Hair Loss Solutions: medically
Topical treatments, the use of oral or injected drugs, and capillary surgery are usually the methods that specialists recommend to fight alopecia. To determine which of them will be effective, the health care provider may require a medical history and a physical examination of the scalp to determine the cause of hair loss. Blood tests, skin biopsy, or microscopic observation of a strand are required in very specific cases.
Types of medical treatments for hair loss
Know all about medical treatments for baldness, you can also enter by clicking on each image for more information:
(Propecia) is in a class of medications called 5-alpha reductase inhibitors, which in doses block the production of a hormone that causes the prostate to increase in size. In smaller doses, their tablets are implemented to thicken existing hair and slow down their fall. It can be used only in men. We have an article on differences between Finasteride, Minoxidil and Ketoconazole.
are usually the oral alternative for women with pronounced hair loss, especially when linked to a disorder. The most common substance is spironolactone (Aldactone) which slows down the fall in case of hirsutism. Oral contraceptives or estrogen therapies may also be helpful in case of hormonal problems. These substances are contraindicated in pregnant women.
Such as cortisone, are another oral modality that can cause hair regrowth in some patients. The main problem with Corticoids is that they have to be taken for a long period to see results and their effect ends up just stopping the treatment. It should also weigh its side effects.
(Rogaine) is one of the drugs approved by the U.S. government agency in charge of regulating the health sector (FDA or Food and Drug Administration). This drug indicated to slow alopecia and stimulate capillary growth does not usually work in areas of total baldness, but rather where there are small hairs. Its form of action is not entirely clear, but it is believed that it increases capillary circulation, which helps the correct functioning of the hair follicle.
Indicated when there is a fungal infection or fungus on the scalp, which may be relatively common in children. The most commonly used products usually contain ketoconazole (Nizoral).
Intralesional cortisone injections
Applied monthly within the bald plaques, but it does not prevent the fall in areas that have not been injected.
Platelet-rich Plasma (PRP)
Is an option whose effectiveness is not proven, as there are contradictory results in the studies performed. Those that indicate positive results ensure that the density of the hair increases.
It consists of extracting blood from the patient through a sterile process and after a 10-minute centrifugation process, it is injected with direct micro applications in the affected areas. The plasma contains proteins of the same patient that activate the hair follicles and slow down the fall. Treatment requires two to four sessions every four weeks.
An alternative that is still under development, and although no side effects have been presented the preliminary results are not entirely clear, as most studies have been in animals.
Treatment may be similar to a mesotherapy. It would take part of the healthy scalp, the cells known as CSC would be isolated and injected under the skin. This would allow regenerating the capillary follicles and would be less limited than the application of hair transplant, as with just a few hairs would suffice.
Other medical treatments for baldness
It involves exposure of the affected area to long wavelength ultraviolet light (UVA), after ingesting or locally applying a photosensitive drug called Psoralen. It needs to be applied from 2 to 5 times a week for several months.
It is usually the last phase of medical treatment, not only because of its high costs but because not all people are candidates for this technique. The age, the sex, the type of hair and how extensive the hair loss, are elements to be taken into account for their realization.
The surgical alternatives involve removing a strip of skin from the back of the head to obtain its follicular units or the method was (by its acronym in Follicular Unit Extraction) which consists in extracting the follicles individually and inserting them In the depopulated area.
In cases of trichotillomania, a pathology that involves the removal of the capillary strands, it is necessary that the patient visits a psychotherapist, who can manage psychotropics that control this type of psychological disorder. This type of treatment is also usually important when there are cases of bulimia and anorexia, in which dietary restrictions influence the disappearance of the hair.