Since hormones operate in the healthiest manner when they are in a delicate balance, the androgens, as male hormones are called, do not need to be raised to trigger a problem. Their counterpart female hormones, when lowered, give an edge to these androgens, such as DHT. Such an imbalance can also cause problems, including hair loss.
Double board-certified Plano, Texas hair transplant surgeon, Dr. Joseph Yaker, is the Medical Director of the Texas Center for Hair Restoration and a recognized authority on the topic of hair loss. He specializes in the prevention and treatment of hair loss in both men and women, and performs ground-breaking treatments to restore hair loss for the scalp, face, and eyes. He offers both surgical and nonsurgical treatments depending on the progression of hair loss and the aesthetic desires of each patient.
Updated by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The tests: Observing the pattern of hair loss can usually determine if you have alopecia areata, and blood tests for iron stores, ANAs. and hormones are usually done to rule out underlying conditions that may cause hair loss.
The HairMax Ultima 12 LaserComb ($395) makes for a great addition to any hair loss regimen — provided you can afford it. Dr. Wolfeld notes that it’s a popular in his practice. “Some people like the action of combing something through their hair,” he says. “They find that to be a little bit easier to do as part of their routine in the morning.” Dr. Khadavi also recommends using a laser treatment of some kind in conjunction with other treatments. “Lasers do help in stimulating the hair into the growth phase. We don’t know the exact mechanism of how it works, but it definitely helps.”
3. Wait for at least 6 months before evaluating the effectiveness of the regime. Preferably up to a year. You are doing yourself a disfavor if you start judging the efficacy before that. You’ll just frustrate yourself.
However, even though it seems to be my destiny to have thinner hair as I “mature” (my mother has experienced the same fate,) I have discovered there are quite a few things I could be doing that would give my hair more of a fighting chance.
One other vitamin to pay attention to: vitamin D. Though studies are not conclusive, some research suggests that low levels of vitamin D and iron can cause thinning hair in women. Ask your doctor to test your vitamin D and iron levels, and discuss whether or not you should take a vitamin supplement.
I have been on Proscar now (1.25mg/day) for nearly 10 months, rogaine foam 1 to 2 days a time and Nizoral shampoo a few times a week. unfortunately, the shedding never stopped. When I shower, I still see 10-15 hairs on my hand when I shampoo and another 5-10 after I comb my hair after I shower . . . and then another 10-15 when I style my hair with gel in the mornings. I’m going to switch to name brand Propecia and try that out for a few months but I think I may just not responding to this treatment. My hair is absolutely more thin than it was before I started treatment. My thinking is that I go another 3 months on name brand propecia and if that doesn’t work, try Avordart. Thoughts?
Hair weaves, hair pieces, or changes of hair style may disguise hair loss. This is generally the least expensive and safest approach to hair loss. Hair pieces should not be sutured (sewn) to the scalp because of the risk for scars and infection.
Patchy hair loss. This type of nonscarring hair loss is called alopecia areata (al-o-PEE-she-uh ar-e-A-tuh). It occurs when the body’s immune system attacks hair follicles — causing sudden hair loss that leaves smooth, roundish bald patches on the skin.
Alopecia areata causes the hair to fall out in startling patches. The culprit is the body’s own immune system, which mistakenly attacks healthy hair follicles. In most cases, the damage is not permanent. The missing patches usually grow back in six months to a year. In rare cases, people may lose all of the hair on their scalp and body.