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Suggest Treatment For Hair Loss

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Posted on Wed, 18 Feb 2015
Question: My dad family has heredity of Hair Fall, My Grand Father, Dad n my uncle and i have started experiencing hair fall these days. Any steps to stop
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Answered by Dr. Dr. Kakkar (20 minutes later)
Brief Answer:
I suggest you to start treatment with Topical Minoxidil & Oral Finasteride

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

You seem to have a condition known as Androgenetic alopecia also known as patterned hair loss in males.
The tendency to hair loss is usually inherited, as is evident in your case. In androgenetic alopecia family history is positive in most and but is not necessarily present in first degree family members like father, brother. Positive family history in grandparents, aunts, uncles, nephews, nieces or half-siblings is also significant.

Hair loss in androgentic alopecia involves mainly front and vertex part of the scalp. Hair loss is also associated with thinning or miniaturization of hair follicles.
There maybe gradual recession of anterior hair line.
Hair loss and thinning from angles of anterior hair line gives rise to wider and deeper angles (thus giving rise to a V shaped anterior hair line).

Minoxidil and finasteride have US FDA approval for use in this type of alopecia.

While Minoxidil is a non-specific hair growth promoter, oral Finasteride is specific for androgenetic alopecia in males.

Finasteride inhibits the enzyme responsible for converting testosterone to Dihydrotestosterone (DHT) in hair follicles. DHT is the main culprit responsible for hair loss and thinning in this type of hair loss.

Results are usually noticeable over a period of 6-12 months of regular topical and oral treatment.
The results are maximal at 1-2 years of combined treatment (Oral + topical) and then may be maintained with just Oral treatment.

The goal with this therapy is to arrest or slow down further progression.
New hair regrowth is an added advantage but the response to treatment varies from individual to individual.
Regrowth is usually good if the problem is not a long standing one.

Therefore, the aim is to start treatment as early as possible so as to arrest progression.

Treatment is life long.
Usually after a good regrowth has been achieved after 1-2 years of both Oral and Topical treatment, subsequent treatment is directed towards maintenance of improvement.
Maintenance treatment is with once daily finasteride with or without once daily or alternate day minoxidil application.

These are all prescription medications, therefore, I suggest you to talk to a doctor for the needful.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Hair Loss

Brief Answer: I suggest you to start treatment with Topical Minoxidil & Oral Finasteride Detailed Answer: Hello. Thank you for writing to us at healthcaremagic You seem to have a condition known as Androgenetic alopecia also known as patterned hair loss in males. The tendency to hair loss is usually inherited, as is evident in your case. In androgenetic alopecia family history is positive in most and but is not necessarily present in first degree family members like father, brother. Positive family history in grandparents, aunts, uncles, nephews, nieces or half-siblings is also significant. Hair loss in androgentic alopecia involves mainly front and vertex part of the scalp. Hair loss is also associated with thinning or miniaturization of hair follicles. There maybe gradual recession of anterior hair line. Hair loss and thinning from angles of anterior hair line gives rise to wider and deeper angles (thus giving rise to a V shaped anterior hair line). Minoxidil and finasteride have US FDA approval for use in this type of alopecia. While Minoxidil is a non-specific hair growth promoter, oral Finasteride is specific for androgenetic alopecia in males. Finasteride inhibits the enzyme responsible for converting testosterone to Dihydrotestosterone (DHT) in hair follicles. DHT is the main culprit responsible for hair loss and thinning in this type of hair loss. Results are usually noticeable over a period of 6-12 months of regular topical and oral treatment. The results are maximal at 1-2 years of combined treatment (Oral + topical) and then may be maintained with just Oral treatment. The goal with this therapy is to arrest or slow down further progression. New hair regrowth is an added advantage but the response to treatment varies from individual to individual. Regrowth is usually good if the problem is not a long standing one. Therefore, the aim is to start treatment as early as possible so as to arrest progression. Treatment is life long. Usually after a good regrowth has been achieved after 1-2 years of both Oral and Topical treatment, subsequent treatment is directed towards maintenance of improvement. Maintenance treatment is with once daily finasteride with or without once daily or alternate day minoxidil application. These are all prescription medications, therefore, I suggest you to talk to a doctor for the needful. Regards