Daily hair counts are normally done when the pull test is negative. It is done by counting the number of hairs lost. The hair from the first morning combing or during washing should be counted. The hair is collected in a clear plastic bag for 14 days. The strands are recorded. If the hair count is >100/day, it is considered abnormal except after shampooing, where hair counts will be up to 250 and be normal.
If minoxidil does not work, there are other “off-label” medicines, which include spironolactone (Aldactone), a drug used to treat hypertension; cimetidine (Tagamet), a class of histamine blockers; Ketoconazole, an antifungal agent and sometimes hormone replacement therapy (HRT).
Lavender, rosemary, and thyme have been shown to help hair growth and prevent thinning or balding. Try massaging the essential oils into your hair after shampooing, or you can make this Rosemary & Lavender Hair Rinse that my sister Rebecca created.
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.
Oh, and the idea that you can somehow “train” your hair to “adjust” to less-frequent shampoos—a dream of mine since I read this Hairpin article five years ago—is a myth, according to my killjoy respondents.
It’s common for hair loss sufferers to turn to hair replacement surgery and topical hair loss products in hopes of regaining their full heads of hair — or at least some of what once was. But is that the best course of action to take with hair loss? When it comes to any problem, the first step is to find the root cause. Let’s talk about the real causes of hair loss and what you can start doing today to naturally stop and hopefully reverse your hair loss. For starters there are many foods and vitamins for hair growth that won’t break the bank but can really make a difference. There also many other natural hair loss remedies like rosemary essential oil that have been shown to work as well as conventional topical products. (2)
Hair loss can occur after a significant physiological strain, such as a prolonged illness or crash dieting, which may leave you deficient in iron, B12, or protein—all vital to healthy hair growth. An emotionally trying event, like a divorce, can also lead to allover thinning three to four months later, when the hairs that were forming under the scalp at the time finally make (or don’t make) their appearance. Usually the hair will grow back in a few months. If a nutrient deficiency is the cause, your doctor can help you supplement your diet.
Androgenetic alopecia, commonly called male or female pattern baldness, was only partially understood until the last few decades. For many years, scientists thought that androgenetic alopecia was caused by the predominance of the male sex hormone, testosterone, which women also have in trace amounts under normal conditions. While testosterone is at the core of the balding process, DHT is thought to be the main culprit.
Jimenez JJ, et al. 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. 2014;15:115. www.clinicalkey.com. Accessed Feb. 9, 2015.
Before starting on any alopecia treatment regimen, it is strongly recommended that one seeks a medical diagnosis for the type of Alopecia condition he or she is suffering from. Knowing the condition one is treating ensures the highest possibility of success with the appropriate treatment.
The telogen phase is considered the resting phase of hair growth, and lasts for two to four months. At the end of this phase the hair falls out. Most people normally lose about 100 hairs each day due to the hair that is in the telogen phase.
The type of hair loss, diffuse or patterned, has important implications for treatment. Women with diffuse hair loss are generally best treated medically, whereas women with patterned hair loss may be good candidates for hair transplant surgery. Interestingly, patterned hair loss is the most common type seen in men and accounts for why a greater proportion of men are candidates for surgery compared to women.
What to do: There are topical creams like minoxidil (Rogaine; $45 on amazon.com) and oral medications such as finasteride (Propecia) that can halt hair loss or even cause some to grow; surgery to transplant or graft hair is also an option.
Ask your doctor about other possible medications. Some drugs have secondary effects that lead to hair growth. In some cases, these medications may be appropriate for use in women to treat hair loss.
One of the reasons for the hair to fall out is from washing the hair with water that contains chemicals which are used to purify the water. Wash or rinse the hair with chemical free water. If you can’t find chemical free water, boil the water for sometime, cool it down and use.
With those pinned down, it wasn’t hard to determine which don’t actually work. Pretty much all the “active” ingredients listed in ineffective treatments — from biotin and zinc to emu oil and saw palmetto — have never been proven, and are instead marketed based on logical-seeming correlations. It would make sense that biotin, a B vitamin readily found in hair, skin, and nails, could help hair grow more quickly. And caffeine is a stimulant that works in coffee, rubbing some on your scalp might wake some of those sleepy follicles… right?
There are several health conditions that can lead to hair loss, including stress, thyroid disease, anemia, and medications for heart disease. Talk to your doctor to make sure it’s not one of these other issues.
I cannot say enough about Dr. Yaker and his staff. Everyone is so friendly and professional. And for the results….I have hair!!!! Granted I will need one more session. They transferred 2995 Hair follicles from the back of my head to the top.. If you want to see the results email me @ jthornemd… Dr. J is the best. Thanks so much.
Just breathe—seriously, it could help! Both sudden and chronic stress can halt hair growth. If you’ve been through a challenging experience (divorce, job change), hair should grow back. If you’re under constant pressure, master meditation—easier said than done, but your hair will thank you. (Find the meditation style that matches your personality, here.)
Hypothermia caps may be useful to prevent hair loss during some kinds of chemotherapy, specifically when tazanes or anthracyclines are used. It should not be used when cancer is present in the skin of the scalp or for lymphoma or leukemia. There are generally only minor side effects from treatment.
Why is this pattern of hair loss only in the front and on top? That’s where hormone-sensitive follicles live. The follicles on the sides and back of the head aren’t affected by DHT and usually stay healthy.