“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.
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.”

In February, though, Ms. Telford, 46, flew from her home in London, Ontario, to Sarasota, Fla., for a new $1,400 hourlong treatment known as platelet rich plasma (P.R.P.), which is said to stimulate dormant hair follicles. The procedure involves drawing blood, spinning it in a centrifuge to extract the plasma, adding various nutrients (like more protein), then injecting the resulting mixture in one-inch intervals in a grid on the top of the scalp, which has been numbed with a local anesthetic.
Just letting go is possibly the most challenging of the available options. It’s also the cheapest and ultimately the most effective in the struggle with hair loss. Given the imperfections of surgical, medical, and technological options, there are many who advocate simple acceptance. (BaldRUs.com is one of several sites devoted to embracing the scalp's natural fate.) What's more, the health benefits of happier mirror time -- and fewer years of harmful anxiety -- just might offset the loss of those Samson-like powers.
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."
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.
Domen, I was reading some articles and also the links you’ve provided in your other comments above – they say both Finesteride and Minoxidil only check further hair loss and thicken existing hair – but both can’t re-generate hair that’s already gone from bald spots. I guess the effectiveness of these 2 medications are quite proportionate to age of the native! At 42, I guess, I am old 🙁 Atleast according to Indian standards!!
Instead, you may want to add vitamin D (about $15) to your shopping cart. A vitamin D deficiency can exacerbate hair thinning and make it almost impossible for any over-the-counter product to reverse hair loss, says Dhaval Bhanusali, a dermatologist in New York City, who recommends taking 5,000 international units of D3 a day (and it’s generally beneficial for bone health in women over 40). “There’s also a link between low iron and zinc levels and temporary hair shedding, called [telogen] effluvium,” says Rogers.
Although unwanted hair growth has been reported on the face and on other parts of the body, such reports have been infrequent. The unwanted hair growth may be caused by the transfer of minoxidil topical solution 2% to areas other than the scalp, or by absorption into the circulatory system of low levels of the active ingredient, or by a medical condition not related to the use of minoxidil topical solution 2%.

Great article thx!! I’m 38 and still have a full head of hair but I started to shed about 3 months ago. Typically ~15 hairs on my pillow when I wake up and 20 or so hairs on my hand after I shower. I also notice hairs on my desk during the day. I never noticed any hair loss before 3 months ago. I started to use rogaine 5% twice a day about a month and a half ago and the shedding accelerated. I read that is normal but should it still be doing this after 1.5 months? I haven’t tried propecia yet as I want to see if Rogaine will do the trick but will if the shedding doesn’t stop. Also, do you think stress can play a part in hair loss? I started a super stressful job about 6 months ago so thinking my hair loss could be related to that.
You can maximize your results from minoxidil by dying your hair after two to three months of treatment. Minoxidil tends to create very fine hairs at first, and dying the hair increases the contrast between the hairs and the scalp, making the new hair growth area look denser. This is one common technique in before/after photos for hair loss treatments.

These anti-androgenic effects can be used to help treat hair loss. Nizoral shampoo contains 2% ketoconazole and is prescribed not only for the treatment of scalp conditions, but also in combination with other treatments for androgenetic alopecia. A 1% version is now available over-the-counter, but it may not be as effective as the 2% prescription strength. There are no significant side effects.


There are lots of diverse methods of getting your hair back and acquire your self-confidence back in the procedure. Be gentle as you rinse your hair. After that, you can rinse your hair thoroughly beneath the shower. Most importantly, you have to learn how to watch over your hair and select the perfect hair regrowth treatment which is best for you. Because of this, after your hair has regrown as a result of the Bhringraj hair oil, it will be strong enough to remain healthy for longer. An excessive amount of hair on the body may be the good source of embarrassment for men.
I had a fue hair transplant on top of my crown where I had started thining a lot so it’s been over a year now and I look the same before my hair transplant my surgon said give it a year buts its the same if not worse. I started using 5% minioxodil generic version and not notice any growth it has been a month twice a day application. I don’t want to take any tablets either
As the name suggests, androgenetic alopecia involves the action of the hormones called androgens, which are essential for normal male sexual development and have other important functions in both sexes, including sex drive and regulation of hair growth. The condition may be inherited and involve several different genes. It can also result from an underlying endocrine condition, such as overproduction of androgen or an androgen-secreting tumor on the ovary, pituitary, or adrenal gland. In either case, the alopecia is likely related to increased androgen activity. But unlike androgenetic alopecia in men, in women the precise role of androgens is harder to determine. On the chance that an androgen-secreting tumor is involved, it's important to measure androgen levels in women with clear female pattern hair loss.
Am an Af/Am women 49y.o. almost 50 in a week. Anyway, last april, I removed a weave and saw that around the perimeter of my hairline the hair was so thin, it was virtually bald. I presumed it was due to the weave rubbing against my fine hair; but I later reviewed pictures over the past 8 years and saw how my hair had progressively thinned. My sister and mother confirmed that despite my youthful appearance, the hair thining was likely genetic. I am a can do kinda girl so I sought options. Was evening considering hair replacement "Bosley-style". Long story a little shorter, I boutht this Equate Hair Regrowth after reading just about all of the reviews. Worse thing that could happen was NOTHING, so I would be exactly where I was...thining disappearing hair at the edges. I have used the Equate Hair Regrowth since April 2013 and the hair has regrown around the perimeter and I couldn't be more pleased. I bought for my elder sister 56 y.o. and she had significantly more hair-loss, almost bald edges in fact; now she too has experienced regrowth and was so pleased she recommended it to my mother 74 y.o. and I bought it for her also (she will start applying by the end of the week). Highly recommend this product and note that I have also been taking biotin supplements since April 2013. So, buy Equate Hair Regrowth and biotin for best results. Price can't be beat. Excellent

If you think over-the-counter hair loss shampoos are for you or just want to promote growth and strength, Dr. Schwieger recommends formulas with antioxidants such as vitamin E and ginseng, amino acids, and B-vitamins to help rebuild hair and reduce environmental damage. She cautions against those with parabens, sulfates, and fragrances, which can irritate hair and reduce moisture. Ahead, eight vetted hair loss shampoos to try.
I’ve looked into taking finasteride. My father was prescribed it about 30 years ago for some minor prostate issues. After taking it for a year he said it had no effect on his hair regrowth. Do you think since it had no effect on my father, it will not effect me? I’m just a bit worried about giving it a shot after reading articles like this https://raypeatforum.com/community/threads/finasteride-causes-physical-damage-to-nerves-depression-ed-steroid-imbalance.16979/#post-230383
The dermatologist also will carefully look at your scalp and hair. During an exam, the dermatologist may pull on your hair. Sometimes a dermatologist needs to pull out a hair to get the necessary evidence. And sometimes a dermatologist needs to look at the hair on the rest of your body to see whether there is too little or too much hair in other areas.

Help hair loss and regrow fuller hair with Women's Rogaine 2% Minoxidil Topical Solution. Ideal for use at the early stages of hair thinning, this fast-working hair loss treatment is specially formulated for women and is clinically proven to regrow up to 25% more hair. Unlike hair loss shampoos and hair thickening products that temporarily plump hair from the outside, Rogaine penetrates the scalp to reactivate shrunken hair follicles. The 2% Minoxidil formula works to boost hair follicle activity and hair protein production, allowing for regrowth of hair. This women’s hair regrowth treatment comes in a topical solution that is easy to use: Simply apply 1 milliliter directly to your scalp twice daily and massage it through your hair. And like all Rogaine products, this thinning hair treatment is designed to fit easily into your daily beauty regimen.
2. High-tech regrowth therapies. Laser treatments ($200 and up) expose hair to low levels of laser light, which boosts hair growth by increasing the amount of adenosine triphosphate (ATP) in hair follicles. ATP provides energy to hair-follicle cells, so the more of it that’s around, the more energy hair follicles can use to grow your hair. Sadick says three months of weekly sessions are best when you’re kick-starting a hair-loss treatment.
A few studies support the use of red ginseng, sometimes called panax ginseng (about $25), for hair regrowth. It can have an anti-apoptotic effect on the hair, Rogers says, meaning it slows cell death so hair follicles can grow for a longer period of time. But before taking any of these supplements, it’s important to consult your doctor; a lab test can confirm whether you need a particular supplement or if taking it will just be a waste of time and money.

Hair loss is no joke. People suffering from hairless often loose their self confidence. However, with the help of modern medicine, it is now possible to fight back. We hope that one of these products helps you in not only preventing hair loss but also to regrow your lost hair. So, what are you waiting for? Get one of these products and bid baldness adieu!!


Then when you’re shopping for a solution take the time to read the label, the instructions, and the reviews. We know that there are lots of fake reviews out there because we see them too. Stick to products from well-known companies and use sites like Fakespot to help you weed out the scams. Of course, a recommendation from a person you trust is a big help, too.
Taking hair supplements can be helpful for anyone who is experiencing hair loss or hair thinning. Dendy Engelman, MD, a board-certified dermatologic surgeon at Medical Dermatology & Cosmetic Surgery in New York City, previously recommended Nutrafol, a research-backed hair supplement, to Prevention. "This uses highly concentrated botanicals to address every stage of the growth cycle," she says. Nutrafol's hair supplements include vitamin E and ashwagandha (an adaptogen that helps balance cortisol levels in the body), among others.
So I usually don't do reviews but other pops reviews have helped me make better buying decisions & I had to share mine as well... So I bought this equate stuff 2 wks ago. I bought my fiancé the men's one & I got the womens. I lost my edges due to yrs of weave & chemical damage. I did the BIG CHOP 2 yrs ago and now I am natural kinky curly 4c type of hair. My fiancé is balding in the front of his head & the middle. We have tried everything from: MegaTek horse shampoo Bosley hair stuff Nioxin hair stuff Massaging scalp with castor oil Etc This list goes on...so i decided that we try this one last thing before giving up So I also bought us both a derma roller for our scalp We started this equate treatment two wks ago and our hair is already growing in!!! What we did it derma roll our scalp every day or every other day Then apply the equate on our scalp twice a day like the box says Then let it dry Apply black castor oil to the scalp and massage it in Use a leave in conditioner Then wrap our heads at night with silk scarf Try this maybe it will help someone else cause it's working and helping me !!! Buy this stuff it's so worth it & not too pricey compared to other brands! Thank me later lol

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.”
Coming in at number 10 is a topical solution of 2{fb6dbafde8b07077c47190f01cc66a00f2a1889c1c1e7dc76005cbe93156625a} minoxidil. Minoxidil promotes the blood flow in the roots of the hair and promotes the regrowth of new and shiny strands of hair. Applied twice a day, the solution does have some good results. The formula is unscented and does not leave any residue so that you can confidently wear it while you are out and about as well.
Many physicians recommend that patients engage in a combination therapy that includes minoxidil and Propecia (Est. $75 per 1-month supply) with prescription. Propecia is an oral medication with finasteride being the active ingredient. Finasteride was originally developed by Merck to treat enlarged prostate glands. Excess hair growth was a surprise side effect of the drug and led to the development of Propecia, which was approved by the FDA for treatment of male-pattern baldness in 1997. It has not been approved for women.
“We’ve all heard the old wives’ tale that a guy’s hair is based on their mother’s father. That’s sort of true, but it’s not,” said primary care physician Dr. John Hong. “It’s really the total number of guys in your family that have male pattern baldness that will affect your risk, particularly your dad. If your dad is bald, you’re more likely to be bald.”
Viviscal is a natural hair-growth supplement that promotes hair growth in people with thinning hair. It contains a marine complex known as AminoMar C. This is made of minerals, vitamins, and shark and mollusk powder. These ingredients help to regenerate new cells and strengthen existing cells. You have to take the pills twice a day for at least six months in order to see results. Viviscal also makes a shampoo and conditioner.
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Use dropper to apply directly onto scalp on the top and/or crown of head each morning and evening. Apply to towel dry or dry hair (does not need to be freshly shampooed). Allow one to two minutes to dry before applying other treatments or styling products (may apply other treatments, leave-in conditioners or styling product after applying Regrowth Treatment), style as usual.

What is your opinion on laser combs? I went to the Men’s Club yesterday and they recommended I spend ~$800 to buy a laser band, comb or hat. What is your opinion on how those work? Sounds like snake oil to me. They also recommended I go to my dermatologist to get a prescription to reduce sebum in my hair. I have been on Fin for 11 months, Minox foam 1x/day yet hair shed hasn’t stopped. I do have a prescription for Ketoconazole shampoo but rarely use it. I read in your article that this shampoo does help with Sebum build up so I will try that. Any other recommendations for sebum reduction?
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.

A few studies support the use of red ginseng, sometimes called panax ginseng (about $25), for hair regrowth. It can have an anti-apoptotic effect on the hair, Rogers says, meaning it slows cell death so hair follicles can grow for a longer period of time. But before taking any of these supplements, it’s important to consult your doctor; a lab test can confirm whether you need a particular supplement or if taking it will just be a waste of time and money.


There are several different types of medication you can buy to help treat hair loss. Procepia and Finasteride are currently the only approved drugs you can take that will effectively treat hair loss. The active ingredient in both treatments (finasteride) works by blocking DHT (the male hormone dihydrotestosterone) that causes hair loss by shrinking hair follicles on your scalp. It has been proven to lead to hair regrowth or to stop hair loss in around 9 out of 10 men in clinical trials. 
Nizoral should be used in conjunction with finasteride and minoxidil. Don’t use it on its own and expect to see immense results. In the “Nizoral studies”, men with MPB who were using Nizoral lost significantly fewer hairs over the months compared to those who weren’t. Don’t expect to regrow hair using it, but rest assured you hair loss progression is slowed down.
Although unwanted hair growth has been reported on the face and on other parts of the body, such reports have been infrequent. The unwanted hair growth may be caused by the transfer of minoxidil topical solution 2% to areas other than the scalp, or by absorption into the circulatory system of low levels of the active ingredient, or by a medical condition not related to the use of minoxidil topical solution 2%.

I agree everyone should at least try Finasteride to see if they experience side effects, personally I tried it and it gave me side effects even taking 1/4th of a pill, I also tried avodart and wow that REALLY gave me side effects, it gave me retrograde ejaculation, some ppl are just sensitive to androgen suppressors, if you are then your best bet is to stay away from anything that suppresses your androgens, your hair loss may suffer from this though. Currently I’m on lipogaine and Nizoral, I throw in Emu Oil too, I’m going to give the dermaroller a chance. You can still fight hairloss without Finasteride, give it a chance if you experience sides come off of it immediately, weigh the pros and cons, obviously my sex life is more important than hair so I chose to come off of it, but not everyone will experience side effects like I did.
“I think their effectiveness is not as significant as finasteride or minoxidil,” says Dr. Wolfeld, “however, it’s something that can be used quite easily by patients at home. If they use it two or three times a week, I tell them it can help to thicken their hair.” Results can take up to 18 months to show up, so Dr. Wolfeld stresses that patience is a virtue.
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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