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Hair Loss Information by Robert M. Bernstein MD, Hair Transplant Surgeon in New York Hair Transplant, Hair Replacement, Repair New York and New Jersey Facilities Toll Free: 1-866-576-2400 Bookmark This Page Schedule FREE Physician Consult Home Hair Loss Hair Loss Common baldness, male-pattern hair loss, genetic hair loss and androgenetic alopecia are terms that are used to describe the same thing – the hair loss typically seen in men, where hair is lost in the front, top, and crown of the scalp, but maintained on the back and sides. Female-pattern hair loss refers to the most common presentation seen in women and tends to be diffuse (thin all over). The diagnosis of androgenetic alopecia in men is generally straightforward. It is made by observing a “patterned” distribution of hair loss (i.e. hair loss that affects the front, top and crown) and by noting the presence of miniaturized hair in the areas of thinning. Miniaturization, the progressive decrease in hair shaft diameter and length, can be identified using an instrument called a densitometer and is seen only in genetic balding. The diagnosis of male pattern hair loss is supported by the progression of the hair loss according to a recognizable pattern and by a history of baldness in the family, although a family history is not always present. In women, the diagnosis is more complex, as the most common presentation, a diffuse pattern, can have a variety of non-androgenetic causes including pregnancy, gynecologic problems, birth control pills, and thyroid disease. Because underlying medical conditions can produce hair loss that can closely mimic the diffuse pattern seen in genetic hair loss, a careful diagnostic evaluation is particularly important. This section helps you to understand the causes of hair loss in men and women , how hair loss is classified, and how the diagnosis of androgenetic hair loss is made. 125 East 63rd Street, New York, New York 10021 212-826-2400 2150 Center Ave., Fort Lee, New Jersey 07024 201-585-1115 Toll Free: 1-866-576-2400 contact@bernsteinmedical.com ©2005 Bernstein Medical, P.C. All Rights Reserved. Hair Restoration Home | Link Maps | Site Map | Top of Page New York Hair Restoration Facility | New Jersey Hair Restoration Facility HOME HAIR LOSS Men Women MEDICAL TREATMENTS HAIR TRANSPLANTS Overview of Procedure Follicular Unit Transplant Follicular Unit Extraction Transplant Repair Hair Cloning Hair Transplant History New York Facility New Jersey Facility PATIENT PHOTOS Portraits Hairlines Repairs Women, Eyebrows, Crown ABOUT US Our Practice Dr. Bernstein Letters from Patients RESOURCES Bernstein's Publications The Patient's Guide Hair Restoration Papers Hair Transplant News Information on the Web CONTACT US Free Physician Consult Photo Consult Open Houses Ask the Doctor Directions to NY Facility Directions to NJ Facility hair loss treatments being | hair loss treatments and | Hair Loss Treatment & | Hair Loss Treatments Email | Hair Loss Treatments - | hair loss treatment can | hair loss treatments being | Hair Loss Treatments Rogaine | Hair Loss Treatment | Hair Loss Treatments - | Hair Loss Treatment By | Hair Loss Treatment | hair loss treatment - | Hair Loss Treatment Options | hair loss treatments that | Hair Loss Treatment Plan | Hair Loss Treatment Facial | hair loss treatment under | HAIR LOSS TREATMENTPRODUCT ORDERS | hair loss treatments and | Hair loss treatments (archived)Hair loss treatments (archived) ] SUBMIT" / Appliances, Home entertainment, Photography, Heating/Cooling, Phones, Everyday, Outdoor, Product Archive Bedding/furniture, Every Day, Transport, Health & safety, Feeding, Baby Archive Buying a computer, Hardware, Software, Internet, Computer basics, Help & how to, IT issues, Computers Archive Banking, Investing, Borrowing, Insurance, Superannuation, Tax, Your rights, Scams, Money Archive Groceries, Nutrition & Diet, Safety, Labelling & advertising, Bottle shop, Recipes, Food Archive, *Special reports Buying a car, Crash lab, How to, Parts & products, Cars & the environment, Cars & Transport Archive Your Health, Medicines & Drugs, Alternative Medicine, Health Care & Insurance, Medical Conditions, Health Archive -- -- -- -- password Forgotten your password? product archive Home > Products > Product Archive >> Appliances >> Home entertainment >> Photography >> Heating/Cooling >> Phones >> Everyday >> Outdoor >> Product Archive Hair loss treatments (archived) Baldness is a biological fate that a large proportion of males won’t escape — so what are the treatment options? Online 05/03 » Hair loss treatments » Options: Propecia » Options: Rogaine » Hair restoration clinics » Covering up » Case studies: Propecia » Not so good news » More bald facts There’s no shortage of snake-oil merchants out there ready to take advantage of worried balding men — just type ‘hair loss treatment’ into any internet search engine and see the hair-raising results for yourself. If you’re concerned about hair loss the first thing to do is see your doctor, who will be able to rule out the less common and potentially more serious causes of baldness. In brief Male pattern baldness is the most common form of hair loss. Propecia and Rogaine are the only two treatments that have been extensively proven to prevent hair loss and, sometimes, regrow men’s hair — but keep your expectations realistic. Specialist clinics offer a variety of treatment strategies, but it’s important to assess the value of these carefully. Curse of the Y chromosome If you’re male and ‘losing it’, there’s a high probability you’ve got male pattern baldness. About 50% of men by the age of 50 will show significant male pattern baldness, which rises to over 80% by the age of 70. Known also as androgenetic alopecia or genetic hair loss, it causes the gradual miniaturisation of hair at the crown and frontal hairline. Eventually, the miniature hairs fall out and don’t regrow. These unfortunate events happen because most men (and some women) genetically inherit, from either side of the family, a sensitivity to the hormone dihydrotestosterone (DHT). This in particular affects hair follicles located at the crown and hairline and causes them to get progressively more and more ‘lazy’ until they eventually shut down altogether. 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Hair | Hair Loss Treatment | Hair Loss Treatments > | HAIR LOSS TREATMENT FOR | Hair Loss Treatment | hair styles * H | Hair Styles (Short, Medium, | Hair Styles (members only) | hair styles with our | Hair Styles Fashion Blog | Hair Style | Hair Style | Hair Styles, Cuts, and | hair style. adjective African | hair styles, spikey hair | hair style photos of | hair style that suits | Hair Styles–Some Do’s and | Hair Style Links HotShots | Hair Styles Afrohair.com African-American | Arm Hair RemovalTeenHealthFX - Answers - Bye, Bye Arm Hair Hairy Situations: Too Much, Too Little & Shaving / Question Published: August 15, 2001 Dear TeenHealthFX, I am a girl and I have arm hair that I would like to get rid of. Some girls at school tell me that they shave their arms but their hair always comes back and it looks weird when it starts to grow back because it is so short and dark! Well, I would like to know ways to get rid of my arm hair and keep it gone for a good period of time. Thanks Signed: Bye, Bye Arm Hair Dear Bye, Bye Arm Hair, TeenHealthFX assumes that you are describing hair on your arms (not armpit hair). What the girls are describing to you about their hair being short and dark is true until it grows in more, it will look darker and feel stubby because the end of the hair is blunt. After some time it will look like the rest of your hair and feel softer. If you are feeling uncomfortable by the hair growth on your arms there are a few methods to consider. You can wax your arm hair, but be careful. Waxing can cause irritation and burns if not done properly. If you are going to consider waxing, talk to your mother and go to a salon to get it done the first time. There are also some depilatory creams that disintegrate the hair at the roots. The hair will grow back with either method. There is also electrolysis which is performed by a professional and can be very expensive and time-consuming. Electrolysis is a more permanent method of hair removal. Which ever method you choose, try it first in a small area like your upper arm. This way you can see if your skin is too sensitive and if you are happy with the results. So, once you begin removing your hair you will have to continue it on a regular basis, just like shaving you legs! If you have any more questions please dont hesitate to ask. Signed: TeenHealthFX Not Helpful Very Helpful One out of every six American women have been the victims of an attempted or completed rape in their lifetime. A total of 17.7 million women have been victims of these crimes. 23 hair styles. TheHairStyler.com - | hair styles and hair | hair styles Wedding planning | hair styles black hair | hair style 'best' suited | Hair Styles Fashion Blog | Hair Styles Coloring Your | hair style like any | hair styles, black hair | hair styles Exotic Allure | Hair Styles Men's Hair | Hair Styles 3950 Hairstyles | hair styles. Books with | Hair Styles Revenge History | hair styles. 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HairHair Loss, Alopecia (Balding) - a guide for patients Medic8® Family Health Guide "Medic8.com - Your trusted source for health information online" Medic8 Family Health | Cosmetic Surgery | Medical Dictionary | Health Insurance | Search | About | Help HEALTH GUIDE Family Health Cosmetic Surgery Cosmetic Dentistry Health Insurance Life Insurance Laser Eye Surgery Women's Health Men's Health Child Health Sports Health Travel Health A-Z of Articles Medical Dictionary TELL A FRIEND Tell A Friend About This Page TOPICS/THEMES Allergies Alternative Health Arthritis Asthma Blood Disorders Bones & Joints Bowel & Abdominal Problems Cancer Chest Problems Child Health Circulation Problems Cosmetic Surgery Diabetes Drug Addiction Ear, Nose, & Throat Problems Elderly Health Eye Problems Heart Problems High Blood Pressure Hormone & Endocrine Problems Infections Infertility Liver Problems Medications Men's Health Mental Health Nervous System Nutrition Personal & Social Issues Pregnancy & Birth Preventive Health Radiology Sexual Health Skin Problems Sports Medicine Surgery Travel Health Urinary & Kidney Problems Vaccination Women's Health MISCELLANEOUS Interactive Tutorials Health Products Medical News Medic8 Search Medic8 Web Directory Terms Of Use About Medic8 Hair Loss, Alopecia (balding) - a patient's guide Editorial Team Overview Hair loss is a common problem among men and it also happens to some women. The most common form of hair loss is male pattern balding (androgenetic) and has a strong genetic component (i.e. runs in families). Coming to terms with hair loss is the most practical and cheapest (!) strategy, but many people find this difficult or unacceptable. Drug treatments for men with hereditary balding include the drugs finasteride and minoxidil. The main treatment for women is minoxidil because finasteride has little effect and can cause birth defects. A new topical therapy for alopecia areata is still under investigation. Hair loss may be distressing and some treatments are available as discussed in this article, but most of them are not as dramatically effective as would be desired by most sufferers. What is alopecia? Alopecia is hair loss from the scalp which is also known as male-pattern hair loss or balding in men, or female-pattern hair loss in women. The most common cause of hair loss is androgenetic alopecia which is thinning of the hair caused by androgens (male hormones) in those who have inherited a genetic tendency towards balding. Another cause is alopecia areata which is an autoimmune disease. Hair loss can be an extremely distressing condition for men and women but there are now treatments available that can treat some types of hair loss. People are born with about 100,000 hairs on the scalp. Each day about 100 hairs are shed from the scalp and about the same number enter the growth cycle. With alopecia, the hair growth cycle is shortened, and the follicles produce shorter and finer hairs. ANDROGENETIC ALOPECIA This is the most common cause of hair loss and is due to a genetic susceptibility to balding. Hair thinning usually begins between the ages of 12 and 40 years of age and about half the population will have experienced some degree of alopecia by the age of 50. Hair loss is due to a shorter growth cycle of the hair; the follicles become smaller and produce shorter and finer hairs in areas prone to balding. In male-pattern hair loss, alopecia ranges from a receding hair line, hair loss from the crown, to almost complete baldness. The presence of much finer, shorter hairs which poorly cover the scalp may be noticed. In female-pattern hair loss, thinning is extensive and more marked on the front, sides and top of the scalp. However, most will keep some hair around the hairline although the scalp will have bald spots. Treatment of androgenetic alopecia in men: The aim of treatment is to increase the coverage of hair over the scalp and to prevent further hair thinning. The best drug treatments for male hair loss is 1 mg of finasteride taken orally once a day, and minoxidil applied directly to the scalp in either 2 or 5 percent solutions twice a day. Both of these drugs increase the size of existing hairs and help prevent further hair loss. However, they still fail to restore all the hair. Finasteride appears to be more effective than minoxidil at restoring some hair. The best candidates for treatment are those with early balding and/or fine miniature hairs on bald patches. The drugs do not benefit men with complete baldness or those without finer hair growing in the bald regions. Both drugs should be used for six to 12 months to improve hair growth, and continued therapy is needed to maintain existing hair. The most effective treatment for established balding is surgical hair transplants, using plugs of hair taken from back and inserted at the top of the scalp. However, this method is expensive and there are risks of complications. An experienced surgeon is required for the operation. Finasteride This drug is known as a type 2 5a-reductase inhibitor and helps stop the conversion of testosterone to dihydrotestosterone. The drug was originally developed for the treatment of benign prostatic hyperplasia (enlarged prostate), but has been registered as a treatment for male-pattern baldness in the US since 1997. In three studies of the drug's use for alopecia, it was found that the drug significantly increased hair counts, improved scalp coverage, and increased the length, diameter and pigment of hair. After two years of treatment with finasteride, about two thirds of men had improved scalp coverage, about one third had about the same amount of hair and about 1 percent lost hair. Finasteride may not be effective in men over 60, and should be used with caution in those with liver disorders. The drug should be taken once a day without food. Side effects include: Loss of libido 1.8 % Erectile dysfunction 1.3 % Ejaculatory dysfunction 1.2 % These side effects disappeared after prolonged treatment with the drug, and when the drug was stopped. Finasteride is also known to reduce PSA levels used for prostate cancer screening. Results of PSA tests in older men should be doubled to get an accurate reading. Minoxidil This drug was developed to treat high blood pressure and it's not known how it can also stimulate hair growth. This drug can be used in the treatment of areata alopecia (see below), congenital hypotrichosis, and loose anagen syndrome. Studies show that minoxidil can increase the diameter of the hair shaft, and can halt the rapid loss of hair in some cases. It can be used as a 2 percent or 5 percent solution and applied directly to the scalp (topically). It should be spread lightly over the scalp with your finger. One 48-week study found men using the 5 percent solution achieved hair counts 45 percent greater than those taking the 2 percent solution and nearly five times more than men who were not being treated. There may be a temporary increase in hair loss in the first 12 weeks of therapy. Men who want to swap minoxidil with finasteride should use minoxidil for four months after starting finasteride to prevent any hair loss that occurs from stopping minoxidil treatment. It's believed the best results are achieved from using a combination of minoxidil and finasteride. The main side effects from minoxidil include irritation of the scalp, itching, scaling, a rash, and rarely hypertrichosis. Treatment of androgenetic alopecia in women: Women are thought to be more distressed by hair loss than men, although the use of hair styling and some products can help to disguise their problem. Women may also need to be investigated for other medical conditions if there are additional signs of an excess of male hormones. The main treatment for female-pattern baldness is minoxidil. Finasteride is not recommended for women because of the potential for the drug to cause abnormalities in the genitalia of male fetuses. Finasteride has also been shown to be ineffective in alopecia in postmenopausal women. Oestrogen therapy has also been tried in women, but with little success. Women with hair loss should be careful about the type of oral contraceptive they use to ensure they do not aggravate their problem. They should take a combined contraceptive pill with a progestin which has a low androgenic activity such as norgestimate or ethynodiol diacetate. Patients should also avoid testosterone or androgen precursors. Minoxidil A 2 percent minoxidil solution should be applied twice daily to dry hair. It should be applied with a dropper or spray applicator directly onto the scalp. The 5 percent solution is not significantly more effective than the 2 percent solution in women, and there are more side effects when the 5 percent solution is used. Side effects include irritation of the scalp, itching, scaling and a rash. Hypertrichosis is more common among women than men, with an incidence of 3 to 5 percent with the 2 percent solution. ALOPECIA AREATA This is an autoimmune disease which affects about two percent of the population, and affects both sexes equally. It occurs more frequently in children and young adults. In this condition the hair is lost in small, round patches, and it can cause total baldness. The hair may spontaneously grow back, but regrowth may take months to years. The hair follicles remain alive so there is always the potential for hair to return. Treatment is more effective in milder cases, and no therapy is particularly effective for total hair loss. Treatment The main treatment for alopecia areata is immunomodulating therapies such as glucocorticoid injections, anthralin, or glucocorticoids taken orally. Minoxidil can also be used, and a 5 percent solution is the most effective. Treatment is aimed at stimulating regrowth. It does not stop the hair loss. Treatment should continue until the hair has grown back to an acceptable level. Topical immunotherapy is a new treatment under investigation. It involves applying an allergen to the scalp which produces dermatitis, causing mild itching and scaling on the scalp which stimulates hair growth. How this process works is unknown at this stage. In patients with 50 to 99 percent of hair loss, this therapy produces acceptable hair growth in 40 to 60 percent of cases. Only 25 percent of those with total hair loss respond well to the therapy. Topical immunotherapy is currently offered at just a few centres in the US. It has also been used in Europe. The Medic8® Family Health Guide Online Guides Cosmetic Surgery Cosmetic Dentistry Family Health Laser Eye Surgery Medical Insurance Life Insurance Medic8 Health Store Protox, The Botox Alternative Reduce wrinkles within 30 days...no injections or surgery ! Reduce wrinkles... Hair Regrowth For Men Stops hair loss and stimulates hair regrowth. Stop hair loss... Hair Renew For Women Stops hair loss and stimulates hair regrowth. Stop hair loss... Medic8 Health Store DISCLAIMER: This guide is provided for general information only and is not a substitute for professional medical advice. We are not responsible or liable for any diagnosis or action made by a user based on the content of this website. We are not liable for the contents of any external websites listed, nor do we endorse any commercial product or service mentioned or advised on any of the sites. Always consult your own doctor if you are in any way concerned about your health. LEGAL CONDITIONS AND TERMS OF USE ARE APPLICABLE TO ALL USERS OF THIS GUIDE/WEBSITE. ANY USE OF THIS GUIDE CONSTITUTES YOUR AGREEMENT TO THESE TERMS OF USE. REPRODUCTION OF ANY PART OF THIS WEBSITE BY ANY MEANS, INCLUDING ELECTRONIC, IS EXPRESSLY PROHIBITED WITHOUT PRIOR WRITTEN CONSENT. www.medic8.com © 2005 Medic8® and Online Services Group (NZ). 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