Female Hair Loss Patient Prescribed Prednisone, Rogaine, Birth Control Pills – When Will I See Hair Regrowth?

Mon 11 Aug 2008

I was wondering if you can help. I have sent a couple of questions regarding alopecia and have a few more now that time has gone by.

I am seeing a lot of hair growth using the Rogaine and a cortisone foam, but am noticing more small spots and my hair is thinning a lot elsewhere. Is this normal and how long does alopecia go before it stops? Will it ever stop and will my hair ever be the same again? My doctor has me on prenatal vitamins and biotin and put me on birth control pills. I think I am doing all the right things but am concerned that my hair will never be the same and that I will lose it all. Do you know what the chances are that I will not lose all of it if I am seeing growth? If you can offer some advice, I would greatly appreciate it.

Alopecia is a broad term that simply means hair loss. Though the most common cause of this condition is related to genetics (androgenic alopecia), many other factors can facilitate baldness, especially in women. If you haven’t already, be sure to consult with a dermatologist who specializes in skin and hair and can diagnose the cause of your condition. Determining the reason for your thinning hair is the key step in recommending proper treatment.

From your description however, it appears that you may be suffering from a few variations of balding, one of which may be diffuse alopecia. This is a condition characterized by a diffuse thinning of the hair all over the scalp. Many things can cause this including hormonal shifts in the body, a thyroid condition, an iron deficiency, certain medication especially anticoagulants and retnoids, etc. The good news is, hair is often restored by treating the condition causing diffuse alopecia. I have heard of physicians prescribing birth control pills in an attempt to regulate and stabilize hormones. If hormonal changes is causing this, the use of birth controls may regulate your hormones and your hair may return on its own. Learn more about diffuse alopecia.

Mentioning of the use of cortisone foam (and previously prednisone pulse treatments) and “small spots” makes me wonder if you are also suffering from alopecia areata which is characterized by bald patches in various areas of the scalp. Read more about alopecia areata.

Once again, since your physician already has you on a few treatments, make sure you ask him these same questions in order to understand your condition fully and the chance of a successful hair restoration.

Associate Publisher of the Hair Transplant Network and the Hair Loss Learning Center
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