Duke’s dermatologists diagnose and treat hair disorders, such as hair loss (alopecia), excessive hairiness (hirsutism), and abnormal hair growth (hypertrichosis). We understand that abnormal hair growth can be distressing and affect your self confidence. We work closely with you to diagnose the cause of your condition, and develop a personalized treatment plan that meets your medical needs, improves your condition, and helps you regain a positive self-image.
@Amanda P. I regrew my hair and you can too. -I've been bleaching my hair on and off since forever. My hair wouldn't grow any longer it would just snap off. I've dreamed about having thick, long hair. And when I say dreamed, I mean it quite literally. So i decided to do something about it. My friend suggested Biotin when we were talking about my hair loss.
I’ve had a small bald patch in my part since I was a teenager..I used to think it was a scar from a bad scrap I got once. I recently cut my hair rather short and donated it and have since noticed alot more hairs falling out. Part of me thinks I notice simply because now they land on my shirt and before they always just fell off. I’m just worried that it could be baldness, because God love him my Dad has been going bald since he was like 19. I’m 20, have had a kid and hypo-thyroidism runs in my mother’s family. I don’t want to go bald, I’m terrified of it actually and was just wondering who the best person to go to, to figure out if this is just a scar or if I’m really going bald. Anyone have any suggestions?
Sorry to hear about her incident. Unfortuantely, I had issues around her age. Doctors often will say that there are no issues or nothing can be done, but that’s not true. There’s a few things she can do and the sooner she does it, the better. Regrowth may not occur, but maintance may. She should go see a dermatologist that specializes in this area (or at least has some knowledge about it). One way to do this is to check out the American Academy of Dermatology website. If you check out their annual meeting, you can find out who is doing research in this area and/or giving talks. It would be really important to find out why she is losing her hair. It may be alopecia, but there might also be other reasons she’s losing her hair. Her PCP might be able to gear you in the right direction and/or do some blood work to eliminate the “usual” suspects as to why she may be losing her hair.
In either sex, hair loss from androgenetic alopecia occurs because of a genetically determined shortening of anagen, a hair's growing phase, and a lengthening of the time between the shedding of a hair and the start of a new anagen phase. (See "Life cycle of a hair.") That means it takes longer for hair to start growing back after it is shed in the course of the normal growth cycle. The hair follicle itself also changes, shrinking and producing a shorter, thinner hair shaft — a process called "follicular miniaturization." As a result, thicker, pigmented, longer-lived "terminal" hairs are replaced by shorter, thinner, non-pigmented hairs called "vellus."

Each hair develops from a follicle — a narrow pocket in the skin — and goes through three phases of growth. Anagen (A), the active growth phase, lasts two to seven years. Catagen (), the transition phase, lasts about two weeks. During this phase, the hair shaft moves upward toward the skin's surface, and the dermal papilla (the structure that nourishes cells that give rise to hair) begins to separate from the follicle. Telogen (C), the resting phase, lasts around three months and culminates in the shedding of the hair shaft.


Hello all!!!! I would suggest all you havent been checked for pcos, to do so!!!! Its prob the issue. It reaks havoc on a womens hair and body. I take saw palmetto and my bc pills everyday and have been happy with results. Saw palmetto is used to stop testostrone from turning into ht with causes . the follicle to shrink and not be able to support a healthy hapr so it bdeaks off and eventually falls out. Ive heard good things about. Hairessentils vitamins
I know how upsetting it is to start to notice thinning hair. Mine has been thinning for the last two yrs. I am not longer able to style my hair at all because of lack of thickness. I know in my case its memopause, plus some meds I am on. I do take biotin, and would appriciate any advice on shampoos that might help make the hair look thicker. I No loner put bleach in my hair, but do you a color with no bleach. I have gotten my self a little hair peice that clips on, and going to have it colored, trimed for me, and use that when going out.. Some hair pices a are very, very, nice. I would suggest you look into them untill some cure comes about. My Partner in Life brought it for me because he knows how upset I have been about my Hair.. Nice guy for sure. Good luck to all.. This is a place that I hope every woman finds who is having this problem.
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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.
As mentioned above, an autoimmune response is commonly associated with hair loss related to alopecia areata. Patients who have this condition see their body’s immune system attack their hair follicles. The patient’s hair follicles become very small and hair growth begins to stop.  A major symptom of alopecia areata is patchy hair loss, according to the American Academy of Dermatology, which says patients often first notice the problem when they see clumps of hair on their pillow or in the shower.
From doing this I have noticed less hair loss, some re-growth and some thickness, more coverage on the crown area, you cannot see the baldspots any more but just a long faint scalp line. But I will not go to a hairdresser or put colour in my hair. I believe this is why my hair is improving. I didn’t spend money on doctors or dermatologists and certainly will never give money to a hairdresser again. I use products with no parabens and sulfates. I hope my post helps; please try not to give up.
If you have hair loss, you have options, like topical treatments, oral medications, red light procedures, to prevent more hair loss.   But, Curtis says,  "The only way to guarantee hair is the transplant."    She says once you find out what's causing hair loss, you and your doctor can decide how aggressively you want to approach the problem.   She says, "I say to patients, 'Here's what we can do to prevent further loss...'  If you say, 'Dr. Curtis, I want hair." Here's what we have to do, we're going to move it from the back to the front, nobody will know, it will look fantastic."
Also, re: the Proscar, I think that it may already be helping some as I think my shedding may be tapering off a bit more. I am losing a few less hairs Per day now. Maybe? I don’t know, but I am trying to stay positive!! I have no real regrowth. Just wisps, extremely fine hair, almost hard to see. Kind of transparent. I am not expecting miracles, but trust me…. THe moment I feel I have any true results to share with you girls, I will definitely be posting them! There aren’t many success stories out here. We need more. I guess people don’t come out here as much if they are experiencing good things w their hair?
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