Posts Tagged: Male Pattern Baldness

Is Genetic Test for Hair Loss Worthwhile?

October 14th, 2009

Q: Is it worth getting the genetic test for balding?

A: You’re referring to Hair DX (hairdx.com), which costs about $150 and came to market in January of 2008 as the first test for androgenetic alopecia, aka male pattern baldness.

The test screens for variations in the androgen receptor gene on the X chromosome, the gene that is associated with male pattern hair loss. The purpose of the test is to identify persons at increased risk of developing hair loss before it is clinically apparent – so that medical intervention can be started early, when it is most effective.

It is important to realize that, at this point, there is just an association with this gene and hair loss; the cause and effect has not been proven and the association is not anywhere near 100%. A danger is that patients may overreact to the relatively incomplete information that the test provides. It is best to have the test performed under a doctor’s supervision, so that it can be put in the context of other information that the physician gleans through a careful history, physical and a densitometry hair evaluation. As of this posting, genetic testing for hair loss is not permitted in New York State.


Posted by Robert M. Bernstein M.D. at 7:30 am

Is Platelet Rich Plasma (PRP) a Viable Hair Restoration Treatment?

October 5th, 2009

Q: There has been a lot of talk circulating on the internet regarding the use of Platelet Rich Plasma (PRP) for the treatment of hair loss. Would you be able to comment on whether or not you think this will turn out to be a viable treatment for male pattern baldness (MPB)?

A: It is a bit too early to tell. My sense is that it will not have any practical long-term benefits for the treatment of hair loss (MPB), since it doesn’t get to the cause of androgenetic hair loss, i.e. DHT. Treatments such as copper-peptide, saw-palmetto, laser therapy, have all been promoted for male pattern hair loss, but have not really turned out to have any significant long-term benefits. Further studies need to be done on PRP to get a better sense of its value in combating hair loss.

On the other hand, PRP can have a significant impact on wound healing and it is possible that it may be useful in promoting healing after a hair transplant in both the donor and recipient areas of the scalp.

For further reading, see the Bernstein Medical – Center for Hair Restoration web page on Platelet Rich Plasma (PRP).


Posted by Robert M. Bernstein M.D. at 9:54 am

Is Latisse a Viable Hair Loss Treatment?

July 28th, 2009

Q: I read that Latisse, the medication recently approved to grow eyelashes, can be used to grow hair in other places. Is this true?

A: Yes. We are currently looking at the use of Latisse (Lumigan, Bimatoprost) to grow eyebrow hair and we suspect that it will be useful in stimulating the growth of scalp hair as well. However, there are additional issues when using it to treat male or female pattern hair loss. These include:

  1. The potential for side effects from systemic absorption, since androgenetic alopecia usually covers an area much larger than eyebrows or eyelashes.
  2. The cost of Latisse used in large quantities can be prohibitive.
  3. Long-term results (the ability of Lumigan to keep stimulating hair growth over time is not currently known).

For more on this topic, please visit the Latisse page on the Bernstein Medical – Center for Hair Restoration website.


Posted by Robert M. Bernstein M.D. at 9:50 am

Do Genes Cause Male Pattern Baldness and if so Which Ones?

October 28th, 2008

Q: What are the genes that cause male pattern baldness?

A: At this time the genes that actually cause hair loss are still unknown.

However, there are two gene loci, recently identified, that appear to be associated with common baldness. The first is on the Androgen Receptor (AR) gene carried on the x-chromosome and the second is a non-sex chromosome 20p11.


Posted by Robert M. Bernstein M.D. at 11:10 am

Is Hair Transplant or Treatment with Hair Loss Medication Preferred for People in Their 20’s?

May 12th, 2008

Q: I am 25 year old who just started going bald. My doctor confirmed it’s pattern baldness and put me on Propecia and Rogaine. I don’t want to go bald at any age. So, instead of prolonging the process for 5-10 years and then having a HT, isn’t it easier to let the hair loss continue and then have a HT, so, that I can save the money on drugs for years.

A: It is far better to keep your own hair. Keeping your own hair will generally look fuller than a hair transplant, since a hair transplant just re-distributes existing hair (until hair cloning techniques are available).

The medications (i.e. finasteride and minoxidil) are relatively cheap if you get the generic forms.


Posted by Robert M. Bernstein M.D. at 7:35 am



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