Well, I got the news yesterday – at 61, vital and as healthy as anyone could possible ever wish to be, yep, hair thinning on the vertex and allopecia of the eyebrows, the latter are almost gone. It started probably 10 months ago, still donot know exactly why, but laser skin therapy on my face and arms for those liver spots may have triggered it. I went to see Dr. Shelly Friedman here in Scottsdale, AZ. His assistant is very, very knowledgeable and extremely empathetic and friendly. Long and short: no cure, no idea where it really comes from. BUT, now there is laser therapy, the so-called Laser Cap, FDA approved etc. You put it on 3x/wk for 45 min. at home, you purchase the cap, and within 3 months your hair really becomes fuller and actually it already starts to grow back within 4 weeks. That would be a good solution for the head. You will have to continue doing this for the rest of your life, or until the scientists have found a different solution.
Because of its psychologic nature, the mainstays of treatment are counseling, behavior modification techniques, and hypnosis. Selective serotonin reuptake inhibitors and other medications for depression or obsessive-compulsive disorder may be used in some cases, although no medications are FDA-approved for treatment of trichotillomania.17 If a more moth-eaten appearance of hair loss is present and no evidence of hair-pulling behavior can be elicited, syphilis should be suspected.
Researchers continue to strive for the holy grail of hair loss cures by trying to gain a better understanding of how the hair growth cycle is controlled. Rather than treating the symptoms of hair loss, scientists aim to target the cause, which, in turn, may yield fewer side effects. Recently, there have been numerous discoveries in the hair loss arena that may lead to new promising treatments.
Around 30 million U.S. women will experience hereditary hair loss, or female pattern baldness (androgenetic alopecia), while others will struggle with situational hair loss, brought on by medical conditions, medications, poor health and nutrition, environmental factors such as smoking and sun damage, or even from adverse reactions to hair care products or treatments.
Many other agents have been used to treat alopecia areata, including minoxidil, psoralen plus ultraviolet A (PUVA), and anthralin (Anthra-Derm), but success rates vary. Anthralin, an anti-psoriatic, in combination with topical corticosteroids and/or minoxidil, is a good choice for use in children and those with extensive disease because it is relatively easy to use and clinical irritation may not be required for efficacy.6 Hairpieces and transplants may be the only options available for persons with severe disease that remains unresponsive to available medical treatments. Patients with recalcitrant, recurrent, or severe disease should be referred to a subspecialist.
“Once that hair has stopped shedding, it does regrow, at a rate of about a centimeter a month,” said Dr. Senna, who suffered from the condition after each of her pregnancies. She shares photos of herself with patients, to show she can sympathize. In one, her entire frontal hairline clearly is growing back in. “If I’d used a treatment, I would have thought it was a miracle drug,” she said.
My visit to Dr. Redmond (endocrinologist) was very informative. First, he confirmed that I was not going crazy. I am sure many of you have heard that from loved ones. It is true that was is noticeable to you and your eyes is not noticeable to everyone else. I do try and live each day to the fullest right now and not let what the future might hold (worse hair loss) bother me, but it is tough. After alot of normal tests, Dr. Redmond confirmed my suspicion that I am suffering from androgenic alopecia (AA or women pattern baldness). He has put me on sprironolactone 200mg in the morning and Yasmin (birth control) in the evening). I just started on this regimen so I will keep you posted. Here are the tests that he wanted to me to get done:
But you must start these medical therapies before you lose all your hair. McAndrews likens it to brushing your teeth, in that both are preventative measures. “The sooner you start doing it, the better at slowing down this aging process,” he explains, adding, “Is toothpaste perfect? No, you’re still getting tooth decay with toothpaste, but you’re slowing down tooth decay.”
Sinclair Scale: The 5-point Sinclair Scale is a modified visual grading scale. Grade 1 is normal. This pattern is found in all girls prior to puberty, but in only half of women age 80 or over. Grade 2 shows a widening of the central part. Grade 3 shows a widening of the central part and thinning of the hair on either side of the central part. Grade 4 reveals the emergence of diffuse hair loss over the top of the scalp. Grade 5 indicates advanced hair loss. This grade is uncommon, occurring in less than 1% of women.
Kimberlyn’s story sounds a lot like mine….I used to have straight fine silky but thin hair…Then suddenly it turned into coarser, squiggly textured hair, and was falling out…I would hate to wash my hair because so much more would come out in the comb after washing. I had hair on my pillow, in my bed sheets, I would find hair just hanging out of my other hair, just waiting to fall out so I would grab it, and 4-5 strands would fall out…then comb with widest tooth pick I could find, and more came out..Hair would be on my arms during the day, just falling at will from my head…Now my used to be thin hair anyway is totally thinning, crown, all over thinning, hairline, nape of neck…I am so over it. My reg Dr said stress…I have OCD and do stress a lot, but I don’t feel it is due to stress as I have been this type of person all my life…and didn’t lose hair like this..I asked gyn, no response. I felt it was my thyroid, as I am in a high normal range, and really don’t like that, but don’t know what else to do as DR feels it is OK. I don’t have insurance so cannot afford to go to 10 different Drs. and still get nothing for a definative answer or solution. I take vitamins always, biotin, zinc, and have just started with Nioxin, just to make my scalp maybe healthier . I know it doesn’t “grow” hair, but maybe I can keep what I have left. I am 59 so lots of symptoms are same for thyroid, post-menopause, and just don’t know what the answer is. I have been researching wigs endlessly in case that is the only hope I will have. I live in Florida and wear a baseball cap everywhere I go…how can one dress up and feel good about themselves, and have to put a baseball cap on to cover the hair loss and protect against the sun on my scalp??? I am at a loss…No one seems to have any answers for me….
Starting in my very early 20s i noticed the beginnings of my hair loss and started asking doctors about it with no hope/no answers until my 27.5 year. A local dermatologist “heard” something about the spironolactone/yaz combo and was willing to try it out -along with biotin, rogaine and omegas. I believe she helped the quality of my skin and hair, but did not help the fact that my hair continued to disappear.
Why? Unwanted hair growth (sideburns, for example) is a reported side effect of minoxidil. The belief is that a higher concentration of minoxidil would result in more unwanted hair, which is why women are instructed to use it less often. However, the study in Skin Therapy Letter reports that unwanted hair was more common in 2 percent minoxidil solutions than 5 percent, and women are instructed to use Rogaine’s 2 percent solution twice daily — so what gives?
The follicles on the sides of the scalp are more genetically resistant to DHT, which is why male pattern baldness often results in a “crown” of hair. But its downsides are serious. “With women, finasteride is not an option,” says Dr. Wolfeld. “It’s not FDA-approved for women to take, so we don’t prescribe it.” In fact, due to the drug’s effect on hormone levels, pregnant women are advised to not even touch broken or crushed tablets.
Blow dryers, flat irons, and other devices: Frequent use of a blow dryer tends to damage hair. The high heat from a blow dryer can boil the water in the hair shaft leaving the hair brittle and prone to breakage. Dermatologists recommend that you allow your hair to air dry. Then style your hair when it is dry. Dermatologists also recommend limiting the use of flat irons (these straighten hair by using high heat) and curling irons.
When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.
I have not heard anyone talk about the “HairClub” use to be a center called the “Hair Club for Men” but now seems to also be catering to women. I had a consultation last week and the consultant looked at my scalp with an instrument that showed my scalp on a screen, she performed a microscopic hair and scalp analysis. Of course I really needed to see my scalp magnified a trillion times and seeing both thick and thin hair and of course all the empty spots where hairs use to be. She was very informative and showed me the cycle of healthy hair and also the ones that are not and how they thin and eventually fall out and the hair follicle closing. Their pamphlet show women with different stages of hair lost, from patches to almost bald. She explained that there was hope and that with a yearlong regiment of going once a month and having my scalp treated with their products and some sort of scalp stimulation I can get my hair back. Of course this comes at a price, almost 3k for the year. She did say that the monthly regiment will include hair styling as well. woohooo. Anyways I want to know if anyone has been to one of these Hair club facilities and if they have had any success with the personalized program without having to resort to surgery. My prayers go out to all of you.
The topical sensitizers, diphencyprone or squaric acid dibutylester, have been used in those suffering from recalcitrant alopecia areata or those with more than 50% hair loss. The goal of treatment is to create an allergic contact dermatitis of the scalp. This alteration in the immune response occasionally is accompanied by hair regrowth. The efficacy of the topical sensitizers has been demonstrated in both young children and adults, but it probably works less than half the time. Recent success using oral janus kinase inhibitors, including tofacitinib, ruxolitinib, and baricitinib, have been shown to be efficacious in severe, extensive alopecia areata in adults, but long-term therapy has potential side effects. The durability of response to these medications is variable, and most patients experience recurrence of hair loss after discontinuation. Perhaps topical therapy with these types of drugs may be available in the near future.