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Hair loss usually develops gradually and may be patchy or diffuse (all over). Roughly 100 hairs are lost from your head every day. The average scalp contains about 100,000 hairs.
Diagnostic tests that may be performed (but are rarely needed) include:
Microscopic examination of a plucked hair
Skin biopsy (if skin changes are present)
Hair weaves, hair pieces, or changes of hair style may disguise hair loss. This is generally the least expensive and safest approach to hair loss. Hair pieces should not be sutured to the scalp because of the risk of scars and infection.
For hair loss due to heredity, age, and hormones, the topical medication Rogaine (minoxidil) can be helpful for both male and female pattern baldness. Expect to wait 6 months before you see results. The oral medication Propecia (finasteride) is effective in some men. This medicine can decrease sex drive. When either medication is stopped, the former baldness pattern returns.
Hair loss from menopause or childbirth often returns to normal 6 months to 2 years later
Call your doctor if:
You are losing hair in an atypical pattern.
You are losing hair rapidly or at an early age (for example, teens or twenties).
You have any pain or itching associated with the hair loss.
The skin on your scalp under the involved area is red, scaly, or otherwise abnormal.
You have acne, facial hair, or menstrual irregularities.
You are a woman and have male pattern baldness.
You have bald spots on your beard or eyebrows.
You have been gaining weight or have muscle weakness, intolerance to cold temperatures, or fatigue.
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