dieting can leave the body stressed and in need of important nutrients. Because of this stress, hair growth may be cut shorter than usual and there is an early onset of telogen or shedding of hair.
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.
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.

Finally, if these tests come back normal, your dermatologist may suggest a scalp biopsy of a couple of two-millimeter sections taken from your scalp under local anesthesia ($400 and up). It can determine whether genetic hair loss, telogen effluvium (a condition in which hair falls out from stress or rapid weight gain), or a disease (such as lupus) is the cause of your shedding, and your dermatologist can treat you accordingly.
However, researchers are still working to determine the best dose needed, whether the results are lasting, and whether they can develop a topical form of the drug, Day said. She added that patients should be aware that Tofacitinib has side effects. It's already associated with an increased risk of serious infections, as well as stomach and intestinal tears, according to Pfizer, the manufacturer.
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