in clinical studies of mostly white women aged 18-45 years with mild to moderate degrees of hair loss, the following response to minoxidil topical solution 2% was reported: 19% of women reported moderate hair regrowth after using minoxidil topical solution 2% for 8 months (19% had moderate regrowth; 40% had minimal regrowth). This compares with 7% of women reporting moderate hair regrowth after using the placebo, the liquid without minoxidil in it, for 8 months (7% had moderate regrowth; 33% had minimal regrowth).
Retin-A, or topical tretinoin, is sometimes used as a combination therapy with minoxidil for androgenic alopecia. It’s important to use this type of medication under the guidance of your doctor. In some circumstances, tretinoin can actually cause hair loss. Some people who have used it at home report that topical retinol creams, serums, and lotions may make hair loss worse.
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."
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.
That meant new products like Hims and Keeps were out.Hims and Keeps are relatively new companies that allow you to set up a subscription for hair loss treatments. Both offer finasteride (after an online consultation with a doctor) or 5 percent minoxidil. However, their minoxidil solutions contain propylene glycol, so we cut them from consideration.
1. Collagen powder. Preliminary studies suggest that marine-sourced collagen may stimulate hair growth, says New York City dermatologist Yoon-Soo Cindy Bae. Though more research is needed, participants in studies reported thicker hair after three to six months of daily use. Crushed Tonic Original Powder ($105) easily mixes into coffee, tea, and water.
It works. Im on my second three pak. At 6 weeks its scary. You will lose more hair. Then it will grow back. Thicker, in my case with more gray and darker. But lots of healthy shiny hair that is not 'shedding" or coming out in huge amounts. My widows peak has rescinded and my part looks great. Im starting my 5th month. People who know me (because my hair was so thin prior) tell me/ask me if Ive used it. (In a whisper, like its a bad thing. Im like HELL YEAH, cmon, cmon, pull it..it feels great) People who dont know me compliment my thick hair. Get a good haircut and give it three months. Very happy and the best beauty value at 15.00 a month that I can imagine.

Oral supplements can also be effective if the result of the problem that causes the hair loss in the first place. For example, women with a lack of iron or zinc in their diet may have thinning hair. Or persons taking certain medications may not absorb enough nutrients from food to support healthy hair growth. Also, remedies like saw palmetto and Fo-Ti appear to block the production of DHT.
Oral supplements can also be effective if the result of the problem that causes the hair loss in the first place. For example, women with a lack of iron or zinc in their diet may have thinning hair. Or persons taking certain medications may not absorb enough nutrients from food to support healthy hair growth. Also, remedies like saw palmetto and Fo-Ti appear to block the production of DHT.
*all photos are models and not actual patients.If you are interested in a prescription product, Hims will assist in setting up a visit for you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product which you can fill at the pharmacy of your choice.
In clinical studies of mostly white women aged 18-45 years with mild to moderate degrees of hair loss, the following response to 2% minoxidil topical solution was reported: 19% of women reported moderate hair regrowth after using 2% minoxidil topical solution for 8 months (19% had moderate regrowth; 40% had minimal regrowth). This compares with 7% of women reporting moderate hair regrowth after using the placebo, the liquid without minoxidil in it, for 8 months (7% had moderate regrowth; 33% had minimal regrowth).
Our other recommendation is the HairMax Ultima 12 LaserComb. The comb uses low-level lasers to stimulate hair follicles and modulate dihydrotestosterone (DHT) — a hormone that causes the most common type of hair loss. While it sounds like something from a sci-fi movie, the treatment works, and the dermatologists we consulted reported that their patients saw thicker and longer hair when combined with our top pick. The only catch: The comb isn’t as effective as minoxidil treatments, and at nearly $400, it’s a much bigger investment. Still, it’s the best option if you’re looking for a non-invasive, non-chemical treatment.

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.
We probably don't need to tell you this, but any hairstylist will tell you the most obvious way to help your hair grow faster is to ditch your routine of hot tools. (Sad, we know.) The good news? Summer has officially arrived, which makes letting your hair air-dry the way nature intended it to is easier than ever. (I've personally halved the number of times I dry and style my hair per week and have noticed a significant improvement in the length and health of my hair—and so many people have noticed and commented.)
Spironolactone, brand name Aldactone, is in a class of drugs called potassium-sparing diuretics (often called water pills). Spironolactone is typically used to reduce fluid in your body without causing the loss of potassium. It is also used to treat potassium deficiency, high blood pressure (hypertension), swelling (edema), and a hormonal disorder called hyperaldosteronism.

Stay away from tightly bound styles, like braids, buns, or ponytails. Resist twisting or rubbing your hair. And gently wash or brush hair, switching to a wide-toothed comb if necessary to prevent too much pulling at the roots. Hot rollers, curling or straightening irons, hot oil treatments, bleaching, and other chemical processes are other things to avoid.


Sure, you can easily pop a hair growth supplement, but honestly, the word's still out on whether or not they're an effective way to help your hair grow faster. Plus, they can contain unnecessary large amounts of minerals and vitamins (ahem, biotin) which can actually wreak havoc in other ways (ahem, breakouts). Thus, eating your way to longer hair is actually a smarter, nutritionist-approved way to make your hair grow faster. Vitamins and minerals occurring naturally in foods are easier for your body to utilize, and they'll naturally deliver a healthier ratio of nutrients—just the way Mother Nature intended. 
Thank you. This has been the most helpful article I have read! Very much appreciated! Last question (I won’t bug you with anymore after this) . . . I was tested by my doctor and came out perfectly healthy so it is either stress or MPB. My job is extremely stressful so it could be that but I have no way or knowing for sure. As such, do you think there is any harm on me taking finasteride even if it isn’t MPB and is just stress? I suppose if the medicine didn’t work, I would know it was stress and not MPB. Also, I assume this is something I would continue to take for life right?
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. 
Castor oil is the unsung hero of the hair world—you might even be tempted to ditch your coconut oil for it after reading this. First of all, castor oil has antifungal and antibacterial properties to help combat scalp infections that prevent your hair from growing. Second, it’s filled with omega-6 fatty acids, vitamin E, proteins, and other nutrients that can penetrate your parched strands and seal your hair shaft to retain moisture. Thirdly, it makes an amazing hot oil treatment—massaging the oil into your roots will help your scalp drink up all of the nutrients and help promote hair growth.
Cyproterone acetate is not available in the U.S. Doctors consider it one of the last resorts for treating female pattern hair loss because of its possible toxicity and long-term side effects. As with any drug, side effects other than those listed on the package may occur. Contact your doctor if you notice a side effect that is unusual or particularly bothersome.
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.
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During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.
The good news: Hair transplants don't look like dolls' hair anymore. The bad news: You won't be able to go anywhere to show off your new 'do because you'll be broke. The average recipient of a follicle transplant receives several thousand grafts -- strips of hair removed from bushier parts of the head -- at a cost of several thousand dollars. The cost continues to mount when patients come back for added thickness over the years.
Finally, if these tests come back normal, your dermatologist may suggest a scalp biopsy of a couple of two-millimeter sections taken from your scalp under local anesthesia ($400 and up). It can determine whether genetic hair loss, telogen effluvium (a condition in which hair falls out from stress or rapid weight gain), or a disease (such as lupus) is the cause of your shedding, and your dermatologist can treat you accordingly.
Hi, great article. I have an aggressive form of MPB. I am 23 year old with a NW2 hairline, diffuse thinning over the top and crown. Been on 5% Minoxidil and 2% Keto for about 9 months. Went through a period of shedding which has reduced somewhat in the last couple of months. I don’t see any appreciable increase in density anywhere but I do see plenty of thin vellus hair at my hairline. I am waiting for the 1 year mark to see the full effect of this regime. Is there like a test you can do to assess hairfall? Or do we just have to count the hair lost in the shower? Do you reckon I should start the Fin to hold on the the hair I have? Like most guys (actually a bit more than most guys seeing that I am young) I worry a lot about being in the 2% who experience disastrous sides from Fin. I do plan to check my DHT levels before I start, if I do at all, to see if I naturally have high/low DHT. That should tell me what to expect, to an extent.
The first robot designed to help surgeons perform a portion of the hair transplant procedure recently became FDA approved. Called the ARTAS Robotic-Assisted FUE System by Restoration Robotics, it’s an image-guided robot with micron-level precision that harvests up to 1,000 hair grafts per hour – which has made hair transplant surgery even more accurate and efficient.

There are many potential causes of hair loss, including medical conditions, medications, and physical or emotional stress. If you notice unusual hair loss of any kind, it's important to see your primary care provider or a dermatologist, to determine the cause and appropriate treatment. You may also want to ask your clinician for a referral to a therapist or support group to address emotional difficulties. Hair loss can be frustrating, but recent years have seen an increase in resources for coping with the problem.
"I recommend that everyone [with any hair loss] take finasteride," says Robert M. Bernstein, MD. Bernstein is associate clinical professor of dermatology at Columbia University and founder of the Bernstein Medical Center for Hair Restoration. "To patients who are younger,” he says, “I also recommend minoxidil. But the mainstay is finasteride. The data show that, over five years, it significantly retards hair loss in 85% of users."
I have always had fine, thin hair but just recently I've become very self-conscious about my scalp showing. I'm only 26 years old and thought this was not the age I should start balding! I've tried everything - Biotin, Viviscal, any type of hair growth supplement. Yes, these supplements supported hair growth but they did not support hair re-growth like Rogaine did. I've been using Rogaine religiously for three months now and I swear by it. I think the pictures do this product justice. Thanks Rogaine!
"There's never been a single study to show they work," Bernstein says of the alternative remedies. "It's conceivable that some might have some minor impact. But the real problem is that people waste valuable time experimenting with them when they'd be much better off spending their money on something proven to work. The window for Propecia passes, and if you've spent two years with this herbal thing instead, that can make a big difference in the results you ultimately get."
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.
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