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Some treatments in development hold particular promise for women. Angela Christiano, a hair geneticist and Columbia University professor of dermatology, is hoping to begin clinical trials in a year or two on a procedure in which she dissects hair-follicle stem cells, grows them in the lab until she has several million, then injects them into the scalp, where, a very small study done with a human skin model has shown, they induce new hairs.
George Cotserelis, MD, is director of the University of Pennsylvania's Hair and Scalp Clinic. He agrees that there's no evidence these alternative hair loss treatments have any effect. "If any of it did work," he says, "I'd be very worried about using that product. The fact that it’s working would mean it's doing something to the testosterone and could be having adverse effects."

Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.
Thank you for such a great article. I have just started notice of my hair fall and want to do something about it. I have seen the Reviews for REGAINE so far, that seem effective. Can you please tell me, are ROGAINE and REGAINE same products ? If not, which one will you recommend ? Also, is there any need to use anything beside with one of the above products ? Thanks for your time,

Once male-pattern baldness starts, it’s not going to stop until every last hair on your head has shrunk or shed, though the rate at which this happens differs from person to person and depends on genetics. And since the grind of hair loss is unending, it’s important to start treatment as soon as your hairline starts bothering you. If you’re looking for a more quantitative metric, Dr. Paul McAndrews, clinical professor of dermatology at the USC School of Medicine and member of the International Society of Hair Restoration Surgery, assures me that “you have to lose half your hair before the human eye can tell.” (Of course, if you don’t care about losing your hair and are fine with going full Prince William and shaving your head, go for it. We’ve got some recommendations for razors and hair trimmers to help you out on that front.)

Alright, review time. Oh boy did this not work for me! I don't want to give this one star just based on it not working for me, I would rather give my story instead. I have always had thin hair. (Thanks Mom and dad!) Two years ago I started taking progesterone (hormones) and my hair started thinning. I stopped after 3 months and My hair continued to thin and never grew back. (Thanks Doc!) Last month I decided to try rogaine after it was recommended by a friend. (Thanks buddy!) That was probably the worst mistake of my life. In two weeks time 50% of my thin hair had fallen out. (I mean every time I would shampoo or brush, handfuls would fall out.) I followed the instructions to a T and prepared myself for the "shed". I had to stop after two weeks when I held a mirror up and could see bald spots in the back. (This isn't good.) After quitting the shedding has continued. (This could stop at any time.) It has now been a three weeks after quitting, and my hair has finally stopped falling out besides the normal hair loss. (Yay!) You can see my scalp through my hair at the top of my head. (Nooo.) The hair that is left up there is hiding bald spots. There isn't a style I can fix my hair into without seeing a bald spot. (Super sad face.) I was slightly depressed going into this about my hair, now I spend all day stressing about other people having to look at it. (I feel like Quasimodo!) So, besides the hair loss my scalp is super itchy, and I now have dandruff. Two things I never really had before. (The story gets even better!) Went to my family doctor. After he had the opportuniy to examine my hair, he said I looked like a chemo patient. (Again, thanks Doc!) I have started taking a vitamin regime of biotin, iron, and a hair-skin-nails pill. I haven't notice any new growth yet. I imagine it will be a while though. To sum up this experience as depressing is an understatement. I have cried many times but that won't bring any hair back unfortunately. (I haven't gone and looked at wigs yet.) To bring this story to an end I would like to say that it didn't work for me personally. If it works for you congratulations!


"The majority of men lose their hair not through stress, or bad diet, or lack of sleep, but through the genetic trait of male pattern baldness which is hard to treat through shampoos or supplements alone. Women lose their hair for very different reasons, but the argument still stands that a lot of the hair loss products on the market are just offering false hope. That said, there are a few that really work."

Hey man this was life saving article for me thank you so much… but I’ve still a doubt on finasteride. I saw many articles on finasteride all were negative about side affects.. My doctor advised me to take finasteride of 2.5mg daily for 90days.. what do you think is it good advice to take finasteride of 2.5mg daily??? I’m too young to lose my sex drive
Minoxidil: This medicine is applied to the scalp. It can stop hairs from getting thinner and stimulate hair growth on the top of the scalp. The U.S. Food and Drug Administration (FDA) has approved minoxidil to treat hair loss. It is the only hair re-growth product approved for men and women. A dermatologist may combine minoxidil with another treatment.
What worked for me was doing nothing about losing my hair and just letting nature take its course. My hair started receding in my early 20s, but only a little, then it stopped for about 30 years. Then in my early 50s my hair started receding and thinning very rapidly again. I panicked until my wife told me she loves bald men and had been wishing I would go bald. She talked me into just letting myself go bald. In less than two years I went from norwood 2 or 3 to norwood 6. I don’t regret my decision to go bald and have no desire to regrow my hair. My wife and I really enjoyed watching my hair recede and thin away. I love being bald and you couldn’t pay me to regrow my hair. In retrospect, I wish I had kept on balding in my 20s all the way to norwood 7.
The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.

If you do decide to start treatment to save your hair, a good place to start is with minoxidil, more commonly known as Rogaine. Don’t expect this hair-loss treatment to create luscious locks; minoxidil is better at slowing down or preventing more loss rather than promoting hair growth. But, according to Dr. Amy McMichael, professor and chair of Wake Forest Baptist Medical Center’s Department of Dermatology, it is effective “if used as recommended, with evidence of improvement seen around six to nine months.” Simply massage the foam or solution into your scalp once or twice daily, and for best results, use a formula with 5 percent concentration.
As everyone ages, hair follicles begin to shrink, leading to thinning hair (or loss of hair density). Unlike hair loss shampoos or hair thickening products that temporarily plump hair from the outside, Rogaine 2% Minoxidil Solution penetrates into the scalp to reactivate shrunken hair follicles, allowing for new fuller, younger-looking hair to regrow. Rogaine is clinically proven to help regrow hair. No topical treatment works faster to grow fuller hair than Rogaine.

Since birth control pills decrease the production of ovarian androgens, they can be used to treat women's androgenetic alopecia. Keep in mind, however, that the same cautions must be followed whether a woman takes contraceptive pills solely to prevent contraception or to treat female pattern baldness. For example, smokers age 35 and older who take the Pill are at higher risk for blood clots and other serious conditions.


Experts say that Men's Rogaine Extra Strength Hair Regrowth Treatment (Est. $45 per 3-month supply) is a good starting place for men, and some women, in the early stages of pattern baldness. Studies show that approximately 90 percent of the time Rogaine at least slows the progression of hair loss and, for many, hair loss stops completely. It contains 5 percent minoxidil, which studies show to be more effective than the original strength of 2 percent (Est. $25 per 1-month supply). Both forms have been approved by the FDA for topical treatment of pattern baldness, but only the 2 percent strength has been approved for women; although, studies suggest that both forms are more effective on women than they are on men. Minoxidil is also available in several generic store brand products.
Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.

The best fix by far for replacing lost hair is a transplant. Back in the day, docs used plugs that resembled cornrows (definitely not natural looking). Today, guys have more options. You can go for “the strip method” where a doctor surgically removes a strip of hair from the back of your head, dissects every hair graft under a microscope, and then plants the individual grafts onto hair-thin areas of your scalp with tiny incisions.
Laser devices: Brushes, combs, and other hand-held devices that emit laser light might stimulate hair growth. These devices might make hair look more youthful in some people. Because the FDA classifies these products as medical devices, the products do not undergo the rigorous testing that medicines undergo. The long-term effectiveness and safety for these devices are not known.

“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.
Hair loss is part of the natural aging process but can also be genetic or caused by a medical condition. It’s crucial to choose a treatment that won’t dry out your hair, will give it volume, and will keep your scalp healthy. If hair loss is caused by hereditary baldness, the FDA has approved minoxidil (Rogaine) at 5%, which is available over the counter. Other hair loss treatments for women contain natural ingredients like tea tree oil and flower extracts. Some products need to be used daily, but others can be used less often. Some take weeks to show results while others help hair growth within days. Some hair loss treatments are more suitable for certain types of hair (dry, oily, combination, or colored).
Again, you’ll want to visit your doctor to get a blood test to check your levels in these vitamins. For example, women who have iron levels lower than 70 nanograms per milliliter are considered deficient. From there, work with your doctor to find an appropriate dose according to your deficiency level. Excessive or unnecessary supplementation can be dangerous.
I will write more later, but this morning, I confirmed that YES this is working. It's totally working. I have new growth all over the "test" area (I was afraid of the dread shed) where I was using it. It's been about 6 weeks. The growth is healthy--these are thick, normal hairs. I tried a bunch of natural stuff before this. I was freaking out, thinking there were wigs in my future. My hair is still falling out a lot, but to see regrowth is such an incredible relief. I just want to put this out there to everyone who is struggling with hair loss, for whatever reason--i don't care what the studies say--this is abundant regrowth. And it's definitely from the romaine. Not crazy about putting chemicals on my head every day, but the stress and worry about my hair was almost definitely more toxic than whatever is in this. No side effects that I've noticed.

Other options include microneedling ($1,200 and up per treatment) and platelet-replacement therapy (also $1,200 and up per treatment), which are usually offered in conjunction. Your scalp will be numbed first so you don’t feel the pinpricks involved in microneedling. They promote hair regeneration by spurring wound healing, and platelet-replacement therapy involves injecting growth factors into those wounds. “Combination therapy typically works better than monotherapy and usually yields results after three monthly treatments,” says Sadick, and should be teamed with an at-home minoxidil treatment.
When it comes to a hair growth shampoo, you have two options: prescriptions or over-the-counter treatments. Prescription shampoos like ketoconazole are anti-androgenetic, meaning they prevent testosterone and dihydrotestosterone (DHT), two hormones associated with hair loss by targeting hair growth at the site of the follicle and helping to interrupt the hormone cycle locally that causes thinning,” explains Dr. Schweiger. “Over-the-counter growth shampoos typically contain amino acids and antioxidants to provide the components to rebuild hair as well as reduce damage and inflammation.”
3. Scalp tonic. Serums with peptides or procyanidins (a class of antioxidants) such as niacinamide can help support overall scalp health and reduce inflammation, which is a major component of hair loss, says New York City dermatologist Doris Day. Try René Furterer Triphasic Progressive Concentrated Serum ($82), Julien Farel Magnifique Delay the Gray Hair & Scalp Serum ($135), or Day’s own Rapid Regrowth Serum ($55) once daily before massaging a minoxidil product into the scalp (there’s no need to wait for it to dry in between). “In addition to being anti-inflammatory,” Day says, “scalp tonics help minoxidil penetrate the scalp better and can minimize potential irritation from it.”
Thank you for such a great article. I have just started notice of my hair fall and want to do something about it. I have seen the Reviews for REGAINE so far, that seem effective. Can you please tell me, are ROGAINE and REGAINE same products ? If not, which one will you recommend ? Also, is there any need to use anything beside with one of the above products ? Thanks for your time,
“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.

The truth is, the amount of propylene glycol in hair loss treatments is not likely to cause any real harm and the FDA has given the chemical approval for many uses. But even though it is safe, we wanted to ensure that our top picks would be as comfortable to use as possible. So when Dr. Khadavi told us that “a third of my patients get irritated from minoxidil products because of propylene glycol,” we decided to cut any treatments with it. In any case, it’s the minoxidil that helps curb hair loss and not the propylene glycol.
Getting Rapunzel-like strands is no easy feat—ask any girl who’s gobbled down countless biotin pills and vitamin E supplements only to be greeted with the same lackluster strands. There are a lot of factors that contribute to hair growth (or lack thereof), but one of the most overlooked is physical stimulation—as in, massaging the heck out of your scalp. Turns out giving yourself a scalp massage using some key natural ingredients can help your hair grow faster and in turn make your strands look more Blake Lively–esque. Or there’s the whole egg-yolk-mask thing. Or why not try a hot oil castor oil treatment? There are plenty of natural treatments that will give you the hair of your dreams—all you have to do is look to your kitchen for the necessary supplies.

The most common kind of hair loss is pattern baldness. It happens when hair follicles shrink and stop working. The first sign is the appearance of strands that are thinner and more fragile. Then the scalp becomes more visible as fewer hairs grow to replace those that shed. That’s because the anagen phase becomes too short for the hair to grow out of the scalp. Plus, the hairs that remain aren’t securely anchored. And this condition happens to both men and women.
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