Testosterone replacement is becoming popular for men. Cotsarelis warns that this may accelerate hair loss. Propecia might help -- but because it prevents testosterone breakdown, it might affect the dose of male hormone replacement therapy. Cotsarelis warns men taking both Propecia and testosterone replacement to make sure their doctor carefully monitors their testosterone levels.
I was searching the internet and came across this wonderful site. I really appreciate you posting this article. I have always had a small bald patch on one side of my head. My mom told me it had always been there so I didn’t worry about it. Recently it has been getting larger and the hair around it is getting lighter. On the other side my hair is thinning and the color and texture is changing. It also seems to be falling out. I have excessive hair loss on a regular basis. I am only 24 years old and I can’t stand that my hair is falling out. I went to the dermatologist and he gave my injections but they didn’t work. He said I have alopecia areata and that the other side was a normal receding hairline. (He barely even looked at it) He then told me after the injections weren’t working to try Rogaine. I think it might be helpful to see an endrocrinologist as I have also been having problems with anemia. Again, thank you so much for the information you have provided.
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.
Men’s Rogaine Extra Strength Solution is the liquid version of our top pick. It didn’t make our final cut because it includes propylene glycol, which causes irritation in roughly one-third of its users. With that said, Dr. Wolfeld finds that it can be even more effective in practical daily use. In his experience, “the solution can penetrate and get into your scalp a little bit better” than the foam — especially if you’re not taking the time and effort to apply the foam correctly. This seems crazy to us since the foam so quickly dissolved into a liquid in our tests, but if you’re worried, try a one-month supply of the liquid and make the switch to foam if you notice any irritation.

Shedding is never fun — just ask my vacuum cleaner. It’s even less fun when you realize the golf ball size bits of hair you’re tugging out of the roller came from your own head. Oh, the horror! As we get older (yes ladies, this is for you too) our once glorious crown of healthy hair can become brittle, or even worse, be genetically predisposed to jump ship, leaving our poor, bald heads to fend for themselves.
“There’s people selling pills and creams and lotions and whatever else, and sometimes you can’t even trust what ingredients they have in there,” he warned us when we spoke to him over the phone. Key takeaway: The hair loss industry is crazy dishonest, so we eliminated any treatments (especially homeopathic methods) that aren’t based in concrete, peer-reviewed science.
I just began reading this post this evening. My hair loss began when I was 18, currently 29. No bald spots, but it just keeps getting thinner and thinner and thinner. I have been to many doctors as well. Every PCP and family doctor have been of no help. After four dermatologists I have given up on that as well. I went to Hans Wiemann (in the St. Louis area) that offers laser treatments and hair transplants. The whole appointment was such a sales pitch that I was so aggravated and felt worse by the time I left. I have also tried an herbalist, chinese medicine, and a nutritionist/chiropractor. I try not to think about it, I really do, but let’s face it, that’s about impossible. I know my problem is NOT genetic, everyone in my family has a full head of hair. I’m healthy in terms of exercise and diet, I don’t take any medications, smoke, or drink. None of the doctors have ever found anything with blood work or urine samples. If anyone can suggest a doctor, specialist, anyone that can help in the St. Louis or Chicago area, PLEASE do let me know. 

I am on Arava and my hair has become extremely coarse, frizzy, and tight tight curls in the back. The sides of my hair are pure frizz and the top is straight, with frizz. It used to be smooth and so easy to manage. Now it takes so long and it looks awful. Anyone find the same thing and anything that helps? I have tried so very many hair products, so has my beautician. She says it is like I have 3 completely different textures on my head.

I’m going to see an endocrinologist, a trichologist, a hematologist and a gastroenterologist and maybe this Dr. Redmond. I’m done with ‘hair loss experts’ pushing cosmetic surgery and trying the all around approach. My insurance is crap, but….Anyway, thanks all for your stories and knowing I’m not alone in hair loss and the fight against disinterested medical establishment. xxx
Speaking of a new style: Don’t choose one that’s so high maintenance that it needs to be heat styled daily—the damage you’ll do with too much hot tool usage can leave strands damaged and fried, and breaking before it can grow to a certain length. Plus, thinner hair tends to break easier, so you want to avoid any extra damage-inducing practices at all costs. Make a conscious effort, too, to brush more gently, and use a moisturizing and reparative hair mask to hydrate hair and nourish the scalp—where hair gets most of its strength. 

I got really sick at the age 40, 2 years after my second child was born,I started losing weight,I went from 54kg down to 47kg,my skin was splitting on the backs of my legs,both my hands,I had blisters up my arms ,on the tops of my feet,migraines that would have me vomiting none stop for ten hours,then only to sleep for 2 days to recover,no doctors were interested,I saw 8 and they all wanted me on anxiety medication because I was going through a break up that was there answer to the way I was feeling.No one wanted to listen to me.Almost feeling like
Okay, on the latter side if things, I would like all to know that with or without hair you are all beautiful. I don’t know you but I know what I have read about you and you all seem so courageous. I know how much it hurts to see so much of our hair falling out or gone but we have to be strong and realize that it is not the hair that is going to make us but our hearts. Diana, please stop stressing so much. Stress is the number one killer. My father always tells me that I worry so much but he constantly reminds me that if I was to leave this world who will be here to take care of my babies? Find happiness and comfort in God. Seek answers by praying. My prayers will and have been answered and they keep continuously getting answered…because without my prayers I would not have come across this website.
Finasteride inhibits an enzyme that converts testosterone to DHT, or dihydrotestosterone, the hormone that causes hair loss in men, and unlike minoxidil, this drug can actually help hair grow back, as well as prevent further loss. All you have to do is take one pill a day, and according to Dr. Evan Rieder, dermatologist in the Ronald O. Perelman Department of Dermatology at NYU Langone Health, two-thirds of men taking this treatment will see improvements in hair density over time.
Thank you all for sharing your stories. I have various health issues including arthritis of the spine, GI problem and Poly ovarian cyst syndrom… I had exetremely thick and full hair all my life 5yrs ago my hair started falling out in huge clumps all day long so much so that I leave huge hair balls under my desk at work… I also have sjordren syn. When I first went to my family doctor he told me it was because of my high stress job… I said that I did research on the internet and that all my conditions were supposed to be linked to hairloss he was mad and said why did I come to him if I had all the answers… I have been to 2 dermos who said its nothing. I went to the only endocrinologist in a 100 plus mile radius of my home who was taking new patients who said that there is nothing wrong with me and that if I cared about my health as much as my hair loss I would loss weight ( I know I not skinny but…) he did not even LOOK at my tests when he came in he said we didnt get your urine samples results back. I said that I went 3 weeks ago. He then said oh here they are… but did not even look at them before his fat comment… since I do not want to swear on here I will just say “jerk”. I cried the whole way home. I went back to my family doc and saw the PA because it seems he is sick of me. Again among other sympt. my hairloss is getting worse… the PA’s answer “yea that’s pretty bad.” (wow I’m paying for this advice ) She brought me back samples and said this should help. it was an anti depressant….I said I am not depressed I am upset that everyone can acknowledge my sympt. but no one seems to be able to help my. My arthritis doctor ran tests only to shut me up and said my folate levels were fine so it had to be stress… not their problem. I came from my 3rd gyno today who said now since my cysts were gone and my test. levels were normal that I can’t have children anyhow then I shouldn’t worry about hairloss… no advice whatsoever about the diease less than 5 mins. $400.00 40 mile trip another day of work gone. This doc. did even think I should be concerned that I cannot get preg. or my pain (so it does not surprise me about the hairloss) I said is there anything else that can cause my hair to fall out besides test. levels he said not gyno related…. He said if you like we can test you again in three more months. I would give up but I know it is not something just in my head or even just a cosmetic problem…. I feel sometimes they just want to milk my insurance dry my running the wrong test so they can keep charge you for the expensive stuff instead of working on a cure for you. The worst maybe is that my family and friends are also sick of me and think I just like attention. From your post I looks like a lot of have similar health and experiences. Although I am very upset I am glad be able to vent to people who also my have be treated like hypocons… and armed me will more info.
The characteristic finding of alopecia areata is one or more well-circumscribed areas of otherwise normal, hairless skin in hair-bearing areas. Occasionally, it may be necessary to biopsy the scalp to confirm the diagnosis. Other findings that may be helpful are the appearance of short hairs that presumably represent fractured hairs, short thin hairs, and gray hair growing in a bald area. Other causes of hair loss are generally excluded from the consideration by history and clinical evaluation.
Triamcinolone acetonide (Kenalog), 0.1 mL diluted in sterile saline to 10 mg per mL, is injected intradermally at multiple sites within the area to a maximum dosage of 2 mL per visit.6 The main side effect, atrophy, can be minimized by not injecting too superficially and by limiting the volume per site and the frequency of injection (no more often than every four to six weeks).6 Because spontaneous resolution often occurs in patients with alopecia areata, assessing treatment response can be difficult. Intralesional steroids should be discontinued after six months if no improvement has been noted.
I was searching the internet and came across this wonderful site. I really appreciate you posting this article. I have always had a small bald patch on one side of my head. My mom told me it had always been there so I didn’t worry about it. Recently it has been getting larger and the hair around it is getting lighter. On the other side my hair is thinning and the color and texture is changing. It also seems to be falling out. I have excessive hair loss on a regular basis. I am only 24 years old and I can’t stand that my hair is falling out. I went to the dermatologist and he gave my injections but they didn’t work. He said I have alopecia areata and that the other side was a normal receding hairline. (He barely even looked at it) He then told me after the injections weren’t working to try Rogaine. I think it might be helpful to see an endrocrinologist as I have also been having problems with anemia. Again, thank you so much for the information you have provided.
^ Martinez-Mir A, Zlotogorski A, Gordon D, Petukhova L, Mo J, Gilliam TC, Londono D, Haynes C, Ott J, Hordinsky M, Nanova K, Norris D, Price V, Duvic M, Christiano AM (February 2007). "Genomewide scan for linkage reveals evidence of several susceptibility loci for alopecia areata". American Journal of Human Genetics. 80 (2): 316–28. doi:10.1086/511442. PMC 1785354. PMID 17236136.
*All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist.
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“The most common cause of hair loss in both men and women is androgenetic alopecia, which is genetic pattern hair loss,” explains Dr. Michael B. Wolfeld, a board-certified plastic surgeon and an assistant clinical professor of plastic surgery at the Icahn School of Medicine at Mount Sinai Hospital in New York. The root cause of this type of hair loss is dihydrotestosterone (DHT), a byproduct of testosterone that shrinks certain hair follicles until they eventually stop producing hair.
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