How can I control the hairfall and initiate regrowth?

Question

Hello doctor,

I am a 54-year-old woman. For around four to five months, I have been experiencing heavy hair fall in the frontal and lateral regions. For the past year, I am also experiencing thyroid conditions (hypothyroid 6.40) along with stress and menopause (menopause onset was seven months before). I can notice new hair follicles but very less in number compared to hair fall (more than 100 at times).

I have taken multivitamin tablets for a month. Now, I am taking menopause tablets. I have been applying onion, aloe vera, and ginger oil for the past two to three months. Also, I am consuming yogurt, milk, and dry fruits. Kindly suggest some measures to arrest the hair fall and initiate hair growth. Also, suggest dietary restrictions and additions if any. I am a housewife and mainly do household chores, though nothing significant.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. Thyroid issues and stress causes hair to fall. Please send me images of your scalp to assess your hair loss better and help you accordingly. Meanwhile, you can start using this. Kindly consult your doctor to discuss and take the treatment with consent.

1. Anaboom anti-hair fall serum on the scalp once a day.

2. Tablet Keraglo Eva (multivitamin) once a day.

3. Keraglo-AD shampoo (ketoconazole) thrice a week apply on the hair for 10 mins and wash off.

Also, get the following tests done

1. Hemoglobin.

2. Serum ferritin.

3. Vitamin D levels.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

It seems your vitamin D levels are insufficient (attachment removed to protect patient identity). Use the following medicine for replacement. Kindly consult your doctor to discuss the suggestions and take the treatment with consent.

1. Ecomune D3 (vitamin D) sachet once a week in a glass of milk for six weeks.

2. Tablet Shelcal (Vitamin D3 and calcium carbonate) 500 mg once a day.

For food part kindly take foods rich in protein like pulses, milk, and milk products like paneer (cottage cheese), etc. Eat a lot of fresh fruits and vegetables. Nutritional deficiencies can lead to brittle nails and lustreless hair, for that, please continue the medications I prescribed. Regarding the hair loss resuming as soon as one stops the treatment, it does not work like that, if you correct the cause and keep doing then hair loss will not occur.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

The condition is called FPHL (female pattern hair loss), which is a counterpart of male pattern alopecia in females and is caused by hormonal and genetic components and is mainly characterized by widening of midline partition (attachment removed to protect patient identity). There can also be a component of TE (Telogen effluvium) as you also have thyroid issues, in which diffuse hair fall because of sudden or persistent stress is seen. E.g., in thyroid issues, stress, nutritional deficiencies, etc. Use Tugain 2 % lotion. Once you start the medications, it can take up to two to three months to stop the hair fall, and the new hair growth can begin after four to six months. To see the maximum results, it can take up to a year, and maintain that you need to continue it beyond that also.

Yes, the hair will regain density if you take the treatment regularly as most of people stop it in the initial three months only and hair treatments do not work in that short span. The iron studies look normal.

Thank you.