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23 years
I have polycistic and im suffering from hair loss..can i put monixidil or is there a risk of hair growing more on my face?(already have hair on face)
Sep 3, 2014

Dr. Zakia Dimassi Pediatrics
Even though some women with polycystic ovary syndrome (PCOS) have thicker than normal hair growth on the face or the rest of the body, many women with this condition suffer from thinning scalp hair, known as androgenic alopecia. This is usually due to the high levels of androgens, which occur in up to 40 to 70% of cases of PCOS. Just as testosterone can cause a male to lose their hair, similarly, abnormally high levels in women exert the same effect. The main difference between hair loss in a male and androgenic alopecia in women with PCOS is that in women with PCOS, the hair follicle remains viable. As such, there is higher chance that hair loss therapy will result in new hair growth.
The following are a few hair care tips and methods that all people should follow in order to improve scalp hair health:
1. Daily shampooing of hair, with thorough rinsing.
2. Conditioning the hair to eliminate tangles, particularly at the ends of the hair, and thus avoid harsh hair pulling during combing
3. Avoiding insufficient rinsing, and minimizing any tangling by using a wide-toothed comb. Using a brush with sharp bristles should be avoided. Smooth combs are preferable.
4. Blow drying should be done with a hair dryer kept at about 15 cm away from your head, and reducing the heat gradually as the hair begins to dry out. Blow drying hair from damp to dry should be avoided in order to minimize hair damage, brittleness and split ends.
5. Rollers should not be used tightly. Same applies to pins and clip use should be minimal and never during sleep.
6. If elastic bands and barrettes are used, they must not be worn too tight. They have been noted to cause traction alopecia. Similarly, pulling the hair too tightly from the forehead may also lead to severe hair breakage.
7. A habit of compulsively touching and pulling hair (trichotillomania) should be avoided.

Medical Treatments of Androgenetic Alopecia:
A) Oral contraceptives (OCP) in combination with spironolactone:
The combined use of any antiandrogen with OCP has the advantage of reducing the effect of hair shedding by several actions of OCP:
1. they suppress the pituitary hormone luteinizing hormone (LH) which stimulates the ovary to produce androgens;
2. they increase a substance called sex hormone-binding globulin (SHBG) which allows more binding of testosterone to this protein, and
3. they further reduce conversion of testosterone to DHT, the active form of testosterone which increases male pattern hair.

B) Diane-35 (containing cyproterone acetate “CPA” and ethinyl estradiol):
CPA blocks the binding of the active androgen DHT at the receptor site of the hair follicle as well as other hormonal effects.
C) OCP in combination with a 5-alpha reductase inhibitor:
Acts by reducing the formation of DHT from testosterone, which inhibits the interaction of DHT and the receptors of hair follicles which in the scalp may reduce the intensity of shedding hair
D) OCP with flutamide:
a nonsteroidal pure antiandrogen in that it inhibits male hormonal effects in all tissues responsive to testosterone - E) Multiple drug therapy

E) Minoxidil
Topical minoxidil (Rogaine), an over-the-counter preparation, may be useful in early forms of alopecia either as a monotherapy or in combination with some of the above treatment choices. Following discontinuation of treatment, however, the benefits go away. In some women there may be a mild degree of hair regrowth. Care must be taken while using Minoxidil so as not to allow any drops to drip to the face, which may lead to undesired hirsutism of affected areas
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