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5 Reasons Why You Want a Dermatologist to Treat Your Hair Loss

You used to have a ton of hair, but now you can see your scalp. You’ve noticed. Your partner is politely pretending not to notice. Your barber is running out of ways to conceal the bald spots and make the thinning areas look thicker. Arg. What to do? First, stop Googling and wasting money on one-size-fits-all hair loss remedies that don’t work. Then, it’s time to consult with a board-certified dermatologist. Dermatologists not only treat skin conditions, but they are also trained to address your hair and nails. Here are five reasons why you want a dermatologist to treat your hair loss.

1. Dermatologists are Hair Loss Experts

News flash. Dermatologists don’t just deal with acne, warts, and eczema. After four years of earning a bachelor’s degree, they continue with four years of med school, one year interning, and at least three years as a resident. They learn a few things about skin, hair, and nails during that time. When they’ve completed their education and training, they are eligible to become board-certified by the American Board of Dermatology. Like any other medical specialty, some dermatologists are more interested in particular study areas than others. So, some dermatologists have more experience dealing with hair issues than others. These are the docs you want by your side.

2. They Are Skilled at Diagnosing Types of Alopecia

It would be nice if there was only one type of alopecia, and it was a snap to diagnose it. That’s not exactly how it works, though. Sure, the most common type of hair loss is androgenetic alopecia, male and female pattern baldness. It’s an inherited form of hair loss that occurs when a person’s testosterone converts to dihydrotestosterone (DHT) and attaches to the hair follicles. Once that happens, mayhem ensues. The hair follicles shrink, hair thins, and hair begins to shed. If the condition isn’t reversed, the hair follicles can eventually close off, preventing new growth altogether. Dermatologists are trained to diagnose male and female pattern hair loss with a visual exam. As the name suggests, when people experience male or female pattern hair loss, the balding or thinning occurs in predictable patterns.

Diagnosing other types of alopecia may require further testing, While each kind of alopecia has recognizable traits, a closer look with a dermatoscope or a pathologist’s report is more conclusive. Blood tests may also be needed to determine if a thyroid imbalance or other medical condition is causing the hair loss.

3. You Need Timely, Accurate Information

If your hair is balding or thinning, it’s not a good idea to take a wait-and-see approach. Unless you have telogen effluvium, it’s not likely that your hair will magically grow back without intervention. Treatment for androgenetic and other alopecia types, is designed to stop shedding and stimulate regrowth. The process is time sensitive because the hair follicles must remain open for growth. Once the hair follicles close, the window of opportunity for regrowth also closes. Having a dermatologist prescribe the proper medications from the start will give you the best chance of achieving your desired result.

4. They Can Give You Access to Effective Prescription Hair Loss Medications

If you’ve checked out drugstore shelves or scanned the internet, you know the market is flooded with over-the-counter hair growth remedies. Here’s what you need to know about them. Over-the-counter (OTC) shampoos and conditioning treatments will improve the appearance of your existing hair, but they won’t regrow your hair if you have male or female pattern baldness. Supplements will compensate for any vitamin deficiencies and create a healthy environment for new hair. However, it takes stronger, prescription-grade medication to regrow hair. Those prescriptions are only available through a dermatologist. Some are FDA-approved, and others are prescribed off-label. Here’s an idea of what Happy Head dermatologists often prescribe:

Minoxidil

Minoxidil is clinically proven to revive hair follicles and thicken hair over time. It’s available in both pill and topical solutions. The medication works by increasing blood flow to the hair follicles. The scalp gets more oxygen and nutrients. It also kickstarts the hair growth cycle. It moves hair from the resting phase into a growth phase and extends the stage.

Minoxidil is sold OTC as Rogaine and private store brands. The difference between what you can get with a prescription is the dosage. Stores sell two and five percent. Happy Head and pharmacies sell eight percent topical solutions and 2.25 milligrams oral Minoxidil, which are higher than what’s available OTC.

Research indicates that pairing Minoxidil with DHT blockers such as Finasteride (01), Dutasteride, and Spironolactone (02) improves efficacy. That’s why Happy Head offers combination formulas.

Finasteride

Finasteride is a first-line DHT blocker that has been FDA-approved for men with androgenetic alopecia since 1997. It’s prescribed to women off-label. Research indicates that Finasteride reduces serum DHT levels by 70 percent. Increasing the dose doesn’t result in greater serum reduction. (03) The medication is ideal for people with early recession or thinning.

Dutasteride

Dutasteride is a step-up from Finasteride. It’s also a DHT blocker, but inhibits more enzymes than Finasteride. Finasteride inhibits the Type II 5-alpha reductase enzyme, while Dutasteride inhibits both Type 1 and Type II. Experts estimate that Dutasteride reduces serum DHT levels by approximately 95 percent. (04) Because Dutasteride is a stronger medication than Finasteride, side effects may be more likely when taken orally. Topical formulas have been proven to be equally as effective with lower changes of undesirable side effects. (05)

Spironolactone

Spironolactone is an aldosterone receptor antagonist often prescribed to women under 50. It works like a DHT blocker. The oral medication is typically reserved for women since it can cause feminization side effects such as enlarged breasts in men. Both women and men can use the topical formula.

Latanoprost

Latanoprost is one of the newest prescription hair-loss medications on the market. It was originally marketed as a glaucoma treatment. When doctors discovered the medication caused longer, thicker, darker eyelashes, dermatologists tested and marketed the product for scalp growth.

5. Dermatologists Can Adjust Your Treatment Plan if Necessary

Not every medication works for every person. What works for your brother, cousin, or friend may be different for you. Body chemistry differs from person to person, and no test exists to indicate which medication is best for each individual. Sometimes finding the right medication or mix of medications means starting with a first-line prescription and stepping up dosages or to more powerful formulas as needed. Other times, patients need customized formulas. Dermatologists have the experience necessary to determine when changes need to be made in your treatment plan.

If you’ve noticed that your hair is thinning, now is the time to make an appointment with a board-certified dermatologist and hair specialist. Minoxidil, Finasteride, and Spironolactone are just a few of the treatment options available, and you don’t want to lose valuable time that you could use to regrow your hair. The right doctor will not only help restore your hair; they will help restore your confidence.

Need a referral? Visit Happy Head, your one-stop hair loss shop, without waiting for an appointment. The company is founded and operated by renowned dermatologists Dr. Ben and Dr. Sean Behnam. When you contact us, your health history will be reviewed by a screened and licensed dermatologist. Your dermatologist will work with you to select the right medication based on your condition. We even customize prescriptions. Your order will be shipped to your front door in a discrete package. Need a change? Not a problem. We’re also here to answer any questions you have. Take the questionnaire to get started. It only take a few minutes and there’s no wait, all done online.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/32166351/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010138/#:~:text=Three%20studies%20compared%20the%20combination,with%20only%20one%20emerging%20hair%2C

(03) https://www.ncbi.nlm.nih.gov/books/NBK513329/#:~:text=Research%20has%20shown%20that%20finasteride,reduction%20in%20serum%20DHT%20levels.

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684818/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706484/

Introducing New SuperCapsule™ Spironolactone Formula

Girls may run the world, according to Beyonce, but when it comes to hair loss medications, there isn’t much out there designed specifically for us. Minoxidil, Finasteride, and Dutasteride, the strongest prescription hair loss treatments available up until now, were all initially tested and marketed to men. The medications were later tested on women and deemed safe and effective. If you’re thinking it’s time that someone designed and sold a product specifically for women with genetic hair loss, you’re right. After all, female pattern baldness is the leading cause of hair loss among women, affecting up to 38 percent of all women. (01) That’s why we’re excited to introduce Happy Head’s new SuperCapsule™ Spironolactone Formula.

The Strongest FDA-approved Prescription Hair Regrowth Ingredients for Women In a Single Daily Capsule

SuperCapsule Spironolactone combines Spironolactone with Minoxidil and Vitamin D3 into an easy-to-take capsule taken once daily. Each capsule contains 25 milligrams of Spironolactone, 1.25 milligrams of Minoxidil, and 2,000 units of Vitamin D3.

Why Millions of Spironolactone Prescriptions are Filled Each Year

Spironolactone, sold under the brand name Aldactone, has been getting a lot of press lately as a treatment for stubborn hormonal acne that doesn’t respond to other prescription medications. The medication isn’t new, though. Spironolactone was initially tested and marketed to treat the fluid built-up that causes heart failure, liver scarring, and kidney disease. It has been around since 1955. In 1969, researchers noticed Spironolactone’s antiandrogenic effects. They discovered that Spironolactone works in two ways. First, it’s a diuretic that helps your body excrete extra fluid. It’s also an anti-androgen that reduces the effects of testosterone in your body. The medication is especially effective in treating thinning and hair loss among women under 50. (02)

Hormones & Hair Loss Treatments for Women

Let’s talk about how Spironolactone works to reduce shedding and regrow your hair. Female pattern baldness is an inherited genetic condition similar to male pattern baldness. Although men have higher amounts of testosterone than women, testosterone exists and functions similarly in both sexes. In both men and women who are genetically predisposed to lose their hair, testosterone converts to Dihydrotestosterone (DHT). DHT can attack and shrink your hair follicles. When that happens, the hair growth cycle is disrupted. Healthy new hair is replaced by thinner hair until the follicles eventually close off and hair stops growing. Spironolactone reduces total testosterone levels, so less testosterone is available to convert to DHT. It also blocks androgenetic receptors in the hair follicles. Yes, Spironolactone is capable of blocking testosterone in both men and women. However, Spironolactone can cause breast enlargement and other undesired antiandrogenic effects in men.

Better Together: Spironolactone in Combination With Minoxidil & Vitamin D3

Now, about how Happy Head’s Spironolactone got its superpowers. Not only can Spironolactone be combined with other hair loss therapies, research indicates that Spironolactone has better efficacy when it’s combined with either oral or topical Minoxidil. (03) In this case, more is better. While Spironolactone blocks testosterone production, Minoxidil enlarges the hair follicles, allowing thicker, healthier hair to emerge.

And then there’s Vitamin D. According to findings published by the National Library of Medicine, Vitamin D plays a significant role in hair growth. Studies indicate that there is a relationship between Vitamin D deficiency and androgenetic alopecia, which is another name for male and female pattern baldness. (04) The organization also estimates that over 40 percent of the population has a Vitamin D deficiency. Replacing this essential vitamin is key to supporting healthy hair growth.

Spironolactone Balances Hormones That Cause Hair Loss

Spironolactone helps restore hormonal balance by blocking androgen receptors and reducing androgen production. Not only does the medication promote a more favorable environment for growth among women genetically predisposed to female pattern hair loss, it’s been found to be particularly beneficial for women with Polycystic Ovary System (PCOS). Hair loss among women with PCOS is common due to excess androgen production that’s characteristic of the condition.

Spironolactone is Safe and Effective

Spironolactone is generally considered safe for hair loss treatment when used under medical supervision and at appropriate dosages. The higher the dosage of Spironolactone, the greater chance of side effects such as fatigue, dizziness, and breast tenderness. Side effects typically subside after the medication is discontinued. Although Spironolactone has a short half-life which means it clears your system quickly after discontinuing use, Spironolactone is not recommended to women who are pregnant or are planning to become pregnant. As with any prescription medication, always consult with a licensed healthcare professional before using any medical treatments or combination therapies for hair loss.

Begin Seeing Results in 3 to 6 Months

Within three to six months, you may see signs of growth. At that point, however, it’s still early in the process. Studies indicate that the best results are seen after a year of continual use.

Want to Regrow your Hair?

Want to find out if SuperCapsule Spironolactone, Minoxidil, and Vitamin D3 formula will work for you? Happy Head has dermatologists licensed in every state available to review your medical history and provide a no-cost consultation. If you’re a good candidate, your prescription will be created and shipped directly to your front door. Have questions after you receive your order? We’re always here to help with ongoing support. Simply contact us and start your online quiz and tell us about your hair to get started.

Resources:

(01) www.ncbi.nlm.nih.gov

(02) Note: Spironolactone is not recommended for women who are pregnant or planning to become pregnant. Always consult with a licensed medical professional before considering any medical treatments or combination therapies for hair loss.

(03) www.ncbi.nlm.nih.gov

(04) https://pubmed.ncbi.nlm.nih.gov

What You Need to Know About Thyroid Imbalances & Hair Loss

Your hair is noticeably thinning, and it’s stressing you out. So, you visit your dermatologist, and they order blood work, including markers for Thyroid Stimulating Hormones (TSH), T3, T4, and thyroid antibody tests. Why are they doing that? What does your thyroid have to do with the strands you’ve been cleaning out of the sink each morning? Is there something more sinister causing your hair loss than you thought? Before you jump to conclusions and fear the worst, here’s what you need to know about thyroid imbalances and hair loss.

Thyroid Conditions Often Go Undetected

Consider this. Most hair loss is caused by male or female pattern hair loss, which is genetic. It doesn’t affect your health, just your hair. Thyroid conditions, however, can also cause hair loss, especially if untreated. According to the American Thyroid Association, more than twelve percent of the U.S. population will experience a thyroid disorder at some point in their lives. Up to sixty percent of those people are unaware of their condition. (01) That’s why dermatologists routinely run thyroid panels on their patients experiencing hair loss.

Your Thyroid Affects Your Hormones

Let’s talk a little bit about what the thyroid is and its purpose. There’s a butterfly-shaped endocrine gland in front of your neck. That’s your thyroid. Its main job is to produce hormones that control your metabolism and how your body uses energy. When your thyroid is out of whack, your hormones go haywire too. That’s where the problems begin.

Different Types of Thyroid Conditions

A few different conditions can cause thyroid dysfunction. Iodine deficiency is one. If you don’t get enough iodine in your diet, your thyroid may grow larger into a goiter. This is because your thyroid wants to hold onto enough iodine to produce enough thyroid hormone.

Autoimmune diseases can also cause your thyroid to go haywire. When this happens, the immune system attacks the thyroid. Hyperthyroidism, also called Graves Disease, can occur when the thyroid overproduces hormones. Underproduction can lead to hypothyroidism or Hashimoto’s disease. Other causes of thyroid dysfunction include a virus or bacteria, nodules, medications, medical treatments, and some genetic disorders. In some cases, pregnancy can trigger or exacerbate thyroid issues.

Having one autoimmune disease also puts you at risk of having another. For example, it’s not unusual for someone with Graves disease to experience alopecia areata or lichen planopilaris.

Weight Gain or Loss is Just One Symptom of Thyroid Imbalance

Symptoms of thyroid imbalance will vary based on the cause. Hypothyroidism may make you feel sensitive to the cold or gain weight. Hyperthyroidism causes the opposite — weight loss and often feeling warm. Other symptoms may include:

Exhaustion
Constipation
Depression
Muscle weakness
Muscle cramps
Brain fog
Hair loss

Thyroid Imbalances Disrupt the Hair Growth Cycle

Now that we’ve reviewed some basics about thyroid disorders let’s circle back to where we started and discuss how your thyroid affects your hair. When your hormone production is disrupted, other processes in your body are affected too. That includes your hair. If your hair’s growth cycle is interrupted, your hair could fall out, and new growth could be halted. Thinning of your hair and eyebrows could result. Some patterns to look for include:

Changes in your hair’s texture — Hair may become coarse and dry with hypothyroidism. It can become very soft and fine with hyperthyroidism
Loss of facial hair — Hypothyroidism could cause hair loss on the outer edges of your eyebrows
Smooth, circular bald patches in discrete parts of your scalp
Diffuse hair loss or thinning across your entire scalp

There are Ways to Regrow Your Hair When You Have a Thyroid Condition

If your lab work comes back and indicates that you have a thyroid condition, your dermatologist will likely refer you to an endocrinologist. Endocrinologists specialize in treating glands and the hormones they produce. Often, once your thyroid is back in balance, your hair will grow back. While you’re in the wait-and-see mode, thickening shampoo and conditioner, and hair growth supplements may make your hair healthier, stronger, and shinier. They may also help reduce shedding.

If your thyroid is balanced, it’s been six months or longer, and your hair doesn’t seem to grow, it’s time to check in with your dermatologist. Depending on your diagnosis and gender, your dermatologist may recommend prescription vasodilators or DHT blockers. Hair loss medications enlarge your hair follicles and block DHT to support your hair’s growth. If you’re on thyroid medication and are concerned about taking multiple pills, easy-to-apply topical Minoxidil, Finasteride, or Spironolactone are available. Topicals are often more appealing because they are not systemic, don’t interact with other medications you are taking, and don’t cause sexual or other bothersome side effects.

It’s time to recap. Dermatologists routinely check their patients experiencing hair loss to rule out thyroid imbalances. Since so many people go undiagnosed, it’s not a stretch. If your thyroid is an issue, your hair will often grow back once your thyroid is back in balance. The right shampoo, conditioner, and supplements may help in the meanwhile. If your hair doesn’t grow back within a few months, it’s time to touch base with your dermatologist to determine if you have another conditions besides thyroid disease.

Dermatologists who are also hair loss specialists are not always easy to find. f you need a consultation, Happy Head is here. All of our doctors are board-certified dermatologists who specialize in hair growth. They are qualified to perform telemedicine and are here to help. Simply fill out a short questionnaire to get started.

Resources:

(01) https://www.thyroid.org/media-main/press-room/

You Should Get Patchy Hair Loss Checked Out. Here’s Why.

You’re brushing your teeth, look up, and notice a patchy round bald spot on your head. Wait, that wasn’t there yesterday. Was it? Should I wait a few days and see what happens? Could it get bigger? This can’t be happening. Can I just pretend that it’s not?

Yes, it’s normal to lose some hair each day. And, yes, you may have inherited your Mom, Dad or Grandparent’s hairline. Genetic hair loss happens gradually over time, though. Sudden, excessive, or patchy hair loss is another story. Get to the root cause and find out if treatment options are available. And finally, yes, you should get patchy hair loss checked out by a dermatologist, here’s why:

1. To Rule Out Underlying Medical Conditions

Alopecia areata is a medical condition that occurs when a person’s immune system attacks his or her hair follicles resulting in hair loss. Although alopecia areata is rare, only affecting about two percent of the world’s population (01), patchy hair loss is often a symptom. Hair usually falls out in small, round patches the size of a quarter. Some people experience more extensive hair loss, though. With alopecia areata, you may not have any other symptoms besides hair loss.

Alopecia areata is a non-scarring form of alopecia, meaning that the hair follicles are left intact. Hair may spontaneously regrow. While some people have recurring hair loss, others only have one episode. The condition is unpredictable.

Not all patchy hair loss is due to alopecia areata, though. Patchy hair loss can also be a sign of another autoimmune disease. Lupus and thyroid disease can both cause hair loss. Infections, hairstyles, and hair treatments such as straighteners and perms can also be to blame. Visiting a doctor will help you rule out these causes and any others. Identifying and treating the underlying condition early in the game can help prevent further hair loss.

2. Diagnosing Hair Loss Isn’t as Simple as It Seems

Distinguishing one type of alopecia from another isn’t something you can do yourself. While androgenetic alopecia, male and female pattern baldness, can be diagnosed by a dermatologist during a visual exam, scarring and other types of alopecia require a closer look with a magnifier called a dermatoscope or a biopsy. Happy Head’s dermatologists can diagnose online, but in some cases may recommend scheduling an in-person appointment. To get a free consultation with a Happy Head board-certified dermatologist, take our quick questionnaire here.

3. Treatments Can Be Customized

Medications and treatments vary based on the cause of your hair loss, so your dermatologist needs to nail down the underlying condition to develop an effective treatment plan. Telogen effluvium, temporary alopecia due to stress, illness, medications, or other causes, doesn’t require any treatment. Hair typically regrows within six months to a year. A different approach is required for alopecia areata. Depending upon the severity, treatments may include steroid injections, JAK inhibitors, which are a new class of medication showing great promise (02), and oral or topical medications such as Minoxidil, Finasteride, or Dutasteride. Just as not every case of hair loss is the same, not every person responds the same to hair loss treatments. It may take some time to determine the right mix of medicines for you.

4. Emotional Support & Guidance

Although seeing bald patches may be new, upsetting, and embarrassing to you, dermatologists see cases like yours regularly. Not only do they know what to do to help you, they know what to say. You don’t have to worry that they will think you’re being an alarmist. Instead, your dermatologist can offer reassurance and help you navigate the psychological aspects of losing your hair. They also may be able to refer you to a support group or other resources to help you deal with the emotional challenges you may be facing. Remember, that you don’t have to do it alone. Hair growth is a journey.

5. Prevent Further Hair Loss

The last thing you want is for your alopecia to progress, so early intervention is key when it comes to patchy hair loss. In some cases, once you’ve lost a certain percentage of hair, it’s more challenging to manage or reverse the effects. Early treatment minimizes long-term damage by keeping the hair follicles viable, preventing further hair loss, and jump-starting the growth process.

If you notice patchy hair loss, it’s not only okay to seek treatment; it’s recommended. A dermatologist can determine whether you have alopecia areata or another form of autoimmune hair loss, offer treatment options, and help you wrap your head around what’s happening.

If you have patchy hair loss, thickening shampoo, conditioner, hair growth supplements, and oral or topical medications such as Minoxidil, Finasteride, Dutasteride, or Spironolactone may complement your treatment plan. Visit us to see the array of products available. Need help making a selection? We have dermatologists licensed to practice in every state who can make recommendations. Simply fill out a brief form with your medical history to get started.

Resources:

(01) www.ncbi.nlm.nih.gov

(02) www.ncbi.nlm.nih.gov

What the Experts Know About Alopecia

Did you know that dermatologists treat more than just skin issues? During their twelve-plus years of training, dermatologists are also taught how to diagnose and treat patients’ hair and nail conditions. That’s why a licensed dermatologist should be your first stop if you’re experiencing hair loss that seems more than the norm. Yes, it’s possible that Covid-19 or the flu temporarily shocked your hair, and it will grow back on its own. However, some types of hair loss require attention. If that’s the case, you don’t want to risk losing valuable time and hair when you could be in treatment.

So, if seeing hair everywhere but on your head is stressing you out, go ahead and schedule an appointment. Don’t have time to head to an office? Take our online questionnaire and we’ll match you with a dedicated dermatologist to help answer your questions. Don’t worry about your dermatologist thinking you’re crazy or an alarmist. They have seen it all. Meanwhile, here’s a sneak peek at what expert dermatologists know about alopecia and what may be in store for you.

Alopecia is a Broad Term

Type “alopecia” into Google, and what comes up? Lots of results on alopecia areata. Alopecia areata is one very specific type of alopecia (we’ll talk more about it in a minute). However, there are many different types of alopecia, ranging from there’s nothing you can do but wait for your hair to grow back to it’s time to get on some medication. Alopecia is more of a finding than an actual condition. The word is used by professionals whenever there is some disorder causing hair loss. If you’re losing facial hair, that’s considered alopecia too. So, if your dermatologist uses the word alopecia, don’t worry. It’s a broad term that encompasses many types of hair loss.

There Are Different Types of Alopecia

Hair loss is not one-size-fits-all. Symptoms and treatments vary based on what type of alopecia you are experiencing. Here’s a primer to help you understand what your dermatologist may look for during your consultation.

Temporary Hair Loss

Finding hair everywhere but on your head can be upsetting. Before you plan for the worst, though, consider this. Not all hair loss is permanent. Certain medications, illnesses, surgery, and even ultraviolet rays from the sun disrupt your hair’s growth cycle and cause a condition called telogen effluvium. Telogen effluvium is self-limiting, which means that peace will be restored to your scalp once the trigger is removed.

Insider Advice: Although hair usually grows back on its own within six months to a year, the waiting game can feel long. Supplements, thickening shampoos, conditioners, and regular trims can help support healthy hair growth while you wait.

Genetic Alopecia

Have you ever heard of androgenetic alopecia? Maybe not, but you’re probably familiar with Male and Female Pattern Baldness (MPB or FPB) which is the same thing. But wait! Isn’t that something that only happens to old people? Well, not exactly. Anyone who has gone through puberty can experience male or female pattern baldness, a form of genetic hair loss. As a matter of fact, many people who experience MPB or FPB realize that they started losing their hair before the age of 40. (01) Androgenetic alopecia is inherited through your family tree and occurs when testosterone converts to a substance called Dihydrotestosterone (DHT). DHT attaches to your hair follicles and gradually shrinks them until they close up. Hair falls out in easily distinguishable patterns that can be compared to a Norwood-Hamilton Scale to determine the extent of your hair loss.

Insider Advice: Don’t fall for any “grow hair fast” gimmicks. The most effective way to strengthen and regrow your hair is by using vasodilators and prescription DHT blockers. Topical or oral Minoxidil, Finasteride, Dutasteride, and Spironolactone are all good options. Don’t expect miracles overnight, though. You’ll need to be patient. It takes six months to a year to see results.

Autoimmune Hair Loss

Autoimmune diseases occur when your body mistakenly attacks healthy cells in your body. When your hair is involved, your hair follicles are attacked, leaving you scrambling to find ways to fight inflammation that blocks your hair follicles’ openings. Autoimmune hair loss falls into two different categories: Non-scarring and scarring. Alopecia areata is a non-scarring alopecia. Hair falls out in sporadic round or oval patches on the scalp. In some alopecia areata cases, hair will spontaneously grow back on its own.

Scarring alopecias behave differently and do what their name indicates. Scars grow over the hair follicles and close them off, leaving doctors and patients to play a game of beat the clock. The goal is to keep hair follicles open and to preserve existing hair before the hair follicles are shrunken to the point where they are closed off.

Insider Advice: Autoimmune hair loss can be tricky to manage. What works for one person may not work for another. Treatment may also require multiple medications. Be patient through the trial process while your dermatologist determines which combination of medications works best for you.

Facial Hair Loss

If you’re losing facial hair, it’s nothing to be ashamed of. It’s a real thing called alopecia barbae, and it’s usually autoimmune related. Alopecia barbae can cause hair to fall out in small round patches in men’s beards or mustaches. Hair can spontaneously regrow, or patches may stick around for a while. It’s difficult to predict the condition’s path.

Insider Advice: Don’t feel like you have to live with facial hair loss. Many of the treatments used to treat scalp hair loss can be used on your face too. These treatments may include steroids, topicals such as Minoxidil, or, in extreme cases, a class of medications called JAK inhibitors that calm the immune system.

Give Yourself Time to Grieve, Then Move On

It’s only natural to go through a grieving process, regardless of the type of alopecia you’re battling. For some people like Congresswoman Ayanna Pressley, hair can be part of your “brand,” something you’re known for. When that hair is gone, you can feel like you’re losing part of your identity. That’s completely normal. Although nobody wants to have any form of alopecia, keep in mind that the awful feeling you get during your diagnosis won’t last forever. Over time, you and the people surrounding you will get used to your new look.

If you have difficulty accepting your new normal, try giving yourself a time frame. Say something like, “Self, it’s been a while since I’ve been happy. ’m giving you one more week to be down in the dumps, and then I’m making an appointment for a new haircut. Then, I’m moving on.” If that doesn’t work for you, a support group or counseling may be what you need to get in the right frame of mind.

So let’s recap what experts know about alopecia. You’d be surprised how many people suffer from hair loss before consulting a dermatologist. If you think your hair is thinning or balding, get an expert opinion. Your hair woes may be nothing to worry about, or there may be something that can be treated. You won’t know unless you talk with a professional.

Tight on time? Happy Head can help. Our board-certified dermatologists are available to help answer your pressing questions and help you regrow your hair. Remember one-size-fits-all treatments are a thing of the past, so let’s create a custom treatment that’s formulated to your needs. Fill out our short questionnaire and add a few photos to get started.

Resources

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

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/

7 Reasons Why Your Hair Is Falling Out (And How to Stop It)

It’s easy to fall down a rabbit hole when doing internet research. A pimple can turn into cancer or flesh-eating disease in minutes. The same thing can happen when you lose your hair. First, you see a few strands of hair on the shower floor. Then, you find hair all over your towels and pillowcases. Worst of all, you’re starting to see receding, thinning, or balding areas. Before you know it, you’re online typing “Why is my hair falling out?” into the search bar. In no time, you’re convinced that you have some rare, fatal illness that’s making your hair shed. The truth is that there are some simple explanations for why you may be losing your hair. Although we don’t recommend self-diagnosis (we’ll talk more about that later), here are the most common reasons your hair may fall out.

1. You Can’t Fight Genetics

If one of your parents or relatives experienced thinning or balding hair, you might be next in line. Male and female pattern baldness, androgenetic alopecia, is passed from generation to generation and can stem from either side of your family. Male pattern baldness accounts for 95 percent of hair loss in men. (01) Although genetic hair loss is typically considered a “guys issue,” androgenetic alopecia is the most common cause of hair loss in women also.

How do you know if your hair loss is hereditary? There are some tell-tale signs, namely specific patterns of hair loss. Men usually see their hairline receding into an “M” shape. The circular area on the back of their heads thins and expands to create an “O” shape. Men can go bald from the condition. Women, on the other hand, don’t usually go completely bald. Instead, they get diffuse thinning that begins on the part line and expands out.

If your hair loss is hereditary, early action with the right medication can help slow down or stop your hair loss and help regrow new hair. Minoxidil is a well-known option that prevents or reverses the miniaturization of the hair follicles. It allows existing hair to remain healthy and new hair to grow. DHT blockers are often needed in conjunction with Minoxidil to prevent testosterone from converting to DHT and attacking your hair follicles. The most commonly prescribed DHT blockers are Finasteride, Dutasteride, and Spironolactone for women.

2. You’re Having an Autoimmune Response

Some types of alopecia are due to an autoimmune disease called alopecia areata. Before you freak out, though, consider this. Your lifetime risk of experiencing alopecia areata is only 2.1 percent. (02) Alopecia areata causes circle-shaped patches of hair loss on various parts of your scalp. Hair can spontaneously regrow without any treatment. However, some people experience relapse. Alopecia areata is diagnosed via visual examination, blood tests, and possibly a small biopsy.

First-line treatments may include corticosteroids and Minoxidil. A psoriasis medication called Anthralin or Oluminant, a new medication that was recently FDA approved, may be prescribed for more severe cases.

3. You’ve Had Surgery or Been Sick

You may not realize that surgeries requiring anesthesia and illnesses that cause high fevers can cause a temporary type of alopecia called telogen effluvium. Some people who had severe cases of Covid were affected. When there’s a rapid increase in stress levels in your body, your hair goes into a type of shock called telogen effluvium. Telogen effluvium speeds up your hair’s growth cycle and pushes it into the resting stage. During the resting stage, your hair falls out. The disruption is temporary, though, and usually only lasts for a few months. After that, your growth cycle gets back on track, although it may take a few months more to see regrowth.

4. You’re Stressed Out

If you’ve been under a lot of pressure at work or are experiencing a breakup, the stress could take a toll on your hair. During a 2021 study, researchers discovered that a particular stress hormone called corticosterone can impair the stem cells needed to promote hair growth in mice. When mice were subjected to mild stress for many weeks, corticosterone levels increased, resulting in telogen effluvium. (03) Life happens, and you can’t always get rid of your stressors, so finding ways to manage your stress may help if you notice hair loss. Exercise, deep breathing, meditation, progressive muscle relaxation, and connecting with others are good ways to unwind and help your body reset its hair growth cycle.

5. Your Hair Needs Some TLC

Do you know why Ariana Grande first started wearing her signature high ponytail? It was because her hair was damaged by the dye she used while filming the series Victorious. Yes, harsh chemicals and hairstyles, such as tight braids pulling on your scalp can make your hair break or fall out. Straightening treatments, including Brazilian blow-outs, are also very harmful. If your hair is suffering, there are still things you can do to make it healthy again and prevent further hair loss. A hair mask or deep conditioning treatment can bring some moisture back. A haircut can remove dead ends. If your hair is falling out due to traction alopecia, hair loss caused by pulling on your hair too much, don’t despair. Your hair will grow back once you stop damaging it. If you find that your hair isn’t growing back, be sure to check with your dermatologist.

6. You’re Experiencing Side Effects From A Medication

Hair loss isn’t one of the side effects usually listed on medications, and it’s relatively rare, but it can happen. Antidepressants, certain nonsteroidal anti-inflammatory drugs (NSAIDs), thyroid medications, steroids, and hormone replacements can be culprits. If you think one of your medications could be to blame, don’t stop taking it. Always consult with your doctor before making any changes.

7. Your Lifestyle Could Use Some Improvement

We’re human, and we all have some vices. But iif you’re concerned about your hair falling out, it may be time to rethink your lifestyle. Let’s start with smoking. Smoking could affect your hair by causing vasoconstriction and damaging your hair follicles. If you’re prone to androgenetic alopecia, it can also make you produce more DHT. (04)

Then there’s alcohol. There isn’t any scientific evidence out there that indicates that drinking alcohol affects your hair. Excessive drinking, however, can cause or contribute to medical issues that could affect your hair. Remember how we talked about stress causing telogen effluvium? Alcohol in excess could become a stressor if it affects your overall health.

You may also want to evaluate your diet. Certain foods can increase testosterone, which can potentially convert to DHT. Processed and sugary foods are an example. Too much sugar can cause your body to produce more insulin, increasing androgens. According to Dr. Ben Behnam, board-certified dermatologist and founder of Happy Head, people who are concerned about hair loss should also choose their protein carefully. Caged chickens produce more testosterone due to the stress of being held captive. It’s best to choose free-range chicken. Whey protein is also an excellent source of protein, but choose the type you use carefully. Whey protein isolate is highly processed and can contribute to hair loss, while whey protein concentrate supports hair health and regrowth.

Early Hair Loss Treatment is the Best Hair Loss Treatment

Now that we’ve shared the most common reasons why our patients experience hair loss, we want to go back to why we don’t recommend self-diagnosis. The key to reversing hair loss is catching it early and beginning treatment while your hair follicles are still viable. You could lose valuable treatment time If you diagnose yourself and are wrong. Be sure to visit your dermatologist for an exam.

Can Female Pattern Hair Loss be Reversed?

Women have a reputation for being fixers. When something goes wrong, the first thing we want to do is fix it. So it’s not surprising that when we lose our hair, we want to take action and figure out if there’s anything we can do to make it grow back. Fortunately, female pattern hair loss can be reversed with treatment. It doesn’t happen overnight, but women start to see improvement within six months to a year. If you have questions about what products are most effective and if there are any side effects, you’ve come to the right place. Here’s everything you need to know.

Female Pattern Hair Loss Is Common

Female pattern hair loss, also called androgenetic alopecia, is the most common type of alopecia among women. Over 21 million women in the United States experience hair loss due to the condition. Besides normal recession that happens to most people as they age, the front of the hairline isn’t usually affected. There is a very distinct, recognizable pattern, though. The process usually starts with a widening of the center hair part and thins on the top and crown of the scalp, making a Christmas tree pattern. Women usually don’t become near or totally bald the way men do.

Too Much DHT Causes Hair Loss

The exact cause of female pattern hair loss isn’t completely understood. Experts believe that there are genetic and hormonal connections. If one of your parents or grandparents lost their hair due to androgenetic alopecia, there’s a chance that you may too.

What we do know is that an androgen called Dihydrotestosterone (DHT) is to blame. Just as men have small amounts of estrogen, women have small amounts of Testosterone. Hair loss begins when some or a lot of that Testosterone is converted to DHT. DHT interrupts your hair’s growth cycle. The androgen miniaturizes the hair follicles, which means that the hair follicles shrink. Existing hair in miniaturized follicles thins or falls out. New hair can’t break through. Fortunately, Happy Head’s board-certified dermatologists have a topical treatment specifically made for women that helps curb hair loss and boost regrowth with our custom Topical Spironolactone.

Myths About Female Pattern Hair Loss

Many myths about what causes female pattern hair loss exist. Let’s discuss three common topics that women often blame for their hair loss:

Vitamin Deficiencies

Vitamin deficiencies, especially iron and Vitamin D, are linked to hair loss. However, they don’t cause androgenetic alopecia. Vitamin deficiencies cause a temporary condition called telogen effluvium. Once the deficiency is identified and treated, hair loss typically stops and new hair grows.

Birth Control Pills

Research indicates that during initial use of oral contraceptives, women may experience more shedding than usual. However, after a few months, the hair grows back on its own. (01) The same is true when women who are stable when taking oral contraceptives go off of the medication.

Antidepressants

There is a lot of talk in various Facebook and support groups about whether antidepressants are the root of women’s hair loss. If you think that your antidepressants are causing an issue, it’s important not to change your dosage or stop taking your medication without first consulting with your doctor. Yes, it’s true that some antidepressants can cause medicine-induced alopecia, although it’s rare. The type of alopecia induced is typically a temporary form of telogen effluvium. However, if hair loss due to antidepressants concern, be sure to consult with your dermatologist. Effective hair loss medications can often be used in conjunction with antidepressants.

There’s No Age Limit

Women of all ages can experience female pattern hair loss. Although most women start to notice their hair thinning in midlife, meaning ages 40 through 60, hair loss due to androgenetic alopecia can start any time after puberty.

Patterns of Hair Loss Are the Key to Diagnosis

There isn’t one specific test that dermatologists use to determine whether or not you have female pattern hair loss. Dermatologists can typically make a diagnosis based on a visual evaluation since androgenetic alopecia has such specific patterns in women. Other information that he or she will use includes:

Medical history
Blood tests to check vitamin levels
Pull test to see if strands fall out easily
Visual inspection of hair follicles to check for miniaturization

Your dermatologist may also do a biopsy to rule out other forms of alopecia.

Treatments for Female Pattern Hair Loss

If you are diagnosed with female pattern hair loss, medications are available and have been proven to be effective. One is over-the-counter, and the others are only available by prescription.

Minoxidil (Rogaine)– Available over-the-counter in two and five-percent foams. Although the five percent is designated for men, women often use the five percent formula. Stronger liquid formulas are available by prescription. Oral pills are also available, but carry a very small risk of hirsutism.
Finasteride (Proscar, Propecia)– A DHT blocker FDA approved for men, prescribed off-label for women. An effective topical formula is also available.
Dutasteride (Avodart) – Another DHT blocker that is prescribed as a second-line of treatment after Finasteride. Dutasteride blocks two enzymes, while Finasteride blocks one. Finasteride is effective for most women, so Dutasteride isn’t prescribed as often.
Spironolactone (Aldactone) – A DHT blocker that is prescribed when women’s treatment has plateaued using other treatments.

Potential Side Effects from Hair Loss Medications

Potential side effects of taking oral hair loss medications are different for women than for men. Minoxidil can cause a temporary, initial shedding among some women because it speeds up the resting phase of your hair. This makes your hair fall out faster than normal when you first start using the medication. Minoxidil also makes the growth phase last longer. If you use Minoxidil and experience irritation, you may want to test a formula without propylene glycol. Research indicates that the culprit is often the propylene glycol, not the Minoxidil. (02)

Finasteride, Dutasteride, and Spironolactone are not typically prescribed for women of child-bearing ages. Aside from that, side effects are usually rare and mild, if present at all. If you are concerned about side effects, or interactions with other medications you are taking, topical hair loss treatments may be a better option for you. Topicals are proven to work as effectively as oral medications without the same risk of side effects since topicals are not systemic. (03) You can also combine topical treatments with oral treatments.

Treatment for Female Pattern Hair Loss Isn’t One-size-fits-all

Treating female pattern hair loss may take some experimenting. Different treatments are effective for different women. Whereas five percent topical Minoxidil may work for some, others may need ten percent. The same is true for Finasteride and the other DHT blockers. Also, remember that combinations of medications with different objectives are often used. For example, Minoxidil and Finasteride are often used at the same time. Retinoids are also often used to enhance the absorption of other medications.

If you have female pattern hair loss and would like more information on treatment options, we’re here to help. Our board-certified dermatologists are happy to review your case and recommend the hair loss medication that would be best for you. Best of all, our prescription medications can be customized and will be delivered directly to your front door.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/4736624/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/

(03) https://onlinelibrary.wiley.com/doi/10.1111/jocd.14895?af=R