Receding hairlines are a common problem for men and women, often caused by factors like age, genetics, and hormone changes. This includes the hormone DHT, which is a by-product of testosterone.
Hair loss treatments include various medications and techniques such as corticosteroids, minoxidil, and hair transplants.
Corticosteroids are anti-inflammatory medications that suppress immune system reactions and decrease inflammation. These can be applied topically or taken orally. They are commonly prescribed for rheumatoid arthritis, lupus, and vasculitis. However, long-term use can have side effects, including cushingoid features, suppression of hypothalamic-pituitary axis suppression, hyperglycemia, glaucoma, cataracts, and increased infection risk.
Hair transplants involve using healthy scalp hair from other parts of the scalp to restore hair in areas where it has thinned or receded. This procedure can be done in a doctor’s office and typically lasts 4-8 hours. The results of surgical transplants can be permanent. Different techniques include Follicular Unit Strip Surgery (FUSS) and Follicular Unit Extraction (FUE), with FUE being more precise and leaving less visible scarring.
Minoxidil is a topical treatment for both men and women to stimulate hair growth and reduce baldness. It comes in foam or liquid form and should be applied to the scalp twice daily. Minoxidil works by increasing blood flow and thickening hair follicles. It is more effective at treating the crown of the head than frontal areas but can still show visible improvements. It should be used in combination with other therapies for optimal results.
Finasteride is an oral medication for men with receding hairlines. It blocks the conversion of testosterone into dihydrotestosterone, the hormone responsible for pattern baldness in men. It also promotes new hair growth and prevents further loss. Signs of its effectiveness include reduced frequency of urination and increased urine flow. Finasteride may not work for everyone, so discussing other treatment options with a physician before starting this medication is important.
