After determining the possible causes of hair loss , the next step is to develop a treatment adapted. Review of treatment options and explanations with Dr. Philip Abimelec.
Faced with all the hair loss , start by identifying the source to process his case.Falls are often transient and significant consequence of a telogen effluvium can be (after childbirth, high fever, stopping contraception or anesthesia general) or anagen (chemotherapy). The hair loss are often extended the consequence of androgenetic alopecia but may indicate a deficiency, an endocrine disorder.
Hair loss: what are the treatment of telogen effluvium?
Dr. Philip Abimelec: When telogen effluvium is due to high fever, childbirth or surgery, the hair loss is temporary, we must wait while everything falls into place.
What are the treatments for androgenic alopecia?
Dr. Philip Abimelec: The androgenic alopecia is hair loss of genetic and hormonal, very common in men, characterized by a localized drop. In contrast, in women, the androgenic alopecia is manifested more by hair loss diffuse.Against this form of androgenic hair loss , many products have been on the market but the vast majority have never been scientific evidence of their effectiveness. We can not recommend them, except two treatments : minoxidil and finasteride. The first open only to men, while the latter is also indicated for women at a lower dosage (2% in women against 5% in men).Both drugs should be used with caution as they are not without side effects.Finasteride for example, can cause sexual dysfunction (erection problems).These effects are rare, approximately 2 100 people, and are obviously reversible.This treatment is fairly easy to follow as it comes in the form of tablets. By contrast, minoxidil is more restrictive because it requires the applications, which slightly greasy hair . Also, be aware that this is not a spot treatment, it must be for very many years since stopped, the hair loss resumes. The major side effect of minoxidil is its tendency to cause a telogen effluvium early treatment , that is to say that hair loss may worsen for a few weeks (3-6 weeks), before stabilizing . This is so then the hair grows back. This problem is very common, especially with minoxidil 5%. And finally, the treatment needs to be monitored very carefully because oversights (over 8 consecutive days) also may cause telogen effluvium. It is not uncommon to have a clear exacerbation of hair loss and which may last one to two months. The upside is that now minoxidil provides a fall arrest or even a real regrowth of hair . In women suffering from alopecia androgenic been screened sometimes hormonal disorders, particularly due to dysfunction of the ovaries, which are the source of excessive production of male hormones. Their overabundance is suspected in the presence of certain symptoms: irregular periods, excess hair, acne , etc.. Under these conditions, a hormonal assessment is necessary to verify whether to propose a treatment anti-androgen. In other cases, excess hair sensitivity to male hormones may be suspected in case of oily skin, hair fat, overweight, etc.. In these situations, local treatment of minoxidil can be supplemented by prescribing a suitable hormonal contraceptive pill. Indeed, some pills can worsen hair loss , while others lower the rate of male hormones.
What is the treatment of other forms of diffuse hair loss?
In the case of a malfunction of the thyroid (common in women), we must begin by treating the thyroid disorder. If the problem of hair loss is not resolved, a treatment complementary minoxidil is sometimes necessary. When there is iron deficiency, it is necessary to correct and adapt the contraception. When taking a drug has been questioned, as some antidepressants or anti-cholesterol should be a change of family therapy where possible. However, if a chemotherapy which can not happen, we can not do anything but wait the end of this treatment that accompanied the gradual regrowth of hair . And finally, if the disease is hair, it uses specific treatments. In each case of hair loss, it is advisable to seek the cause in order to provide the best treatment.
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