MALE PATTERN HAIR LOSS - TREATMENT

Minoxidil

Minoxidil, a vasodilator, was initially used as an oral medication for the treatment of hypertension. It was found, however, to have the side effect of hair growth. Subsequent approval was given for it to be used as a topical solution to treat baldness. Minoxidil is marketed under the brands Rogaine (in the US), and Regaine (outside the US), and is available in 2% and 5% solutions.

The mechanism of action is believed to be related to its vasodilator effect, causing opening up of the blood vessels in the scalp, thus allowing more oxygen, blood and nutrients to the hair follicles, promoting hair growth. Minoxidil needs to be applied regularly for hair gain to be maintained.

Finasteride

Finasteride is marketed under the brand Propecia. It is an oral, once a day medication, which works by inhibiting 5 alpha reductase, the enzyme responsible for the conversion of testosterone to dihydrotestosterone (DHT). The hair follicles which are then exposed to lower levels of DHT can enlarge back to normal, thereby increasing hair growth.

Propecia is for treatment of male pattern hair loss in MEN ONLY.

Hair Transplantation

This consists of removing tiny plugs of hair from areas where hair is continuing to grow, and transplanting them onto areas that are balding. Usually, multiple transplantation sessions are required.

Wigs / Hair Pieces

Hair pieces have been around for a very long time. Over the years, the quality and variety of hair pieces available have greatly improved. They are made from mesh fabric, polymers or from real hair.