treat hair loss caused
Should I treat inherited hair loss with medication? - Quest Diagnostics Patient Health Library Should I treat inherited hair loss with medication? Introduction This information will help you understand your choices, whether you share in the decision-making process or rely on your doctor's recommendation. This Decision Point is for people with inherited hair loss ( androgenetic alopecia ) only. If your hair loss has another cause, talk with your hair professional about your treatment choices. Key points in making your decision Everyone has some hair loss every day. However, for some, hair loss becomes excessive, and treatment with medications may slow hair loss and help to regrow hair. Consider the following when making your decision: You may not get as much hair growth as youexpect. You must take the medications over the long term or anyregrown hair will fall out. Your insurance probably will not coverthe medication, and the medications can be expensive. You may haveside effects not yet known from taking these medications long-term. It may bevery dangerous to take these medications if you are pregnant or if you havecertain health conditions, such as heart problems. You may feelthat the possibility of regrowing hair and feeling better about your appearanceis more important than the limitations of hair loss treatment. Medical Information What medications are available to treat inherited hair loss? Medication for treating inherited hair loss slows thinning of the hair and increases coverage of the scalp by growing new hair and enlarging existing hairs. Currently, medications used to treat hair loss caused by heredity include: Minoxidil . Minoxidil (Rogaine) isavailable without a prescription and is sprayed on and/or rubbed into the scalptwice a day. Finasteride . Finasteride (Propecia),which is available by prescription, is a pill taken once daily. Finasteride hasnot been proven effective in women and is not approved for women by the U.S.Food and Drug Administration (FDA). 1 Finasterideshould never be taken or handled by women who are or may become pregnant,because it can cause birth defects. With these medications, hair coverage tends to improve on the top of the head but not on the forehead area. How effective are these medications in treating inherited hair loss? The effectiveness of finasteride or minoxidil depends on your age and the location of the hair loss. These medications do not work for everyone, and you should not expect to regrow a full head of hair. These medications slow thinning of the hair and increase coverage of the scalp by growing new hair and enlarging existing hairs. However, they need to be taken every day. If you stop taking them, any hair that has grown in will gradually be lost, and within 6 to 12 months your scalp will most likely appear the same as before treatment. Both medications must be taken daily. It may take 6 months of treatment before you see results. Minoxidil Minoxidil slows hair loss and grows new hair. In men, the 5% solution appears to be more effective than the 2% solution, but it costs more and may have more side effects. 2 Minoxidil seems to work best on people younger than 30 years of age who have been losing hair for fewer than 5 years. 3 Finasteride Finasteride is recognized as a successful therapy for inherited hair loss for men. Research reports that it slows hair loss on the scalp and helps regrow hair. 3 One study showed that finasteride may potentially improve hair loss on the forehead, which is usually less likely to respond to treatment than hair loss on the top of the head. 4 However, bald spots will not be completely covered, and visible results may take from a few months to a year. Finasteride has not been proven effective in women and is not approved for women by the FDA. 1 What are the side effects of these medications? Side effects of minoxidil include skin irritation and an itchy scalp. In women, minoxidil may cause facial hair growth, especially on the forehead and cheeks. If you have heart problems, ask your health professional about using this medication. Finasteride should not be taken or handled by women who are or may become pregnant, because it can cause birth defects. Possible side effects in men include sexual problems, such as difficulty getting an erection. What are the disadvantages of taking these medications? The disadvantages of taking these medications for hair loss include: The medications may not work. You should notexpect to regrow a full head of hair. Visible results may take from a fewmonths to a year. You must take the medication every day. If youstop, any regrown hair will fall out, and you may actually end up with lesshair than when you started treatment. The medications are expensiveand usually are not covered by insurance. What are the risks of not taking these medications? There are no risks to your health if you decide not to take medication for hair loss. However, for some people, there may be a risk to their well-being and self-esteem if they feel that hair loss has affected their appearance. The risk of not taking medication is that your hair loss will probably continue. However, medication is not always effective, and hair loss may continue despite treatment with medication. If you need more information, see the topic Hair Loss . Your Information Your choices are: Use medication to help stop hair loss and possibly regrow new hair. Do not use medication to treat hair loss. Have hair transplantation surgery or other surgeries to regrow hair. The decision whether to take medication to treat hair loss takes into account your personal feelings and the medical facts. Reasons to treat hair loss with medication Reasons to not treat hair loss with medication You have begun to lose your hair, and you wish to prevent more hair loss. Regrowing your hair could help your self-esteem and make you feel better about your appearance. Are there other reasons you might want to treat hair loss with medication? Your hair loss doesn't really bother you. You would only be satisfied with a full head of hair. Medications may have serious side effects when taken with other medications or if you are pregnant or have health conditions, such as a heart problem. Any hair regrown with the medications would be lost if you stop taking the medications. You may even end up with less hair than when you started treatment. Medications to treat hair loss are expensive and usually are not covered by insurance. Treatment may not work. Are there other reasons you might not want to treat hair loss with medication? These personal stories may help you make your decision. Wise Health Decision Use this worksheet to help you make your decision. After completing it, you should have a better idea of how you feel about treating hair loss with medication. Discuss the worksheet with your doctor. Circle the answer that best applies to you. My hair loss causes me significant stress or unhappiness. Yes No Unsure I don't want to use medications every day. Yes No Unsure I'm worried about unknown side effects. Yes No Unsure A small improvement in hair coverage would be worth the time and money. Yes No Unsure I am pregnant. Yes No NA* I have a heart condition. Yes No Unsure I can afford to pay for the treatment over the long term. Yes No Unsure I realize that the treatment may not work. Yes No Unsure *NA=Not applicable Use the following spaces to list any other important concerns you have about this decision. What is your overall impression? Your answers in the above worksheet are meant to give you a general idea of where you stand on this decision. You may have one overriding reason to use or not use medication to treat hair loss. Check the box below that represents your overall impression about your decision. Leaning toward treating hair loss with medication Leaning toward NOT treating hair loss with medication Return to the topic Hair Loss . Author: Paul Lehnert Last Updated July 28, 2004 Medical Review: Patrice Burgess, MD - Family Medicine Randall D. Burr, MD - Dermatology This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here . How this information was developed . 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Any methods that can be done at home? This is my first attempt for bikini hair removal. Any recommendation? Thanks. email friend | report thread yaya Posts: 78 Member Since: 11/2/05 Re: Bikini Hair Removal Posted: Dec 19, 2005 11:55 PM in response to: choco -- choco in response to: choco Reply -- If you're looking to wax it, I'd have it done professionally first so that you get to know how they do it. Shaving sucks and those gross smelly creams don't really work that great and they'll probably give you cancer. Laser is best (if you're a good candidate for it........and have the $$$) email friend | report thread vogue_baby Posts: 174 Member Since: 9/14/05 Re: Bikini Hair Removal Posted: Dec 20, 2005 7:49 AM in response to: yaya -- yaya in response to: yaya Reply -- I recommend professional waxing as well email friend | report thread Shopaholic_Amy Posts: 10 Member Since: 12/18/05 Re: Bikini Hair Removal Posted: Dec 20, 2005 5:57 PM in response to: choco -- choco in response to: choco Reply -- get a brazilian....after you have had it once u wont be able to live without it....note:it will hurt the first time;) email friend | report thread tropicana_fun Posts: 139 Member Since: 9/7/05 Re: Bikini Hair Removal Posted: Dec 21, 2005 12:54 AM in response to: Shopaholic_Amy -- Shopaholic_Amy in response to: Shopaholic_Amy Reply -- yes waxing. i love it email friend | report thread Also on Style.com fashion shows / news & trends / people & parties / shopping / beauty / vogue / w STYLE NEWS: The weekly inside scoop FASHION FLASH: Daily alerts during the shows SHOP NEWS: Weekly designer must-haves site map | subscription services & feedback | newsletters | style.com in the news | advertising visit our sister sites Concierge | Epicurious | Men.Style.com | Style.com | Allure | Architectural Digest Cargo | Domino | Glamour | House & Garden | Lucky | Self | The New Yorker | Teen Vogue | Vanity Fair | YM Subscribe to a magazine: View Special Offers View All Titles - - - - - - - - - - - - - - Allure Architectural Digest Bon Appétit Bride's Cargo CondéNast Traveler Details Domino Elegant Bride Glamour Golf Digest Golf For Women Golf World Gourmet GQ House& Garden Jane Lucky Modern Bride Self Teen Vogue The New Yorker Vanity Fair Vogue W Wired Use of this site constitutes acceptance of our User Agreement and Privacy Policy . © 2005 CondéNet Inc. 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Style.com is a trademark owned by CondéNet Inc. hair growth: About 90Hair Loss [ Skip Navigation ] Health System Home Patients & Families For Health Answers Healthcare Professionals Education & Research For Employees Site Index A-Z Advanced Search Health System Search Search for Information People UVa Home News, Event & Publications Health System News Patient & Consumer Events Health System Events (all) Health System Publications Maps & Directions Jobs Health System University Library Making a Gift UVa Health.com... where Answers are found NEWSLETTERS BREAST HEALTH DIABETES HEALTH HEART HEALTH MEN'S HEALTH WOMEN'S HEALTH PARENTING MIND & BODY -- FIND A DOCTOR Back Pain Colorectal Cancer: Assessment Colorectal Cancer: Medical Oncology Diabetes Erectile Dysfunction Fertility: Male GERD/Heartburn Head and Neck Cancer Incontinence Joint, Hip and Knee Replacement Lung Disease/Lung Cancer Preventive Cardiology Prostate Cancer: Surgical Oncology Skin Cancer: Evaluation and Treatment Sleep Disorders Sports Injuries: Medical Management Sports Injuries: Surgical Testicular Cancer Vasectomies and Reversals Weight Reduction (Bariatric) Surgery MAKE AN APPOINTMENT QUALITY AT UVA MAPS & DIRECTIONS CALENDAR OF EVENTS CLINICAL TRIALS WHY CHOOSE UVA -- Topics A-Z Home Topics All About Cancer Allergy & Asthma Arthritis & Rheumatology Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Disease Complementary & Alt Med Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Home, Hospice & Elder Care Infectious Diseases Kidney Disease Liver, Biliary & Pancreatic Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Physical Medicine & Rehab Pregnancy & Childbirth Prostate Health Radiology Reconstructive & Plastic Surg Respiratory Disorders Skin Cancer Spine, Shoulder & Pelvis Surgical Care Travel & International Med Urology Women's Health Search This Site En Español Men's Health Hair Loss Facts about normal hair growth: About 90 percent of hair on the scalp grows continually. The other 10 percent of scalp hair is in a resting phase that lasts two to three months. At the end of the resting stage, this hair is shed. Shedding 50 to 100 hairs a day is normal. When a hair is shed, it is replaced by a new hair from the same follicle and the growing cycle starts again. Scalp hair grows about one-half inch a month. As people age, the rate of hair growth slows. What causes hair loss? Hair loss is believed to be primarily caused by a combination of the following: aging change in hormones illness family history of baldness burns trauma However, hair loss is not caused by the following: poor circulation to the scalp vitamin deficiencies dandruff excessive hat-wearing a gene passed on from an individual's maternal grandfather Generally, the earlier hair loss begins, the more severe the baldness will become. What is hair replacement surgery? The interest in hair replacement has significantly increased over the past ten years. Two out of every three men and one in five women suffer from hair loss. For men, the main cause of a diminishing hairline is heredity. Hormonal changes such as menopause can cause both thinning and hair loss in women. There are a number of hair replacement techniques that are available, although hair replacement surgery cannot help those who suffer from total baldness. Candidates for hair replacement must have a healthy growth of hair at the back and sides of the head. The hair on the back and sides of the head will serve as hair donor areas where grafts and flaps will be taken. There are four primary different types of hair replacement methods, including the following: hair transplantation During hair transplantation, the surgeon removes small pieces of hair-bearing scalp grafts from the back or sides of the head. These grafts are then relocated to a bald or thinning area. tissue expansion In this procedure, a device called a tissue expander is placed underneath a hair-bearing area that is located next to a bald area. After several weeks, the tissue expander causes the skin to grow new skin cells. Another operation is then required to place the newly expanded skin over the adjacent bald spot. flap surgery Flap surgery is ideal for covering large balding areas. During this procedure a portion of the bald area is removed and a flap of the hair-bearing skin is placed on to the bald area while still attached at one end to its original blood supply. scalp reduction Scalp reduction is done in order to cover the bald areas at the top and back of the head. This technique involves the removal of the bald scalp with sections of the hair-bearing scalp pulled together filling in the bald area. Possible complications associated with hair transplantation procedures: Possible complications associated with hair transplantation procedures may include, but are not limited to, the following: patchy hair growth Sometimes, the growth of newly placed hair has a patchy look, especially if it is placed next to a thinning area. This can often be corrected by additional surgery. bleeding and/or wide scars Tension on the scalp from some of the scalp reduction techniques can result in wide scars and/or bleeding. grafts not taking Occasionally, there is a chance that the graft may not "take." If this is the case, surgery must be repeated. infection As with any surgical procedure, there is the risk of infection. About the procedure: Although each procedure varies, generally, hair replacement surgeries follow this process: Location options may include: surgeon's office-based surgical facility outpatient surgery center hospital outpatient hospital inpatient Anesthetic options may include: general anesthesia local anesthesia, combined with a sedative (allows the patient to remain awake but relaxed) Average length of procedure: Several surgical sessions are usually needed to achieve satisfactory fullness, with a healing interval of several months recommended between each session. It may take up to two years before seeing the final result with a full transplant series. Recuperation period: Plugged or grafted hair falls out within a month or two after surgery, which is normal and almost always temporary. After hair falls out, it generally takes another month or more before hair growth resumes. A surgical touch-up procedure may be needed to create more natural-looking results after the initial incisions have healed. This may involve blending, a filling-in of the hairline using a combination of mini-grafts, micro-grafts, or slit grafts. Non-surgical hair replacement with medication: Finasteride (Propecia™) Finasteride, produced by Merck and Company under the name Propecia, was approved by the FDA in December 1997, as a treatment for male pattern baldness. It is the first drug available in pill form for the treatment of baldness. In men with mild to moderate hair loss, clinical trials showed that 83 percent of the male patients had kept their hair or grown more after one year of treatment. Propecia (finasteride) works by blocking an enzyme called 5-alpha reductase, which is responsible for the formation of dihydrotestosterone in a man's body. The enzyme converts testosterone to DHT (dihydrotestosterone). It is believed that DHT is a key factor in male pattern hair loss, and finasteride decreases the concentration of DHT in a man's scalp. Finasteride is available by prescription only. minoxidil (Rogaine™) Minoxidil, a drug produced by Upjohn under the name of Rogaine, has been available since 1988 for the treatment of hair loss. It is currently available as an over-the-counter drug. Minoxidil is topical solution that must be applied by applicator or fingers to the balding area twice a day, every day. Decreasing the dosage to once a day results in some hair loss, and discontinuing application causes regression to pretreatment baldness. Male pattern baldness and heart disease: While a receding hairline may be just enough to bother some men, hair loss on top of the head may actually increase the risk of heart disease. The latest in a series of studies conducted over the past several years regarding hair loss in men, has confirmed that those men who are balding on the crown of their heads have a 36 percent greater risk of developing coronary heart disease. Publishing the results of an 11-year study involving more than 22,000 men in the publication The Archives of Internal Medicine , researchers found that men with vertex pattern balding, or balding on the top of the head, appeared to be a marker for increased coronary heart disease. This association was even greater for men with hypertension or elevated cholesterol levels. Previous studies have pointed to a link between male pattern balding and heart disease, but this study constitutes one of the largest conducted. Researchers also included detailed information about various patterns of balding and used these to identify the risk of developing heart disease in men of all ages. The study looked at physicians who were between the ages of 40 and 84 years old who were involved in the Physician's Health Study beginning in 1982, and followed them over an 11-year period. Of the 22,071 US male physicians studied, 19,112 were free of coronary heart disease when the study began. Every six months for the first year, and then annually after that, the men were asked to complete follow-up questionnaires to obtain information about new medical conditions and diagnoses. These were confirmed through medical records. The researchers defined coronary heart disease events as nonfatal myocardial infarction (heart attack), angina pectoris (chest pain), and/or coronary revascularization (heart bypass surgery and angioplasty). Nearly 1,500 of the men reported one of these coronary events. The researchers also looked retrospectively at the pattern of hair loss of the men at the age of 45. Participants were asked on the 11-year follow-up questionnaire to choose from options that included no hair loss, frontal baldness only, or frontal baldness with mild, moderate, or severe vertex (crown of the head) baldness. What they found was that men whose crowns were completely bald had a 36 percent greater risk of having one of the coronary events; men with moderate crown balding had a 32 percent greater risk; those with mild balding of the crown were at a 23 percent greater risk; and men with frontal balding had a 9 percent greater risk of coronary events. In addition, men who were balding and had hypertension were at nearly twice the risk for heart disease, and those with high cholesterol had nearly three times the risk, when compared to non-balding men with the same conditions. Always consult your physician for more information. Click here to view the Online Resources of Men's Health Men's Health Home Men''s Health Home Page Conditions of Concern to Men Hair Loss Glossary Online Resources Site Index PO Box 800224 Charlottesville , VA 22908 434-924-3627 For comments and suggestions about this page: Health Topics Contact Last Modified: November 02 2005 © 1998 – 2005 by the Rector & Visitors of the University of Virginia Disclaimer About This Site |
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