In the News – Biker Chick Fights Breast Cancer, Loses Hair to Chemo – Hair Loss Information – Balding Blog

Snippet from the article:

Robin KettlewellIn the early ’80s, Robin Kettlewell had a thing for punk rock and a haircut that showed it: purple, with three stripes shaved into one side of her head.

So when she faced losing her hair during chemotherapy for breast cancer this summer, she knew what to do. First she had her long golden brown hair cut off for Locks of Love. That soon became a brush cut that she dyed pink. A few days later, that turned into a pink Mohawk.

Now though, 11 weeks into chemotherapy, she goes proudly and completely bald. Shopping. At restaurants. In her Saturn Sky convertible. But when riding on either of her two Harley-Davidson motorcycles, she always wears a helmet – always. She’s not going to do anything stupid, after all.

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Read the full article: Breast cancer patient faces the disease “head first and no looking back”

Robin is taking back control of her life and is showing the world that even cancer can’t keep her down. She’s able to spread breast cancer awareness by being so brave. Check out the blog Robin created to share her journey.

We wish her the best of luck!

Hair Loss InformationMy Hair Loss Stopped When I Stopped Taking Lexapro! – Hair Loss Information – Balding Blog

I recently went through about 4-5 months of hair loss. I stopped taking Lexapro and it stopped falling out completely within 6 weeks or so. Do you believe this hair loss is permanent? Do you have any advice on what to use to promote hair growth? I hope this medication did not actually damage the follicles and I will have spots forever. I am worried. Thank you for responding.

45 year old women very nervous.

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LexaproIn medicine, as in life, things are not so clear cut. I cannot say for sure if your hair loss was due to a medication such as Lexapro (escitalopram oxalate), but there are reports of hair loss with this medication. In fact, I’ve written about it in the past. So if it is the Lexapro, I would expect that this loss is temporary and you’ll need to wait with great patience for regrowth to occur. There may be other factors involved, though. This is something you need to explore with your physician and have a medical work up and a good history of events.

Any Way to Prevent Hair Loss from Pregnancy? – Balding Blog

I understand that you have answered questions about pregnancy and hair loss but I was wondering what preventive measure I can take to avoid prolonged hair loss or hair thinning as I already have thin hair.

I am 23 years old and nine months pregnant and I have wonderfully thick hair right now, due mostly to the lack of hair loss that pregnancy can cause and also, I think, to the daily prenatal vitamins I have taken, since I never used any before. My older sister started her family at age 29 and after each of her four children experienced about 6 months of hair thinning and loss. Our family has thin hair already, so I’d like to avoid this as much as possible.

I plan on breastfeeding which is supposed to help limit hair loss. Are there any vitamins, minerals, treatments, foods or natural methods to encourage hair growth or prevent hair loss in the year following pregnancy? [Note: I’m not going to ‘stop having kids’ so I’ll use your advice after future pregnancies too :)]

There is little that can be done to prevent pregnancy related hair loss. Fortunately, it does not happen to most women. It is normal, though. You can learn more at the American Pregnancy Association.

Unrelated to your question though, I wish you good luck and hope everyone is happy and healthy.




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My New Dermatologist Prescribed Propecia for My Female Hair Loss – Hair Loss Information – Balding Blog

Hi. I just came home from seeing a new dermatologist. She said if I tested positive for AGA then she would prescribe Propecia as a hair loss treatment. Is this the right solution for a 33 year old female? I heard that it isn’t use in women. I thought the better course of action would be the combination of Yasmin and Spiro.

Also, I would like to know how safe is Rogaine for the long run (decades). I am very hesitant about taking anything orally that would play around with my hormones (Yasmine, Spiro., or Propecia). Thanks for your time. Much appreciated!

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There is no really great, proven treatment for a typical female hair loss. Rogaine (minoxidil) is FDA approved to treat hair loss in women, but it doesn’t get to the root of the problem (no pun intended). Even if your hair loss is found to be androgenic alopecia, there are no studies to validate that any treatment really works for women. In other words, there really isn’t a better course of action.

In theory Yasmin (drospirenone and ethinyl estradiol) and spironolactone should work for treating hair loss in women, but that is not always the case. Yasmin and spironolactone are not FDA approved treatments for androgenic alopecia, and I would be particularly cautious about starting Propecia (finasteride), as it is not FDA approved for women due to a risk of pregnancy complications (birth defects) and other unknown hormonal issues. While many doctors do use these medications for certain women with some benefit, they are not for everyone. The best advice is to be closely followed by a physician or get a second opinion (this does not count as a second opinion — I am not your doctor).

It is safe to use Rogaine for a long period of time, but follow the instructions. It is a topical medication and many patients have been using it for decades.

Hair Loss InformationKeloid Folliculitis – Hair Loss Information – Balding Blog

I have been battling hair loss for the past 10 years. I am a 32 year old african american female. I was first diagnosed with Keloid Folliculitis in 1999. I have received continuous treatment from various dermatologists and specialists. The folliculitis issue appeared to have cleared up by 2002 with no reoccurrences. My hair loss began in 2000. I have had a series of blood tests and a scalp biopsy. The biopsy showed my scalp had scarring. The blood work showed that I had high levels of testosterone, low performing follicle hormone, and low iron. (this occurred 3yrs ago.) Since then, I am taking 65mg of iron 2x each day and on birth control. I am also insulin resistant and taking metformin. I have tried various over-the-counter solutions for hair growth, but I am still losing hair.

Bosely will not grant me hair restoration; Duke’s Hair Clinic has temporarily closed. Currently, my primary care physician is injecting cortisone shots to see if this will trigger any hair growth. I am bald on both sides of my hair, and thin on the top and back. Wigs are my only savior at this point. My hair is natural. Please help me with my next step. I am tired of finding hair everywhere but on my head. Thanks!!!

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I have never seen a person with keloid folliculitis and have no experience with it. Regardless, your situation is clearly complex and giving you any opinion without at least an examination would not be in your best interest. There are some doctors who specialize in such conditions and do hair transplants. Since you’re near Duke University, I’d be happy to recommend Dr. Jerry Cooley in Charlotte.

Teen Girl with Bulimia and Hair Loss – Balding Blog

(female) i have bulimia, i used to smoke weed and be very depressed. during that time, i had a v8 moment and suddenly realized my hair was soo much thinner than it used to be. i looked around and realized both of my older sisters, have extremly thin hair, balding hair i guess could describe it more. they have been smoking for tens of years, i have stopped, unfortuantely i have picked up another habit. i guess i want to know what everyone else here wants to know, will or could it grow back? also, i am only 15, im still growing, is there hope?

I would have to see you and understand what you are actually referring to as thinning. I would map out your scalp for miniaturization, perform a hair pull test, and then render an opinion. Obviously without seeing you, I can not really understand what your situation is and where you are in this cycle.

Bulimics often have hair loss from stress and unhealthy weight loss, so I would like to know more about your overall nutrition. I wouldn’t rule out that your hair could regrow at some point, but I doubt it will until you get your eating disorder under control. Hopefully it is a temporary telogen effluvium, but I have no way to know that over the web and without some more medical history.




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In the News – Hair Loss Increases As Women Age – Hair Loss Information – Balding Blog

Snippet from the article:

You’ve heard of male pattern baldness, but did you know that 50% of all women experience significant hair loss by the time they reach 50? According to one study, major hair loss increased to 75% for women over age 65.

While harsh chemical treatments like bleaching and perms can contribute to hair loss in women, factors such as stress, poor nutrition, heredity, medical conditions, and chemotherapy are more common factors that cause the hair to fall out, and in some cases, permanently.

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Read the full article: Hair loss in women increases with age

Interesting reading and some good information throughout!

Fluocinonide Stopped My Female Hair Loss for a Couple Months – Hair Loss Information by Dr. William Rassman

Hi. I am a 32 year old female who has been experiencing hair loss every six months for the last two years. Every time my dermatologist or GP would prescribe Fluocinonide Topical Solution (.05%). The shedding would stop about 2 months later. However, 5 months later the shedding would start up again. I had some blood work done, but they came back normal. Can you tell me what is going on?

Also, can you recommend a hair loss expert/dermatologist in Orange County? I would like some answers.

Thank you so much for taking the time out of your busy day to answer my questions.

This may be a jaded perspective and opinion, so be forewarned…

Hair loss for women can be a very frustrating condition to treat and diagnose for physicians. Miniaturization studies will show the status of the hair, thinning possibly in some areas. The doctors are under pressure to be proactive and to provide some form of treatment to the distraught patient even if they are not losing hair. If a doctor prescribes a harmless treatment that does not really have any clinical basis or proven results, is the doctor being honest? Treating hair loss with a corticosteroid (anti-inflammatory drug) such as fluocinonide would mean that there may be some inflammatory process going on behind the hair loss, but even without the use of such drug it is more likely the shedding would have stopped in a few months time. Hair loss can be cyclical in women. Oh… and don’t discount the power of the placebo effect.

I would think that if you have some sort of an inflammatory cause of hair loss (that is responding to fluocinonide) you would need a scalp biopsy to make the diagnosis. Any GP or dermatologist would be able to do that. Be forewarned that a biopsy would leave you with a small bald spot.

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If Castration Stops MPB, How is Female Hair Loss Possible? – Hair Loss Information by Dr. William Rassman

I’ve read many times that castration will stop male pattern baldness, in that case how are there forms of female hairloss?

Male pattern baldness occurs in MEN (as the term implies). Female hair loss has nothing to do with men or for that matter androgens (males type hormones made by women, including low doses of testosterone). It is considered genetic, but it is not cause by the male hormones women produce.

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Female Hair Loss from Adderall? – Hair Loss Information by Dr. William Rassman

(female) Help! I have been taking Adderall (d amphetimine salts) and now my long blonde hair is falling out from the root. How can I prevent my once thick head of hair from falling out further? I take this med. for adult ADD and it is difficult to think about not being able to take it – it works so dramatically. I usually take 15 mg/day. I have tried Provigil to no avail. What actions can I take immediately?

There’s no simple solution. Unfortunately, I can not give you treatment advice since I am not your doctor and I have not examined you to form an opinion. The only action I can recommend is to discuss this with your prescribing physician. Alternately, you can also seek out a good hair expert physician near where you live. Look at the physician search at ISHRS.org to find a hair doc in your area.