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Your Comprehensive Guide to Oral Dutasteride

If you’re experiencing male or female pattern baldness, your dermatologist probably recommended a Dihydrotestosterone or DHT blocker. There are a few different types that you may have heard about. Finasteride was the first DHT blocker on the market and the oral version is FDA approved for male pattern hair loss. Dutasteride is a newer medication that’s often used off-label to treat hair loss. If you’re unfamiliar with Dutasteride as a primary ingredient in hair loss treatments then you’re in the right place. We’re going to share everything you need to know about oral Dutasteride in this comprehensive guide and how it can help you achieve successful hair growth.

Dutasteride is a DHT Blocker

Let’s start with the basics. Both men and women have an enzyme called 5-alpha reductase in their liver and skin. It can also be found in men’s prostates. The enzyme is responsible for converting Testosterone produced into dihydrotestosterone (DHT). Healthy levels of DHT are needed to support sexual development in both men and women. When a person’s DHT level gets too high during adulthood, however, it can cause prostate enlargement in men and hair loss in both men and women. High levels of DHT shrink the hair follicles and shorten the hair growth cycle resulting in hair loss.

Dutasteride is Designed to Prevent Hair Loss

DHT blockers like Dutasteride prevent Testosterone from converting into DHT in th

e first place. When production is inhibited, the amount of DHT that can attach to your hair follicles is significantly reduced, limiting the effects on your scalp.

Dutasteride is a Newer DHT Blocker

Finasteride was the first DHT blocker on the market in 1992. Dutasteride was developed a few years later and patented in 1996. The medication was marketed to treat benign prostatic hyperplasia, another name for enlarged prostates, under the brand name Avodart. In 2015, Dutasteride’s patent expired, making the medication more widely available. Although Dutasteride is not FDA approved for treatment of male or female pattern hair loss and is used off-label in the United States, it has been approved in South Korea since 2009 and Japan since 2015. At Happy Head, every formula we create is thoroughly tested and found to have effective results by our board-certified dermatologists.

Finasteride and Dutasteride Both Treat Androgenetic Alopecia, but Work Differently

Like Finasteride, Dutasteride inhibits 5a-reductase (5AR). The difference is the number and types of enzymes inhibited. Finasteride selectively inhibits the Type 2 isoenzyme, and Dutastride inhibits both Type 1 and 2. A research study published in the National Library of Medicine on 576 men confirmed that Dutasteride is an effective option for men who don’t respond well to Finasteride. So if you’ve tried Finasteride before without success, just let your Happy Head dermatologist know and they’ll find an effective solution for you or craft one from prescription-grade ingredients just for you.

Is Dutasteride Stronger

Than Finasteride?

According to research findings, Dutasteride is a stronger ingredient. In one study on men with Androgenetic Alopecia (male pattern baldness), Dutasteride improved hair growth by over twelve percent after 24 weeks, compared to just seven and a half percent in the group that took Finasteride. However, anecdotally, some dermatologists find that while some patients respond better to Dutasteride, other patients achieve better results with Finasteride. It’s difficult to predict which medication will work better without trying each.

Dutasteride Has Long-Lasting Effects

Dutasteride remains in your system for a long time after the medication is stopped. It can be detected for up to four to six months after your last dose. In comparison, Finasteride only lasts in your system for five to eight hours.

Why Not Try Dutasteride First?

When prescribing medications for genetic and other types of hair loss, dermatologists often start with lower strengths and dosages and bump up to higher ones as needed. The system gives you the most effective formulas at the lowest possible dosages to help avoid side effects. After all, Finasteride, which is usually used as a first-line treatment, effectively treats many patients experiencing male and female pattern baldness. Some people never need another DHT blocker. There are times, however, when Finasteride doesn’t do the trick. In those cases, Dutasteride is often prescribed next.

Are Side Effects Common with Dutasteride?

DHT blockers can cause sexual side effects, such as decreased libido and erectile dysfunction, so some people, especially men, may be hesitant to try them. The truth is that side effects due to Dutasteride are not typical, and most people do not experience them. According to a study from the National Library of Medicine, eighty-five percent of men who use DHT blockers don’t experience any side effects. Side effects usually dissipate over time after the medication is discontinued.

What Conditions Does Oral Dutasteride Treat

Dutasteride is most often prescribed to treat male and female pattern hair loss, also known as Androgenetic Alopecia. The condition is genetic and occurs when an overproduction of DHT attacks the hair follicles. Dutasteride stops the flow of DHT to prevent further hair loss and allow new hair to grow. Oral Dutasteride is also prescribed for conditions such as frontal fibrosing alopecia and as appropriate for other forms of alopecia.

How Long Will It Take to See Results?

Oral Dutasteride may start working immediately, but it will take approximately six months to a year to see a noticeable difference.

Can Oral Dutasteride Be Combined With Minoxidil and Other Hair Loss Treatments?

Not only can Dutasteride be combined with Minoxidil, but it is also recommended. The two medications work differently and together can maximize your hair growth. Here’s how. When people experience androgenetic alopecia, the hair follicles shrink, resulting in shorter and thinner hair. Over time, the hair follicles can completely close, so that hair will no longer grow. Dutasteride blocks DHT from shrinking the follicles, and Minoxidil enlarges the hair follicles, allowing thicker, healthier hair to emerge.

How to Get Oral Dutasteride

Oral Dutasteride is only available by prescription and should be taken under the supervision of a licensed dermatologist. Be sure to follow-up as recommended by your doctor. As with any medication, Dutasteride should be monitored regularly.

If you have been diagnosed with male or female pattern baldness and are interested in learning more about Dutasteride, Happy Head can help. Not diagnosed for hair loss but feel like you’re losing hair? You can get a FREE consultation with our board-certified dermatologists and get prescribed the treatment you need online by taking our quick questionnaire here and telling us about your hair. We have licensed dermatologists available in every state to answer your questions and determine whether Dutasteride is right for you. We also help make Dutasteride affordable, whether or not you have insurance. Use code GOHAIR for 50 percent off of your first order.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388756/

(02) Khandpur, S., & Suman, M. (2014). Dutasteride improves male pattern hair loss in a randomized study in identical twins. Indian journal of dermatology, 59(6), 630-633. doi: 10.4103/0019-5154.143571

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023004/#:~:text=Sexual%20adverse%20effects%2C%20such%20as,the%20symptoms%20improve%20over%20time.

Why You Shouldn’t Ignore Beard Hair Loss

Woo hoo! You got an enthusiastic “yes,” and your date is tonight. It’s time to get spiffy. So you pull out your razor, glance in the mirror, and just as you begin to lather up, you notice something strange. A tiny little circle where your beard hair is missing. Is that a bald spot? Was that there yesterday? Will my date notice? Will the hair grow back? Whoa, stop for a minute. Here’s the deal. Beard hair loss can often be treated, but the process takes time and requires a dermatologist’s supervision. Although you shouldn’t panic, you should seek treatment as soon as possible to prevent further beard loss. Here’s what else you should know and why you shouldn’t ignore beard hair loss.

Why is My Beard Hair Falling Out?

Let’s start with the basics. It’s important to understand why your facial hair is falling out. Most of the time, facial hair loss is due to an autoimmune condition called Alopecia Barbae. The condition occurs when your body attacks your hair follicles, causing small, circular patches of hair loss. Alopecia Barbae is usually seen along your jawline, but it can affect any part of your beard. Hair loss can be isolated to one patchy area, or it can be widespread.

If you’ve heard that having one autoimmune disease predisposes you to more, that’s true in this case. The same autoimmune disease that causes Alopecia Areata, which causes patchy round circles of hair loss on your head, causes Alopecia Barbae. People who have Alopecia Areata are more likely to experience Alopecia Barbae. That doesn’t necessarily mean that you will see hair loss on both your head and beard. You can get one without the other. The condition is unpredictable, which can make management extremely frustrating. Having thyroid disease, diabetes, lupus, or psoriasis can also make you more susceptible to beard hair loss.

Did I Miss the Symptoms of Alopecia Barbae?

How is it possible that you had a full beard yesterday and today you’re finding bald spots? Did you miss something? Could you have prevented the beard loss? Unfortunately, there isn’t a way to predict Alopecia Barbae. As a non-scarring form of Alopecia, there isn’t any redness, itching, or inflammation waving a red flag. There isn’t a way to know what’s to come until your bald patches appear.

Will My Beard Grow Back?

Yes, the hair on your beard may grow back. Alopecia Barbae is non-scarring, meaning that your hair follicles aren’t permanently damaged. Hair can regrow, sometimes spontaneously. Other times, treatment is required. To help boost hair growth all around, you can try to incorporate a hair supplement into your hair care routine.

How Do Dermatologists Diagnose Alopecia Barbae?

Diagnosing Alopecia Barbae takes experience and skill. You definitely shouldn’t ignore beard hair loss. The condition’s distinguishing traits require a dermatoscope or biopsy to see. The first are small hairs that look like exclamation marks. They are wider on top than on the bottom near the hair follicle. Your dermatologist will also look carefully around the bald patch for signs of short vellus hairs. Vellus hairs tend to have a grayish-whitish color and a fluffy texture. Your dermatologist may also see small hairs that break off just underneath the skin. The hairs may look like small black, white, or yellow dots.

What Treatment Options are Available?

If your beard doesn’t regrow on its own, your dermatologist can offer treatment options to help jump-start the process. No treatments are FDA approved, however, dermatologists commonly prescribe medications off-label. Treatment typically focuses on simultaneously calming the immune system and stimulating growth, so you may find yourself using multiple medications at the same time. Because everyone’s body chemistry differs, it may take some experimenting to determine the right mix of medications for you.

Topical or Injected Corticosteroids

Corticosteroids are often used as a first-line approach to suppress your body’s immune system. It may take time for your body to calm down, so be prepared for treatments to be spread over a few months.

Topical or Oral Minoxidil

You may be familiar with Minoxidil for regrowing the hair on your head. Minoxidil can also be safely used to stimulate beard growth. The treatment is often combined with corticosteroids and is a fast, easy, and accessible option for many men.

Platelet-rich Plasma

Platelet-rich plasma treatments have been in the spotlight for many different applications ranging from sports treatments to hair loss therapy. During a PRP treatment, platelets are extracted from your blood, concentrated, and reinjected to stimulate growth. While PRP gets mixed results for other applications, research indicates that PRP therapy produces promising results for treating beard loss. (01)

JAK Inhibitors

Exciting breakthroughs have been made in the past few years using JAK inhibitors to stimulate hair growth among people with severe cases of Alopecia Areata. JAK inhibitors are immune-modulating medications that inhibit the enzymes responsible for causing your body to attack itself. Topical treatments or oral pills are prescribed based on a patient’s needs. At Happy Head, we create custom topical hair loss treatments that are made just for you and your particular hair loss needs.

Anthralin

Anthralin, a topical medication prescribed to treat psoriasis is being used off-label to treat Alopecia Barbae. Although not much research has been conducted on the effectiveness of facial hair, findings indicate that the medication shows promise in treating Alopecia Areata. (02)

Diphencyprone

Diphencyprone has been used since the 70s to treat Alopecia Areata. Like Antralin, there’s limited research on the medication’s use for Alopecia Barbae, but it has demonstrated efficacy in treating Alopecia Areata. It is not unusual for dermatologists to prescribe the medication off-label to patients experiencing severe beard hair loss.

What Else Can Cause Beard Hair Loss?

Keep in mind that neither Alopecia Areata nor Alopecia Barbae is common. A very small percentage of the population is affected. Some men are never able to grow a full beard. For them, sparse facial hair is normal. Stress, medications, poor diet, hormonal imbalances, and other factors can cause beard hair loss. So, before you assume the worst, check in with your dermatologist. There may be an easy fix to get your beard back into shape.

What You Can Do About Beard Hair Loss (Besides Panic)

Beard hair loss is aesthetic, and fortunately, it doesn’t affect your overall health. That said, any alopecia can affect your self-esteem and confidence. While you wait for your hair to grow back, temporary fixes to camouflage the bald spots in your beard can make you feel better. While a close shave may not be your ultimate goal, it can bridge the gap until your hair grows back. Depending upon the size of the bald spot(s) you may also be able to use a little hair cover-up powder. Some creative guys have also found success experimenting with a fine point liquid eyeliner pen in a color that matches their hair.

Stressed about patches in your beard? Don’t have a dermatologist? Can’t get an appointment for months? Happy Head has board-certified dermatologists licensed in every state who can advise you on your beard hair loss as well as scalp hair loss. Simply complete a brief questionnaire to learn whether you are a candidate for our topical Minoxidil or other hair loss treatments that can help regrow facial hair. We can even customize a formula just for you. You shouldn’t ignore beard hair loss when you can find a solution that’s easy to add to your daily routine.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193229/

(02) https://pubmed.ncbi.nlm.nih.gov/3314718/

Tips for Battling Female Pattern Hair Loss

Ladies, raise your hand if you’ve ever expected your hair to start thinning. Or even worse, fall out altogether. Nope, it probably wasn’t in your master plan. It certainly wasn’t in mine. So when I started seeing more and more of my ghostly white scalp shining through my rapidly widening part line, I did what any normal, rational woman would do. I started obsessing over my hair. To avoid what I went through, I put together my top tips for battling female pattern hair loss.

Obsessing Over Your Hair is Stressful

I’m sure friends and family started to notice it, but I was so focused on it that it stressed me out. There had to be something I could do. So, I went down a rabbit hole searching for answers. I wish I had a quarter for every hour I spent Googling “female pattern hair loss” and shopping for products to help me grow my hair back. I even started searching for photos of women who shaved their heads to get an idea of what I might look like in the future. And of course all of the stress had an affect on my hair loss and thinning.

You Will Learn to Live With a New Normal

I started treatment recommended by my dermatologist, and I let my hairdresser experiment with a new style he had been trying to convince me to try. Life slowly returned to my new normal, and I stopped dwelling on my hair. Yes, Finasteride and Minoxidil will be a permanent part of my daily routine, but my hair no longer rules my thoughts. Now that I know what I know, I would do things much differently. Here’s what I learned about coping with female pattern hair loss.

1. Get Diagnosed Early

If you think you’re losing more hair than you used to, you probably are. Don’t second guess yourself, and don’t worry about whether your dermatologist will think you’re crazy. Get an appointment ASAP.

If you have female pattern hair loss, you need to start treatment while the hair follicles are still viable. If you’re new to this hair loss rollercoaster, here’s what that means. Even though you’re a woman, your body produces a small amount of testosterone. In genetically predisposed women, some of that testosterone converts to a hormone called Dihydrotestosterone (DHT). DHT invades your hair follicles and shrinks them. Over time, the hair follicles can completely close up. So, you want to begin treatment while there’s still an opportunity to keep the hair follicles open and capable of producing new hair.

2. Don’t Overthink Your Treatment Plan

After confirming that you do indeed have female pattern hair loss, your dermatologist recommended using Minoxidil to enlarge your hair follicles and Spironolactone to block DHT from adhering to your follicles. She also told you that Retinol would help with absorption, and cortisone is available to treat any irritation you might get. What do you do? Run to the nearest compounding pharmacy to pick up your prescriptions?

Probably not. If you’re like many women, you start researching and reading. And, the more you read, the more apprehensive you get. Dread shed, dizziness, a lifelong commitment… before you know it, the list of cons piles up. Voice of reason here. Don’t go down that path. Take a deep breath and listen to the trained medical professional who has treated countless patients before you.

There are pros and cons to every medication. The truth is that every person responds differently to each treatment. You won’t know what treatments will work best to regrow your hair until you take the plunge and try them. Just because someone on social media didn’t respond to Minoxidil doesn’t mean you won’t. Just because Spironolactone made your best friend’s cousin feel nauseous doesn’t mean that it will happen to you. Dive in and hope for the best. Who knows, you may be the one on Facebook sharing your success story.

3. Be Patient

Waiting for your hair to grow back is really hard. You desperately want to look like you used to, and you have zero control over your hair’s growth. So, you wait. And wait. For sure, you’ll have a full head of hair again soon, right? Doesn’t it just take a few weeks? Not exactly. It takes about six months to a year to see results.

Even then, you may not realize how much progress you’ve made. It’s difficult to notice the changes when you see yourself in the mirror every day. The only way I knew that my hair was growing was because my dermatologist took photos every time I had an appointment. If your dermatologist doesn’t take photos, consider taking your own each month. Make sure you take pictures from the exact same spot and angle each time. That way, you have a solid comparison over time.

4. Be Open to Change

It’s been six months, and you aren’t getting the results you wanted. Your dermatologist isn’t ready to give up yet, though. Neither should you. As mentioned earlier, female pattern hair loss treatment can look different for every woman. You won’t know ahead of time what mix of medications will do the trick, and it may take some trials to figure it out.

There are a few different DHT blockers available. Switching from one to another isn’t a big deal. The formulas are different, and one may work better with your body’s chemistry. Here’s an example. If Finasteride isn’t strong enough, there’s always Dutasteride. Finasteride, which inhibits one type of enzyme responsible for converting testosterone to DHT, is usually the first-line medication because it’s pretty effective. If that doesn’t work, your dermatologist can prescribe Dutasteride which inhibits two enzymes. The moral of the story is to keep an open mind and be willing to experiment.

5. Have Realistic Expectations

Remember that treating female pattern hair loss means helping your hair follicles function as well as they possibly can, given the circumstances. Your hair may or may not look like it did five years ago. I was fortunate that my hair responded well to treatment. People who meet me can’t tell that I’ve experienced hair loss. However, since I didn’t get treatment immediately, the follicles closed off in a small spot on my scalp. Over the years, I’ve had to accept that it won’t come back. So, I cut a few layers to camouflage it.

Other people I know who were able to get enough growth to make their hair look fuller still use a little root cover-up on their part lines. It’s easy to apply and looks natural. You can’t tell it’s make-up. If you’re realistic about what medications can do for you, you’ll be more satisfied with the results. You may not end up with a supermodel’s hair, but you can still look and feel like one.

Staying calm when you’re losing your hair is not an easy feat. Hopefully, these tips will help you cope and feel confident about your decisions. If you need another opinion, Happy Head is here to help.

We have board-certified dermatologists licensed in every state to help women like you get the right treatment for your female pattern hair loss. Fill out our online questionnaire and schedule a FREE phone consultation to get started and regrow your hair today.

How to Talk to Your Partner About Hair Loss

Talking to your partner about hair loss can be tricky. What are you supposed to say? “Have you noticed that your hairline is receding?” After all, your significant other may be embarrassed, or be ignoring the issue. They may also fall into the category of people who genuinely don’t care about their appearances. Not to mention that you don’t accidentally want your partner to question whether or not you find them attractive. Aargh. Maybe you’re better off not saying anything?

Well, that depends on your approach. If you are supportive, raising the topic can be helpful. You can help your partner feel better, and you can also help give him or her the confidence needed to get treatment. Remember, it’s not what you say, but how you say it. Let’s talk about the best way to start the discussion.

Remember that Timing is Everything

Has your partner said anything about their hair loss? Made any jokes? If so, he or she is opening the floor to a conversation. Be careful not to raise the topic out of the blue or force the conversation. Doing so may make your partner feel awkward. You want to calm any insecurities rather than fuel them. What if they don’t give you an in? They just may not be ready to talk about it. Leave the topic alone for now and see if it comes up later.

Show Empathy

If you and your partner do discuss their hair loss, keep in mind that your partner may be feeling a whole array of emotions. Getting older, no longer being desirable, and fear of losing control over one’s body can go hand-in-hand with male pattern baldness, female pattern baldness, or other types of alopecia. Yes, these emotions are real and can be challenging to overcome. After all, hair is a big part of our physical identity. It’s not uncommon to refer to a person as the “guy with the blonde spiky hair” or the “woman with the long, dark, wavy hair.”

How can you approach the topic in a way that won’t diminish these feelings? Remember that compassion goes a long way. One way to do that is to acknowledge your partner’s grief. Let them know that you understand hair loss is upsetting and that you care. Avoid statements such as “maybe it will grow back” that invalidate their feelings. You may also want to ask whether your partner wants you to just listen or if he or she wants your input. Unsolicited advice may not be welcome.

Do Your Homework

If your partner does want advice, you’ll want to be prepared. Here are a few points that will be helpful to know. First of all, the most common reason why people lose their hair is typically due to androgenetic alopecia (male or female pattern baldness). It’s a genetic condition that occurs when a person’s body converts Testosterone to a substance called Dihydrotestosterone or DHT. DHT attacks the hair follicles, causing them to shrink and eventually close up. Existing hair sheds and new hair fails to grow. Many people don’t realize that androgenetic alopecia can be treated.

Minoxidil, known as Rogaine, is often used to keep hair follicles open. Finasteride or Dutasteride, DHT blockers, can be prescribed and used simultaneously. If your significant other is a guy and is concerned about sexual side effects, you can tell him not to worry. Pills are what can cause side effects. Topical formulas, which are just as effective, don’t carry the same risk profile. (01) Women don’t carry the same risk profile, although Finasteride and Dutasteride should only be used by women who aren’t pregnant or thinking about becoming pregnant.

Although male and female pattern baldness is the predominant type of alopecia that men and women experience, it’s not the only type. They can also experience temporary hair loss from illnesses or stressful events, alopecia areata, lichen planopilaris, and other types of alopecia. A trip to the dermatologist is the best way to find out for sure what kind of alopecia your partner has.

Offer Reassurance

Your partner may or may not decide to seek treatment for their hair loss. No matter where they stand on the topic, it’s important to let them know that their decision is okay with you. Self-confidence is what matters.

Build a Healthy Lifestyle

Does your partner eat right, exercise, or take any necessary supplements? If not, now is the time to make lifestyle changes that can promote healthier hair. Smoking, too much alcohol, poor diet, and stress all contribute to hair loss. As a couple, you have an automatic built-in support system to improve any bad habits. As a matter of fact, couples who quit smoking together are 5.83 times more likely to succeed than when only one partner quits. (02)

Lifestyle enhancements are more fun and longer-lasting when you make them together. Cooking, going for walks, and taking bike rides not only improve hair health but are also nice bonding opportunities. And, what’s more romantic than reading the back of protein powder labels together? Well maybe that one doesn’t top your list of date night activities, but it is a good learning opp for both of you. (If you aren’t familiar with the benefits of protein powder for hair loss, check out Dr. Ben Behnam’s segment on Gillian Lockitch’s Growing Older Living Younger podcast.)

Help Step Up Their Style Game

Some people are into fashion, and some aren’t. If your significant other is open to some subtle (or not so subtle) changes, this may be the time for a new hairstyle or a shopping trip. A good barber or hair stylist will know what styles best camouflage bald spots or make thinning hair look thicker. The right clothes can strategically direct attention away from hair. Not to mention that a fresh cut, jeans that fit just right, or a new dress can do wonders for a person’s confidence.

Be There When They’re Ready

It’s no secret that many people would rather be anywhere other than a doctor’s office. If your partner falls into this category, that’s okay. See if they would like you to accompany them to their appointment. If not, don’t feel slighted. It’s not you, they may just prefer to go solo. If he or she is really skittish, telemedicine may be a better option. They can consult with a board-certified dermatologist and hair specialist from the comfort of their own home. Prescription medications can now be prescribed through telemedicine, and orders can be delivered in discrete packages directly to their front door.

Hopefully, by now, you’ve learned that you don’t have to be a psychologist to help your partner deal with his or her hair loss. You just need to be a good listener and offer helpful advice when wanted. You have the opportunity to be the voice of reason. The initial shock will wear off over time and your partner will either accept their fate or fight it. Remember, Happy Head is here to help. Contact us if you’d like more information about male pattern hair loss or how to get the strongest prescription hair loss medications delivered directly to your door.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/34634163/#:~:text=Conclusion%3A%20Topical%20finasteride%20significantly%20improves,impact%20on%20serum%20DHT%20concentrations.

(02) https://cardiovascularbusiness.com/topics/clinical/vascular-endovascular/quitting-smoking-easier-couples-try-together#:~:text=At%20the%20end%20of%20the,partner%20was%20attempting%20to%20quit.

What Every Man Should Know About Male Pattern Baldness

Close your eyes and visualize a middle-aged guy. What do you see? Maybe a few distinguished worry lines? A slight bulge around the middle saying, “Hey, go back to the gym”? A receding hairline or a shaved head? Whoa, stop right there. Do all men go bald? Is that really your fate too?

While it’s true that data indicates over 50 percent of men have extensive hair loss by the age of 50, there are ways to avoid becoming part of that statistic. (01) There are many reasons why men go bald, and more effective treatments are available than ever before. If you’re a guy worried about losing your hair, read on. This one’s for you.

Why Do Men Go Bald?

If you find sacred strands of hair scattered in your sink every time you comb or brush, you may wonder why. Do you have a rare disease? Are you using your cell phone too much? Are there toxins in your water? Most likely not. The explanation is much simpler than you would think.

Most Guys Are Genetically Predisposed to Hair Loss

Genetics is the most common cause of hair loss among men. (02) If a family member on your mother or father’s side has experienced hair loss, you may have inherited a baldness gene that causes male pattern baldness. Let’s talk about what that means.

Male Pattern Baldness is a Type of Alopecia

Because of your genetic make-up, an enzyme called 5a reductase converts testosterone naturally found in your body to a substance called Dihyrotestosterone (DHT). DHT tells your hair follicles, “Hey, there’s an invasion. Close up shop and hunker down.” The hair follicles shrink, and healthy new hair can no longer grow.

What About Genetic Testing?

Are you thinking, “No problem, there’s genetic testing for just about everything these days, right?” If so, it’s true that genetic tests for androgenetic alopecia (aka male pattern baldness) exist. The only catch is that they aren’t quite perfected yet. So, what can you do if you think your hair loss has a genetic link?

First, consult with a licensed dermatologist who specializes in hair loss. If you’re anti-doctor and procedure-phobic, don’t stress. Male pattern baldness has specific hair loss patterns that allows diagnosis without any invasive testing. If it turns out male pattern baldness is causing thinning or recession, many treatment options are available.

Treatment Options for Male Pattern Baldness

The best way to treat male pattern baldness is to hit your scalp from different angles with various medications. One that you’ll want to consider is Rogaine. You’ve probably heard of it before. Rogaine liquid and foam is sold over the counter (OTC) to help open up your hair follicles. The generic version, Minoxidil, is sold by prescription in higher doses than what’s available OTC.

You’ll also want to use a prescription DHT blocker to prevent DHT from being produced in the first place. Finasteride and Dutasteride are the ones most commonly prescribed to men. Finasteride is effective in most men and is used as the first-line treatment. Dutasteride is a bit stronger and can be prescribed if Finasteride isn’t doing the trick. Retinol and cortisone are often added to the mix to improve absorption and prevent irritation.

Do Finasteride & Dutasteride Have Undesirable Side Effects?

Finasteride and Dutasteride are both prostate medications prescribed for men with male pattern baldness. Finasteride is FDA-approved and Dutasteride is used off-label. You may have heard friends or family members talking about the medicines. And, you may have rumors about some side effects like impotence that make you nervous.

Don’t worry, though. You don’t have to choose between your hair or your sex life. You can have both. If you’re thinking about taking oral Finasteride or Dutasteride, consider this. The percentage of men who experience side effects is really small. During Finasteride’s clinical trials, less than two percent of men taking the drug experienced side effects. (03)

If you’re worried about becoming one of the two percent, topical Finasteride or Dutasteride may be a good option. Topicals have been proven to be equally effective as oral DHT blockers (04) and don’t carry the same risk of side effects since they work at the scalp and aren’t systemic.

How do Topical Brands Compare?

It’s no great secret that the hair loss industry is booming. Prescription hair loss medications that used to only be available at a pharmacy are now available via telemedicine. Deciding which ones to use can be difficult. Are the formulas the same? Do the brands work differently? To help you answer those questions, Fin vs. Fin recently compared topical hair loss treatments based on active ingredients, ease of application, and price. Check out their review to see how industry leaders stack up.

Although Not as Common, Men Experience Alopecia for Other Reasons

Male pattern baldness accounts for most hair loss among men. However, other conditions can also cause alopecia. A small percentage of men experience alopecia due to autoimmune conditions. Alopecia areata is an autoimmune disease that causes small, round patches of hair loss. Lichen planopilaris can cause recession, smooth white patches, and an itching or burning sensation. It’s important to see your dermatologist for a diagnosis and treatment plan if you’re experiencing hair loss. If you have one of these conditions, early intervention is key to preserving your hair.

Thinning or Balding Can Be Temporary

When your body experiences sudden changes, temporary hair loss called telogen effluvium can occur. Covid, the flu, and having surgery can shock your body and cause hair in the resting state of your hair’s growth process to fall out all at once. Stress can cause the same effect. If continual conflicts at home or work burnout is an issue, finding ways to cope will help. You may also want to get your vitamin levels checked. Vitamin D and iron deficiencies can also lead to temporary hair loss.

So, let’s recap. Even if you are predisposed to balding, there are ways to preserve your hair. Get checked out by your dermatologist to determine the cause and know that treatments are available. If you need advice, we’re here to help. Happy Head has licensed dermatologists in every state who are available to answer your questions. We also offer tested hair growth pills, topicals, shampoo, conditioner, and supplements developed by hair loss specialists Dr. Ben and Sean Behnam.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/9865198/

(02) https://pubmed.ncbi.nlm.nih.gov/16127116/

(03) https://pubmed.ncbi.nlm.nih.gov/9951956/

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648777/

Dealing with Hair Loss? Get These Hormones Under Control.

Here’s a fun fact: hormonal imbalances are the leading cause of hair loss. At least 50 percent of men are affected by the age of 50. (01) Ladies, this is true for you too. Those chemicals that send messages to your organs, skin, muscles, and other tissues are pretty powerful. They rule your emotions, your weight, your sleep patterns, and, yes, your hair. If your hairline is receding, or you’re starting to see bald patches on the crown of your head, it may be a sign that you need to get those hormones under control. Not sure how? Here are some tips and tricks to help.

Hormonal Hair Loss Triggers

Before we get into the nitty-gritty, let’s talk about the different types of hormonal hair loss. Not all hair loss due to hormonal imbalances is the same. Some hair loss is short-term. Once balance is restored, your hair will grow back. Other types are a bit more challenging to manage. In this case, medication can help stop your hair loss and jump-start the growth process. Fortunately, great progress has been made researching and developing medications designed to treat hair loss due to hormonal imbalances. Many effective oral and topical options are now available. So, what hormones cause temporary hair loss, and which create more long-term issues?

Testosterone

We’ll start with testosterone. Testosterone is the hormone that stimulates the development of male sexual characteristics. Testosterone affects men’s sex drive and sperm production. It also plays a role in bone and muscle mass, fat storage, blood cell production, and mood. Women also produce testosterone, but in much smaller amounts.

Typically, about ten percent of testosterone in men and women converts to an androgen called dihydrotestosterone (DHT) due to an enzyme called 5-alpha reductase (5-AR). Once DHT flows through your bloodstream, DHT attaches to the receptors on your hair follicles. The hair follicles then shrink, making your hair thin and eventually fall out, causing what’s known as male or female pattern hair loss.

Solution: Successfully treating male or female pattern hair loss often takes a multi-faceted approach. Enlarging the hair follicles while blocking the testosterone from converting to DHT is usually the best strategy. It can, however, take some trial to determine which medications and strengths are most effective for each person. Minoxidil is often used to open the follicles. Commonly used DHT blockers include Finasteride, Dutasteride, and Spironolactone. All of these medications are available in oral or topical formulas. Many people prefer topicals since they eliminate the risk of systemic side effects.

Cortisol

Who isn’t stressed out these days? Pressure at work, rising costs, and keeping peace at home can be a lot to handle. When you get stressed out, your body generates extra cortisol. Cortisol is produced and released in your adrenal glands which are located on top of your kidneys. Its job as a steroid hormone is to tell your body, ”Hey, you need to chill out!” When your cortisol level gets high, it can reduce the synthesis and speed up the breakdown of hyaluronic acid and proteoglycans in your scalp. The increase interrupts your hair’s growth cycle, which can lead to hair loss.

Solution: Breathe. Hair loss due to stress is usually temporary. Your hair will grow back on its own once the stressors are gone. Head outside for a walk, sign-up for a yoga class, or download a meditation app to listen to before bed. If the usual tricks for restoring calm in your life don’t work, seeking help from a counselor or therapist may be the way to go.

Triiodothyronine (T3) & Thyroxine (T4)

T3 and T4 are hormones produced in the thyroid gland. They control how your body uses energy and help regulate many functions from your metabolism to brain development. T3 and T4 are the markers typically used to help diagnose thyroid disorders. Too high or too low can be signs of hyper or hypothyroidism. Both hyperthyroidism and hypothyroidism can lead to hair loss with specific patterns. People who lose their hair due to thyroid issues usually see thinning over the entire scalp.

Solution: Treating the thyroid disorder usually leads to regrowth over several months. If you think your hair loss may be thyroid related, you’ll need an appointment with an endocrinologist. Once your thyroid is treated, your hair will slowly grow back.

Estrogen and Progesterone

Decreases in estrogen and progesterone levels have been proven to affect women’s hair growth cycles. (02) That’s why women tend to see their hair thinning or shedding after childbirth or during menopause. During menopause, a decrease in these hormones also causes an increase in androgens that produce DHT. DHT conversion happens for women as it does for men, resulting in female pattern hair loss. Hair lost after childbirth usually resolves itself and grows back over time. Hair loss due to menopause requires treatment.

Solution: If you’ve recently had a baby or are nearing menopause age, visit your dermatologist for a consultation and diagnosis. Postpartum hair loss and female pattern baldness can usually be diagnosed through a visual exam. There are very specific patterns of hair loss. You don’t want to assume that your hair loss is hormone-related, just in case another cause requires different treatment.

How to Treat Hormonal Hair Loss

If your hair loss is due to hormones, treatment options will be based on your condition. In some cases, your hair will grow back on its own. Other cases will require treatment. Here’s an idea of the different types available:

Minoxidil

Minoxidil, a popular hair loss medication, is sold over the counter and in stronger doses by prescription. It helps enlarge your hair follicles and allows healthy hair to grow. It’s best to have a board-certified dermatologist monitor your Minoxidil use. The reason why is because the medication must be continued once you start using it. If you discontinue Minoxidil, the hair you grow while using the medication can fall out.

DHT Blockers

When male or female pattern hair loss is an issue, preventing testosterone from converting to DHT is one of the most effective ways to stop thinning and shedding. A few different types are available, including Finasteride, Dutasteride, and Spironolactone for women. Prescription DHT blockers are available in pill or topical formulas. Each have pros and cons, so it’s important to work with your dermatologist to determine which medication and formula is best for you.

Supplements

Supplements alone won’t regrow your hair, but they can help treat the root cause of your hair loss. Iron and vitamin D deficiencies are common among people with hair loss due to hormonal imbalances. Collagen, probiotics, and other supplements can also help strengthen your hair and scalp.

Thickening Shampoo & Conditioner

The right shampoo and conditioner can help make your hair thicker, shinier, and healthier. Look for products infused with collagen, saw palmetto, keratin, biotin, and other ingredients that have been proven to support hair growth.

Whether you’re 15, 50, or 70, dealing with hormone imbalances can be a nuisance. However, thanks to research and technology, you have more reliable and accessible options than ever to deal with associated hair loss. You don’t even have to leave your sofa. Simply answer a short hair loss questionnaire and our licensed dermatologist will review your case. If you are a candidate for hormone-induced hair loss, we can make recommendations and deliver customized prescription medications directly to you. Want to learn more? Get in touch with us for an evaluation and personalized treatment plan.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817427/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432488/

Are You Losing Your Hair? What You Should Do.

Do you suspect you’re losing hair? Don’t panic. Take a breath and make a plan.

Time is on your side. Hair loss is very rarely something that happens overnight. For most people, hair loss is a slow and stealthy process. Hair loss takes time. Sometimes, it takes years or decades.

Also, you’re not alone on your hair loss journey. Losing hair is hard to talk about. The hair loss experience is a touchy subject, and friends and family may hesitate to discuss the topic. Fortunately, hair care professionals are available to discuss hair restoration with you. And best of all, these experts know how to create a game plan to slow your hair loss.

Steps to Take If You Suspect Hair Loss

Being concerned about losing your hair is not vain – it’s human! Your hair plays a significant role in your appearance and self-confidence. If keeping as much hair as possible is crucial to you, then treating hair loss is an integral part of your self-care strategy. With that said, the following are essential steps to take if you think you’re experiencing hair loss.

Learn About Hair’s Growth Cycle

According to the American Academy of Dermatology Association (AADA), every individual can expect to lose about 50 to 100 hairs daily. Hair undergoes a definite growth cycle, with a percentage of hair undergoing different portions of the growth cycle at any given time. At the end of each cycle, the strands fall naturally, and new hair grows in. The stages of hair growth are: (01,02)

Anagen (growth phase)
Catagen (transition phase)
Telogen (resting and shedding phase)

Excessive hair loss is not a regular part of this growth cycle. This type of hair loss occurs when there is a disruption in one of the three phases. For example, too many strands may fall simultaneously (in the Telogen phase) or fail to regrow after falling (in the Anagen phase).

Identify the Signs of Hair Loss

Spotting the signs of hair loss might take some investigating. To determine whether you’re experiencing excessive hair loss, keep an eye out for: (03)

The development of bald patches.
Hair that feels lighter.
A more visible scalp.
Foreheads or temples appear larger.
More hair than usual on bedding, hairbrushes, or in the bathtub.
Hair that doesn’t fall in your typical hairstyle.
Intense itching or burning (may be a sign of infection.)
Scaly patches.

Hair loss typically appears in three forms:

Patterned: People with patterned hair loss see progressive thinning or balding at the hairline, sides, or top of the head. Patterned loss is typically seen in hereditary types of hair loss, like androgenetic alopecia.
Diffuse: A consistent and even loss of hair throughout the scalp is called diffused hair loss. This hair loss usually occurs in cases of illness, nutrient deficiency, or during periods of severe stress.
Focal: Focal hair loss occurs as patches on the scalp, face, or the body, and is usually linked to autoimmune disorders.

Discovering hair loss is no doubt a distressing event. But it’s better to know so you can take steps to treat it. The earlier you can identify hair loss, the higher your chances for a successful hair restoration.

What’s Causing Your Hair Loss?

A few common causes of hair loss are:

- Age: Most people experience hair loss with age to some degree. Some people may see more loss of hair than others. Treatments may help to regrow hair or slow hair loss if caught early.
- Stress: Stress can cause excessive shedding. Often, hair will regain its fullness after reducing stress, or a stressful experience has passed. In some cases, treatment is necessary to regrow hair.
- Medical Conditions: Illnesses can lead to hair loss. Alopecia areata, as an example, is an immune disorder that attacks hair follicles, resulting in loss of hair. Thyroid disorders can also impact hair growth and cause diffused hair loss. (04)
- Hair Care Treatments: Chemical relaxers, hair dyes, and perms may injure hair follicles, preventing healthy hair regrowth. Hair restorations may help to regrow hair in many cases.
- Hormonal Imbalance: Women, in particular, may lose hair due to birth control pills, pregnancy, perimenopause, or polycystic ovary syndrome (PCOS). Medical care combined with hair treatments may help to restore hair.
- Friction: Frictional alopecia may occur when headgear or clothing repeatedly rubs against the skin or scalp. Hair typically regrows by removing the source of friction, but hair growth treatment may be necessary in some instances.
- Genetic Factors: The cause of thinning or balding may have a genetic cause if hair loss runs in the family. Androgenetic alopecia, also known as male-pattern baldness or female-pattern hair loss, is thought to have a genetic component. Hair growth treatments can help to regrow hair in cases of androgenetic alopecia. (05)
- Diet: A diet high in processed foods and low in nutrients is bad for your health and may even contribute to hair loss. For example, a 2020 study found that a nutrient-deficient diet may cause a hair loss condition called telogen effluvium. Telogen effluvium may also occur during times of severe stress or illness. A multi-targeted approach, like hair treatments, dietary supplements, and a healthy diet, may help counter the effects of a poor diet. (06)

Determine Your Options

Speaking with a hair restoration professional can confirm or correct your suspicions about hair loss. Once hair loss is confirmed, a hair expert can help you determine the appropriate treatment to restore your hair.

Medication: Hair strands grow from – and are held in place by – hair follicles. These follicles are sensitive to a hormone called dihydrotestosterone (DHT). DHT can injure and miniaturize these hair follicles, which causes hair to fall out faster. Furthermore, DHT impedes new hair growth. Medications targeting DHT limit damage by the hormone and may successfully regrow hair.
- Finasteride and Minoxidil are FDA-approved medications that help encourage hair growth and slow hair loss. Both Finasteride and Minoxidil are available as either a topical or oral medication.
- Dutasteride is another effective medication used to counter DHT levels. This medication suppresses the production of DHT, therefore reducing the overall amount of DHT. (07)
Hair Care: Harsh shampoos, oily conditioners, and thermal hair tools harm the health of your hair. Using hair products that cleanse and nourish the scalp, follicles, and hair strengthens each strand and keeps more hair on your head.
Diet and Supplements: A nutrient-dense diet full of antioxidants and protein increases the likelihood of thicker hair. Unfortunately, diet changes may not always be enough. In these cases, health supplements containing hair-boosting ingredients like keratin, saw palmetto, and vitamins A and D.

Remember that there’s no magic bullet to regrow hair. Furthermore, hair restoration treatments are not one-size-fits-all. Finding the appropriate treatments and balance of medications requires the help of an experienced hair loss professional.

Consult With a Happy Head Hair Loss Professional

If you think you’re losing your hair, contact our hair loss experts at Happy Head. Do you see more strands falling? Do you notice bald spots forming? There’s no need to worry, because Happy Head can help. We collaborate closely with you to halt your hair loss. Whether you need oral medication, a topical, or a nutrient supplement, our experienced hair loss professionals will work with you to determine the best path to meet your needs. With Happy Head’s wide array of hair products, you’re sure to find the right treatment to regrow your hair.

Resources:

(01) https://www.aad.org/public/diseases/hair-loss/insider/shedding

(02) https://www.ncbi.nlm.nih.gov/books/NBK499948/

(03) https://www.aad.org/public/diseases/hair-loss/insider/begin

(04) https://www.niams.nih.gov/health-topics/alopecia-areata

(05) https://www.aad.org/public/diseases/hair-loss/types/female-pattern

(06) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/

(07) https://pubmed.ncbi.nlm.nih.gov/28294070/

Are These Ordinary Things Damaging Your Hair?

It’s not surprising that elements like chlorine and salt water can make your hair look dry and frizzy. Or that flat irons, hair dryers, and other heat styling can cause heavy-duty breakage. Bleach and highlights, well, no surprise there, either. You’re probably careful about avoiding these known troublemakers, especially if your hair is thinning or balding. After all, you want the hair that’s remaining to stay as healthy as possible. It’s difficult to avoid things you don’t know can damage your hair, though. You don’t know what you don’t know. So, we’re here to fill you in on some very ordinary things that could wreak havoc on your tresses.

Hard Water Can Cause Bad Hair Days

Finding the right shampoo and conditioner is usually top of mind when it comes to hair care. But do you ever think about what kind of water you’re using to wash your hair? Is the water coming out of your showerhead hard or soft? Hard water isn’t harmful, but it can be harsh on your hair.

First, let’s talk a little bit about what hard water is. When you look at water, you usually see a clear liquid. What you can’t see is the concentration of minerals and chemicals in the water. The concentration of minerals, specifically calcium and magnesium, determines your water’s hardness. The higher the amount of calcium and magnesium, the harder the water. You may be unable to tell if your water is hard or soft. A couple of signs that it’s hard are if your drinking glasses get cloudy or your hands still feel slippery after you’ve washed them with soap and water.

Now, what does hard water mean for your hair? One research study found that hard water can actually damage your hair. (01) When hair samples were washed in hard water versus distilled water for 30 days, the distilled water samples were thicker and less crumpled looking. If your hair is dull, brassy, has a green hue, breaks or tangles easily, check your water.

If you discover that your water is hard, there are some things you can do to protect your hair. One option is to use a vinegar rinse or clarifying shampoo once a week. Another option is to install a showerhead with a filter. Whole house water softener filtration systems are also available. Filters and water softening systems reduce the mineral concentration in the water, leaving your hair softer and silkier.

Addicted to Hairspray or Gel?

Most of us were not born with that perfect hair we see in ads. You know what we mean, that glossy, thick hair that falls exactly into the right place, even in the rain and wind. So, we resort to the next best thing. Hairspray or gel that freezes our hair in place and gives us that extra hold. It works, right? But is it really good for you?

Hairspray or gel probably won’t make your hair fall out. They could, however, dry out your hair and cause breakage. Alcohol, ethanol, parabens, and fragrances tend to cause the most damage. Also, formulas that clog your hair follicles could make it harder for new hair to grow. If you can’t live without something to give your hairstyle a little extra hold, look for products that contain all-natural and hydrating ingredients such as argan oil and biotin.

What about sea salt sprays? They’ve become popular for adding volume and texture. Are they okay since salt is a natural ingredient? Yes and no. In moderation, sea salt spray is fine. Too much, however, will have the same drying effect as you get when swimming in the ocean. Salt strips the moisture out of your hair.

Stressed Out? Here’s An Excuse to Treat Yourself to a Massage.

It’s not surprising that stress takes a toll on our minds and our bodies. Headaches, digestive issues, heart disease, and more have all been linked. This one may surprise you, though. Hair loss can be directly related to stress. Think about it. When you get stressed, your body reacts involuntarily by getting tense. Your blood vessels constrict, and there isn’t as much oxygen flowing to your scalp and hair follicles as usual. And when your hair follicles don’t feel the love, they can’t sustain or produce healthy hair. The technical term is called telogen effluvium. Fortunately, stress-induced hair loss can resolve itself over time. Meanwhile, a good massage, 30 minutes a day with a meditation app, or a brisk walk may be just what the doctor ordered.

Avoiding Your Barber or Stylist

Growing your hair out? Too busy to get in for a haircut? You may want to squeeze in time for an appointment. When you go too long between visits, you can end up with split ends. Split ends mean that your hair is more likely to break higher up near the shafts. The longer you wait between cuts, the higher the damage to your hair strands. Trims every four to six weeks will help keep your hair healthier and stronger.

It May Be Time to Change Your Pillowcases

This one may seem far fetched but stay with us. Switching to silk pillowcases may help keep your hair healthier. If your pillowcases are cotton, the fibers could be rough. If that’s the case, your hair rubbing against the fibers could cause tangling and breakage. You know what it takes to get a knot out of your hair. Extra brushing and yanking leads to breakage. The fibers themselves could also cause breakage. Cotton is known for absorbing oils as well. Silk pillowcases do a better job of allowing your hair’s natural oils to stay on your head where they belong rather than on the pillowcase where they could cause acne.

Yet Another Reason to Quit Smoking

If you’re a smoker, you probably don’t want another lecture on quitting. You’ve heard it all, or so you thought. Did you know that smoke from cigarettes can damage your hair follicles? When you smoke, your body is exposed to toxic chemicals, including formaldehyde and arsenic. These and additional toxins damage the structure of your blood vessels. Some of those blood vessels affect your heart. Other vessels lead to your head and scalp. When the blood vessels are exposed to the toxins and shrink, the blood flow to your hair follicles is reduced. That means new, healthy hair can’t be produced. Existing hair may fall out.

Your Genetics May Be Working Against You

If you notice that your hair is thinning or balding, you may be experiencing androgenetic alopecia, male or female pattern hair loss. It’s a genetic condition that affects a large percentage of the population. Men who experience the condition see a receding hairline. Women usually notice a widening part. Hereditary hair loss can occur any time after puberty, so even people in their 20s may be affected. The best way to know for sure is by checking with your dermatologist. If it turns out that your hair loss is due to androgenetic alopecia, medications including Minoxidil, Finasteride, Dutasteride, and Spironolactone are available to stop the shedding and stimulate hair growth. The medications help enlarge shrinking hair follicles and prevent your hormones from converting to androgens that cause hair loss.

Can Damaged Hair be Repaired?

If damage is already done, is there anything you can do to repair your hair? Take heart. All is not lost. First, stop using any offending products. If the damage is stems from smoking, stress, or other behavior, lifestyle changes will help. If your hair is thinning or balding, it’s always good to consult with your dermatologist. As mentioned, you may be experiencing male or female pattern hair loss or another type of alopecia that can be managed with the right treatment.

Not sure what’s damaging your hair? Our hair growth experts are here to help. All of our doctors are board-certified dermatologists experienced in diagnosing and treating conditions that affect your hair. They’ll be able to help you figure out if your hair is damaged from something you might not be aware of or if you have a form of alopecia that can be treated. We also offer customized treatments ranging from thickening shampoos and conditioners to prescription hair regrowth formulas. Best of all, you can order from your couch and receive your delivery at your front door. Get started now!

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/30034190/

Is Minoxidil (Rogaine) Safe for Women?

You may be familiar with Minoxidil that’s used to treat thinning hair and bald spots. The medication was initially tested, marketed, and FDA-approved for men with male pattern baldness. If you’re a woman experiencing hair loss, you may wonder if Minoxidil is safe and effective for you too. After all, Minoxidil is available under the brand name Rogaine over the counter at most big box retailers and pharmacies. It’s easy to buy and use.

Dermatologists Often Recommend Minoxidil to Their Female Patients

Minoxidil is safe, and it’s the medication most often recommended to women by dermatologists to treat their hair loss conditions. Before you run to the store, though, there are a few things you should know.

Minoxidil Is FDA Approved for Women

If you’re considering using Minoxidil to treat your hair loss, you’ll be happy to know that the five percent topical foam and solution was FDA-approved for women in 2014. The medication was used off-label for women before it was approved. Why is FDA approval notable? Because it means that the manufacturer proved that its product is safe and effective for its intended use. FDA approval also means the product is manufactured to federal quality standards.

Higher Doses of Minoxidil are Available by Prescription

Oral Minoxidil and topical Minoxidil doses above five percent are available to women but only off-label by prescription. Don’t be concerned about using prescription medication off-label, though. The FDA knows that medical providers do that. Off-label means that dermatologists may prescribe a drug for use that isn’t approved when the provider determines that the medication is medically appropriate.

Minoxidil Is Used to Treat Female Pattern Baldness and Other Hair Loss Conditions

Minoxidil is most often recommended and prescribed to treat androgenetic alopecia, commonly known as female pattern baldness. Female pattern baldness occurs in women who are genetically predisposed to hair loss. When women experience this condition, they typically see hair loss along their parts first. Over time, the part widens as the hair in the area continues to thin and fall out. While men who experience male pattern baldness can lose all of their hair over time, women typically don’t. Women are more likely to see diffuse thinning on the crown of their heads.

Minoxidil is often prescribed for other hair loss conditions as well. Dermatologists often recommend Minoxidil to their female patients with alopecia areata, frontal fibrosing alopecia, lichen planopilaris, and other types of alopecia.

Minoxidil is Available to Women in Different Forms & Doses

Liquid & Foam Rogaine

If you go to the store, you’ll find foam and liquid Minoxidil in two and five-percent formulas. Minoxidil is the same as Rogaine. You may also find generic store brands of Minoxidil under names such as Equate and Kirkland Hair Regrowth Treatment, which contain the same active ingredients.

Initially, only two percent formulas were marketed for women. However, research indicates that higher doses are more effective for treating female pattern hair loss. Although both two and five percent solutions increased hair growth, the five percent demonstrated statistical superiority over the two percent. (01) When choosing between the liquid and foam, you may want to consider foam that does not contain propylene glycol which can be an irritant to some women.

Oral Minoxidil

Oral Minoxidil is an alternative to topical and is available by prescription. The medication is effective in regrowing hair in women with female pattern baldness. (02) Oral Minoxidil was initially tested in higher doses to treat high blood pressure. When used to treat genetic hair loss, much lower doses are prescribed.

Minoxidil With DHT Blockers

The most effective treatments attack hair loss from different angles. Women often use Minoxidil simultaneously with DHT blockers such as Finasteride or Spironolactone. Minoxidil enlarges the hair follicles, while Finasteride or Spironolactone prevents Testosterone from converting to DHT. When DHT is blocked, it can’t bind to the receptors in your hair follicle so your hair won’t be at risk.

Customized Topical Minoxidil Formulas

Treatments for female pattern baldness may differ from woman to woman. What works for one may not work for another, which is why customized formulas are often best. The most effective treatments attack hair loss from different angles. A benefit of customized formulas is that Minoxidil can be prescribed up to 10 percent, which is significantly higher than what’s available over the counter. Retinol can be added to increase absorption, and cortisone can be added if necessary to prevent irritation from higher concentrations of Minoxidil. Many women also like the convenience of having all of the hair loss medications they need to be compounded into one formula rather than having to take or use multiple medications.

Minoxidil Side Effects are Usually Minimal

Minoxidil users usually don’t experience many side effects. Topicals can cause some redness, flaking, and irritation. However, eliminating propylene glycol usually resolves the issue. Oral Minoxidil was originally tested and marketed to treat high blood pressure. Because oral medications are systemic, side effects such as a fluctuating heart rate are possible. Side effects are rare, though. Doses of oral Minoxidil prescribed for hair loss are typically significantly lower than for high blood pressure.

Minoxidil Can Cause Initial Shedding

If you’ve been researching Minoxidil for your hair loss, you may have heard about the “dread shed” that can occur when first using Minoxidil. Yes, some women find that they lose more hair at first. The reason why is because Minoxidil speeds up your hair’s growth cycle. The resting phase occurs faster than it otherwise would. Everyone doesn’t experience an increase in shedding. However, If you do shed initially, don’t panic. Your hair’s growth cycle will regulate within a few weeks.

Trying Minoxidil is the Best Way to Determine Whether it Will Work for You

It would be nice if there were a way to know whether Minoxidil will help regrow your hair. A response test has been designed and marketed to do just that. The test measures the amount of sulfotransferase enzyme activity in plucked hair follicles to predict whether or not Minoxidil will be effective. Research indicates that the sulfotransferase activity predicts treatment response with 93 percent sensitivity and 83 percent specificity. (03) There’s a catch, though.

The test will only help determine if women will respond to two or five percent topical Minoxidil. The test does not indicate whether or not women will potentially respond to higher topical dosages or to oral Minoxidil. It also does not indicate whether Minoxidil will be effective when used with a DHT blocker such as Finasteride or Spironolactone. The best way to know if Minoxidil will work is by trial. It typically takes six to twelve months to see results.

If you have been diagnosed with female pattern baldness and are thinking about trying Minoxidil, here’s the takeaway. Minoxidil is safe for women to use and has been proven to be an effective treatment for many. Minoxidil often works best with Finasteride, Spironolactone, or another DHT blocker. A topical with a percentage higher than five or oral Minoxidil will require a prescription. If you have more questions about whether Minoxidil is right for you, Happy Head’s board-certified dermatologists can help. Contact us and our hair growth experts will help select the best solution for you, without a visit to the doctor’s office.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/15034503/

(02) https://pubmed.ncbi.nlm.nih.gov/32851744/

(03) https://pubmed.ncbi.nlm.nih.gov/24773771/

Your Holiday Hair Loss Guide

‘Tis the season for parties, spending time with family and friends, and traditional holiday meals. It’s the most wonderful time of the year, right? Well, not for everyone. Some people dealing with hair loss find that the holidays bring a whole new level of angst about their appearance. You may plan to visit friends and family members you haven’t seen since last year, or even longer. And, for sure, you’ll end up in some of those pictures posted on Facebook or Instagram. Finding the perfect outfit is one thing, but trying to camouflage your thinning or balding hair is a whole different story. Is that even possible? Before you RSVP “no” to your next invite and pull out the flannels, take a deep breath and check out the following tips. You can find joy during the holidays, even when battling male or female pattern baldness or another type of alopecia.

Give Yourself a Break

It can be hard to accept that your looks are changing. You may not look like you did last year. Or, even like you did a few months ago. That’s okay. It’s time to stop comparing the new you to the old you. You’re probably harsher on yourself than others would be. When you see balding, thinning hair in the mirror, others may not even notice or care. They’re more likely to remember the funny story or joke you told. It’s true. While someone may remember what you look like, research indicates that others are more likely to remember how you make them feel when you’re around. (01) Do the best you can to turn off your inner critic, and remember that how you interact with others makes you uniquely attractive, not your hair.

Go Out and Stay Involved

Arg. Every time you look in the mirror, it seems like there’s more hair missing. You’re grumpy and don’t feel like talking to or seeing anyone. How can you go out looking like that? So, instead of going to your friend’s holiday party, you put on your baggiest sweats and start binge-watching Dahmer while downing a pizza. Good idea, right? Nope. According to the American Psychological Association, that’s the worst thing you can do. (02) Social isolation can not only affect your sleep, but also cause depression and lower your immunity. It can have long-lasting psychological effects. You’re better off rallying and forcing yourself to go to the party. Socializing will get your mind off your hair loss, even if it’s for a bit. Talking to other people will also help you feel less alone and put you in a better mood.

De-stress

Controlling stress is important for everyone’s health and well-being. It’s especially important if you’re dealing with hair loss. If you’re already experiencing male or female pattern baldness or another type of alopecia, you definitely do not want stress-induced hair loss too. The holidays are a particularly tricky time for managing stress, though. Family drama and searching for the perfect gift when there’s limited inventory can push anyone over the edge. The good news is that there are ways to manage. Here are some ways to help you de-stress:

1. Get enough exercise

Get outside or to the gym if your hair loss is giving you the holiday blues. Physical activity not only makes your body feel better, but it’s also good for your mind. Exercising may help increase your endorphins, putting you in a better mood after. Bonus is that exercise increases the blood flow to your scalp. This means that more oxygen and nutrients are helping kick your hair’s growth phase into full gear.

2. Sleep

Not only does sleep calm and restore your body, but it can also help hair growth. Your body produces melatonin primarily at night. Some studies even suggest that melatonin supplementation helps promote hair growth among people with male and female pattern hair loss. (03)

3. Pamper yourself

We’re going to put this out there. Sometimes the best way to relieve stress is to pamper yourself. Whether that’s a massage, listening to holiday music, or reading a book doesn’t matter. Whatever makes you let go and relax works.

4. Set a budget and stick to it

It’s easy to get burdened with extra debt and associated worries about how you will pay for all of those gifts during the holidays. Prevent that from happening by setting a budget and making sure that you stick to it.

5. Set a schedule

So much to do and so little time. The holidays will be here before you know it. How are you going to get everything done in time? Writing your to-dos down will help you manage your time and expectations. You’ll find time for the most important tasks, and you might even schedule some downtime.

6. Accept imperfections

Acknowledge that the holiday may not go as planned, and remember that imperfections are healthy and normal

7. Remember what’s important

Keeping perspective when you’re stuck in a long line or annoyed with a relative can go a long way toward keeping you calm. Will another 10 minutes really change your day? Does it matter that your sister wants to bring stuffing instead of pie?

8. Be patient

You can’t change others’ behavior, but you can choose how you respond. If a situation gets tense, take a few deep breaths and focus on an appropriate response versus a quick reaction.

Get a New Do

Maybe you’ve been letting your hair grow out, hoping to cover the balding or thinning areas. Or, perhaps you’ve been afraid to cut your hair because you’re worried it might not grow back. The holidays are the perfect time to visit your stylist and try out a new look. Remember, androgenetic alopecia is the most common form of hair loss. Millions of people are experiencing the same condition you are. Your barber or stylist probably has a few tricks to help you get party-ready.

Consider Treatment Options for Your Hair Loss

Accepting that your hair is thinning or balding isn’t easy, especially when you’re active and social. The good news is that you don’t have to accept your fate. The best way to deal with hair loss is by fighting it. Fortunately, medications with high efficacy have been tested and are available.

The most effective hair loss treatments are vasodilators and DHT blockers. Minoxidil is a vasodilator, which increases blood flow to your scalp and hair follicles. More oxygen enlarges the hair follicles allowing existing hair to remain stable and healthy. It also allows new hair to emerge.

Prescription DHT blockers serve a different purpose. Male and female pattern baldness occurs when testosterone converts to Dihydrotestosterone (DHT). DHT is what attacks your hair follicles and makes your hair fall out. DHT blockers prevent the conversion. The most commonly prescribed DHT blockers are Finasteride, Dutasteride, and Spironolactone. Because Minoxidil and DHT blockers treat hair loss from different angles, the two medications are often used simultaneously. Retinol may be prescribed as well to increase the absorption of the other medications. If irritation is a concern, low doses of cortisone can be added. All-in-one topical formulas prevent side effects and can be more convenient than oral medications.

Research Alternative Hair Loss Solutions

Prescription medications are a great choice for many people; however, there are alternative hair loss solutions that can help camouflage your hair loss and give your confidence a boost.

Hairpieces

Looking for a quick fix? Today’s hair pieces come in a wide variety of materials, textures and styles. Testing them out can be fun and can give you a fresh new look that will make you ready to rock the room.

Scalp Concealer

Some people with male and female pattern baldness swear by cover-up sprays and powders. The tint of color is just enough to conceal balding or thinning areas. A wide variety of colors are available to make a good color match, and the concealers are designed to be long-lasting.

Hair Transplants

If your hair loss is stressing you out and you don’t have the patience to wait for other treatments to work, you can always treat yourself to a hair transplant. Hair transplants are surgical procedures where healthy hair is moved from the back of your head to the front. Hair transplant practices have evolved over the years and produce a more natural look than ever before. Transplants can be pricey and aren’t usually covered by insurance since they’re considered cosmetic procedures.

Talk About It

It’s normal to be upset about losing your hair, but if your hair loss is starting to interfere with your holiday plans, you may need a support system. Using a therapist, meeting up with a group locally, or even joining a Facebook group for people with alopecia can help you feel less alone and develop coping skills. Finding a way to talk about your feelings may be one of the best gifts you give yourself this holiday season.

If the idea of stopping your hair loss and regrowing your hair brings you happiness and joy, what are you waiting for? It’s time to get more information on customized hair growth solutions. The best part about our prescription-grade solutions is that ingredients can be added or removed based on your particular needs. Get started now and check out our special edition holiday pack.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/25750481/

(02) https://www.uvu.edu/news/2020/04/04072020_isolation_mental_health.html#:~:text=The%20American%20Psychological%20Association%20reports,have%20long%2Dlasting%20psychological%20impact.

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681103/