Alopecia

Have you ever experienced waking up and looking at the mirror, seeing an irregular hair loss pattern on your head? Yes, that is Alopecia.
Alopecia is a complex condition that has affected millions of people worldwide. It goes beyond mere hair loss and can dreadfully have profound effects on the self-esteem and overall well-being of a
person.

What is Alopecia

Alopecia, in its most fundamental form, refers to hair loss. However, casually, it is also referred to as irregular male or female pattern baldness. Consequently, it is not a superficial concern as it can
significantly take a toll on one’s self-confidence and emotional well-being. Therefore, it is important to fully understand what alopecia is so that you can have it treated accordingly. Ultimately, understanding alopecia requires comprehending its common types and the symptoms associated with each one. Let’s begin by exploring the key categories of alopecia.

Common Types of Alopecia

Androgenic alopecia is a hair loss disorder that can affect both men and women, leading to  permanent hair loss on the scalp, which ultimately results in baldness. In men, it often leads to hair  loss at the top and front of the head, while women typically experience thinning hair on the top and  crown of their head. This usually begins with a widening of the center hair part, and the front  hairline remains unaffected. 

The main culprit behind androgenic alopecia is a hormone known as dihydrotestosterone (DHT),  which has a detrimental effect on your hair follicles. It causes hair to fall out and hinders new hair  growth. DHT is produced when testosterone is converted into this hormone, and because men  generally have higher testosterone levels than women, this is why baldness tends to be more  common among men. 

Alopecia areata is a condition where your body’s defense system, the immune system, gets a bit  confused and mistakenly starts attacking your hair follicles. This can lead to hair loss in certain areas  of your body, with the scalp being the most commonplace. Sometimes, your hair might naturally  grow back on its own, but there’s also a chance it could fall out again if your immune system acts up. 

Telogen effluvium is a temporary situation where hair starts shedding after you’ve gone through a  stressful event. When you’re under a lot of stress, a bunch of your hair follicles take a break and stop  growing, which eventually leads to them falling out a few months later. Stressors like surgery, giving 

birth, or dealing with a severe illness can trigger this. The good news is, in many instances, your hair  tends to grow back once the stress is behind you. 

Traction alopecia happens when your hair follicles suffer harm from constant, intense stress, and as  a result, they can’t produce new hair. This problem typically comes from wearing tight hairstyles like  tight ponytails, buns, braids, or cornrows. To avoid traction alopecia, it’s best to opt for looser  hairstyles and not put too much pressure on your hair follicles. Once these follicles get damaged,  hair loss can’t be reversed. 

Symptoms of Alopecia

The symptoms of alopecia can be emotionally distressing and have a substantial impact on an  individual’s self-esteem. Here are the most common symptoms: 

Thinning Hair: One of the initial signs of alopecia is the gradual thinning of hair. For those with  androgenetic alopecia, this thinning primarily occurs on the top of the head and can affect both men  and women. 

Receding Hairline: A receding hairline is a classic symptom of male pattern baldness. It begins  with the gradual retreat of the hairline, often forming an “M” shape. 

Balding: Bald patches, either round or irregular in shape, are a hallmark of alopecia areata. These  patches can appear suddenly and may be surrounded by healthy hair. 

Excessive Shedding: Telogen effluvium is characterized by a noticeable increase in hair shedding.  You might find more hair in your brush, shower, or on your pillow. 

Hair Breakage: Traction alopecia can lead to hair breakage, especially in the areas where tension is  applied. This results in shorter, weakened hair strands

Common Types of Alopecia

Various treatment options are available for Androgenetic Alopecia: 

Minoxidil 

Minoxidil is a topical over-the-counter medication that can help kickstart hair growth and reduce  hair loss. But here’s the important part: it takes time. You’ll need to use this medication consistently  for about a year to see if it’s effective for you. In the early stages of using it, you might notice a brief 

increase in hair loss, but don’t worry; this typically stops as new hair starts to grow. You can find  Minoxidil in both liquid and foam versions. 

Finasteride 

Finasteride is a prescription drug made for men to tackle hair loss. It does this by lowering the levels  of DHT, a hormone that contributes to hair loss, which can help keep the hair you have and  potentially grow some back. However, it’s important to note that this medication can cause birth  defects, so it’s usually not recommended for women who are still in their childbearing years.  Postmenopausal women might be considered for it under certain circumstances. 

Spironolactone 

Women have another option called spironolactone to combat androgenetic alopecia. Studies have  shown that this medication can block androgens, which are hormones that can lead to hair loss, and  this blocking effect can help with growing back hair and making it thicker. 

Laser Treatment 

Low-level laser therapy (LLLT) is a specific type of laser treatment that activates your hair follicles  and makes them stay active for longer, which leads to thicker hair, more hair growth, and better  coverage on your scalp. 

You can even use LLLT alongside other treatments like Minoxidil, and studies have found that using  both together might work better than using each one on its own.  

Microneedling 

In the microneedling procedure, small needles are used on the scalp to kickstart hair growth. These  needles can be on a roller or a pen-like device, and they make tiny punctures in the skin that reach  the deeper layer called the dermis. This process causes a bit of inflammation, which in turn  stimulates the production of collagen and helps with growing hair. 

When you combine microneedling with topical Minoxidil, it can lead to better hair growth and  thicker hair compared to using Minoxidil by itself. Microneedling can also be paired with platelet-rich  plasma therapy for even more potential benefits. 

What is Alopecia

Alopecia, in its most fundamental form, refers to hair loss. However, casually, it is also referred to as irregular male or female pattern baldness. Consequently, it is not a superficial concern as it can significantly take a toll on one’s self-confidence and emotional well-being. Therefore, it is important to fully understand what alopecia is so that you can have it treated accordingly. Ultimately, understanding alopecia requires comprehending its common types and the symptoms associated with each one. Let’s begin by exploring the key categories of alopecia.

Treatment of Androgenetic Alopecia

Minoxidil is a topical over-the-counter medication that can help kickstart hair growth and reduce  hair loss. But here’s the important part: it takes time. You’ll need to use this medication consistently  for about a year to see if it’s effective for you. In the early stages of using it, you might notice a brief 

increase in hair loss, but don’t worry; this typically stops as new hair starts to grow. You can find  Minoxidil in both liquid and foam versions. 

Finasteride is a prescription drug made for men to tackle hair loss. It does this by lowering the levels  of DHT, a hormone that contributes to hair loss, which can help keep the hair you have and  potentially grow some back. However, it’s important to note that this medication can cause birth  defects, so it’s usually not recommended for women who are still in their childbearing years.  Postmenopausal women might be considered for it under certain circumstances. 

Women have another option called spironolactone to combat androgenetic alopecia. Studies have  shown that this medication can block androgens, which are hormones that can lead to hair loss, and  this blocking effect can help with growing back hair and making it thicker. 

Low-level laser therapy (LLLT) is a specific type of laser treatment that activates your hair follicles  and makes them stay active for longer, which leads to thicker hair, more hair growth, and better  coverage on your scalp. 

You can even use LLLT alongside other treatments like Minoxidil, and studies have found that using  both together might work better than using each one on its own.

In the microneedling procedure, small needles are used on the scalp to kickstart hair growth. These  needles can be on a roller or a pen-like device, and they make tiny punctures in the skin that reach  the deeper layer called the dermis. This process causes a bit of inflammation, which in turn  stimulates the production of collagen and helps with growing hair. 

When you combine microneedling with topical Minoxidil, it can lead to better hair growth and  thicker hair compared to using Minoxidil by itself. Microneedling can also be paired with platelet-rich  plasma therapy for even more potential benefits. 

Platelet-rich plasma therapy, or PRP, is a quick procedure.

Frequently Asked Questions

Holts Healthcare does offer medication refills. You must have a valid prescription and follow the recommendations of your healthcare practitioner for refills.

Anxiety appointments require the completion of the GAD-7 scale assessment. This assessment helps us understand the severity of your anxiety symptoms and the plan of treatment needed. We can also prescribe telemedicine as we care for your time and privacy.

Follow-up for anxiety commonly ranges from 1 to 3 months. The specific follow-up schedule will depend on the individual’s treatment plan and progress. Keep connected with your telehealth – Holts Healthcare for follow-up appointment

Prescription transfers are performed between pharmacies. You should contact the pharmacy, and the staff will guide you through the process.

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