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QUESTION OF THE WEEK


Treatments for androgenetic Alopecia Are Forever.

Treatments For Male and Female Pattern Hair Loss are lifelong

Treatments for androgenetic hair loss are required to be used forever to maintain results.

Far too many people say “I did not want to use Rogaine because I learned that I have to use it forever if it works and once I stop using it the hair I grew just falls out.”

This is true - but it applies to all treatments for androgenetic hair loss.

If you are going to use PRP to treat androgenetic alopecia you have to use it forever if it works and once you stop the hair that one grew just falls out.

If you are going to use an antiandrogen to treat androgenetic alopecia you have to use it forever if it works and once you stop the hair that one grew just falls out.

If you are going to use laser to treat androgenetic alopecia you have to use it forever if it works and once you stop the hair that one grew just falls out.

If you are going to use anything to treat androgenetic alopecia you have to use it forever if it works and once you stop the hair that one grew just falls out.

6 months of a supplement is nonsense.
6-12 months of a laser is nonsense
A one time “fix all” treatment is nonsense

There is only one definition of forever.


Treatments must be stopped prior to pregnancy and must be stopped if concerning side effects develop. Otherwise, the treatment is to be used lifelong.

The concept of “forever” does not necessarily apply in the same way to other types of hair loss. For scarring alopecia, treatments are used until the disease becomes quiet and then one tries to slowly remove medications. Treatment time ranges 1-2 years to 20 + years. But not always “forever.” For telogen effluvium, treatment may or may not be needed forever. It depends on the cause. TE from a thyroid disorder may require lifelong thyroid replacement. Mild forms of alopecia areata may only need treatment until hair grows back and then one can often stop. More severe forms may require lifelong treatment.


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.



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