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How can I prevent my hair from thinning?

Q: I am a 29 years old female. I am suffering from thinning of hair. My hair fall is around 100 strands a day. But thinning is quite evident as the re growth of hair is not much. I have been advised to take an Aminexil product. I have been using it for 13-14 days, without any result. The product dosage is for 42 days. My hair falls out from the root and there is a whitish bulb coating at the root of my hair. I also have appreciable amount of dandruff due to which my scalp always itches. My father is bald and my mother has very thin hair. Please suggest.

A:You could be suffering from Androgenetic alopecia. Most women with androgenetic alopecia have normal menses, normal fertility, and normal endocrine function, including gender-appropriate levels of circulating androgens (male hormones). Therefore, an extensive hormonal work-up is unnecessary. If a woman has irregular menses, abrupt hair loss, hirsutism, or acne recurrence, an endocrine evaluation is appropriate. In this situation, total testosterone, free testosterone, dehydroepiandrosterone sulfate, and prolactin levels should be obtained. The medications that can be used in your case are:

  • 2% Minoxidil lotion
  • Topical tretinoin
  • Other medications may include- Steroid lotions, Spironolactone & rarely exogenous estrogens. The wisest thing to do for you is to visit a reputed dermatologist in your area.

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