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Common Hair Loss Questions

By D.J. Verret, MD


What is the first step for people with hair loss? Millions of people each year are newly affected by thinning hair. It can be a particularly psychologically devastating process. The first step in treating hair thinning is determining the cause of the hair loss. There are many factors which contribute to hair loss including genetics, trauma, and underlying medical diseases. The first step for any person suffering from hair loss is to consult with an experienced doctor to determine the cause of the hair loss so that the best treatment can be determined.

What causes male pattern baldness? Male pattern baldness, more appropriately termed androgenic alopecia, is caused by the effect of the break down products of testosterone on certain hair follicles on the scalp. This type of hair loss affects males and females, though more commonly male patients. Interestingly it only affects hair on the scalp and not on the rest of the body. The patterns of loss are well established and appear to be genetically determined.

What is the best treatment for hair loss? The best treatment for hair loss is dependent on the cause for the hair loss. There is no one treatment which works for every person or for every cause. The most common cause of hair loss is androgenic alopecia. For this, the best treatment is aimed at preventing future loss and restoring hair that has been lost. For hair loss caused by underlying medical conditions, the best treatment is to treat the underlying medical condition. The hair loss will often resolve in a short period after the condition is treated.

Does minoxidil work? There are three medications approved by the US FDA. Minoxidil, bimatoprost, and finasteride are approved for different types of hair loss. Bimatoprost is approved to treat eyelash loss and most recently approved. Both bimatoprost and finasteride require a prescription while minoxidil is available without a prescription. Talk with a physician before starting any of these medications as they all have possible side effects.

While hair loss is a fairly common ailment, the good news is that it is treatable. Determining the cause by consulting with a physician is the first step to determining appropriate treatment for hair loss.




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