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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Anita

Question: My mum told me she read that there are essential oils that can reduce DHT. Is this true and if it is which oils are they and how should I use them? Will they help to prevent hair loss (it runs in my family)? I want to find a way to make my slightly thinning hair return to its previous thickness and would prefer to use natural hair loss treatments.

Answer: Hi, Anita. There are a few essential oils which are often reported as having DHT inhibiting properties.

In short, none have enough reliable scientific research behind them to show that they are safe and effective for use in treating hair loss. Essential oils can also cause skin irritation and may be dangerous when used improperly. However, here is some information on the key contenders, in alphabetical order…

essential oils that reduce DHT hair loss thinning hair

Lavender oil

A 2016 study (doi: 10.5487/TR.2016.32.2.103) showed that mice grew hair faster and thicker when lavender oil was applied to their coats. This suggests it may extend the active growth phase – the anagen stage – of the hair growth cycle. However, no human trials have been conducted to find out whether this is the case in men and women.

Peppermint oil

This anti-inflammatory oil is known to be a vasodilator – meaning it can stimulate localised blood flow. Given this is the primary action of high strength minoxidil, the only MHRA-licensed and FDA-approved topical hair loss treatment for Male Pattern Baldness and Female Pattern Hair Loss, some may assume that peppermint oil, applied to the scalp, can have the same effects. Whilst this theory has not been proven, a single, small-scale 2016 study found peppermint oil may be beneficial in cases of the temporary hair loss conditions, Telogen Effluvium and Diffuse Thinning.

Pumpkin seed oil

A 2014 clinical trial explored the links between topical pumpkin seed oil and hair regrowth in men with moderate Male Pattern Hair Loss. It found that 28% of the men taking a placebo had lost more hair at the end of the trial than when they started, and 64% had neither grown nor lost any hair. Researchers noted that 8% experienced “slight or moderate regrowth”. Not exactly a ringing endorsement for what some people believe to be a ‘natural hair loss treatment’, and from what was already a small-scale trial.

Rosemary oil

Although it is used in many traditional hair care products, there is little evidence to show that rosemary oil can promote hair growth. It can, however, irritate the skin and is not suitable for use by a number of groups, including pregnant women, people with bleeding disorders, epilepsy or high blood pressure. For those who are suitable, whilst the oil form is preferably used topically rather than orally, to minimise the risk of side effects, it is unlikely to produce any meaningful regrowth results.

Saw palmetto oil:

Saw palmetto, also called serenoa repens (SR), serenoa serrulata or sabal serrulata, is perhaps the best-known herbal remedy for hair loss.

It is generally taken orally as a food supplement, but can also come in topical oil form. Saw palmetto is thought to slow down hair loss and stimulate new hair growth in cases of androgenetic alopecia, particularly in men. This is because saw palmetto is thought to inhibit the 5-alpha-reductase (5AR) enzyme which causes testosterone in the body to convert to DHT.

According to a 2009 review published in the Journal of Cutaneous and Aesthetic Surgery, “Very few studies exist to support the claims of its efficacy. In a small study of 10 males with AGA (23-64 years) on oral SR, improvement was seen in 60%. In a study of 34 men and 28 women (18-48 years) topically applied SR extract in lotion and shampoo base for three months led to 35% increase in hair density and 67% increase in sebum reduction assessed by sebometry, pH metry, hydration studies and phototrichogram (study presented at the fourth intercontinental meeting of hair research societies, June 17-19, 2004). Addition of extract of 0.5% SR to ketaconazole shampoo was shown to give better results compared to ketaconazole alone (presented at the 13th Annual meeting of the European Hair Research Society, Genoa, Italy).”

It is worth noting that none of these test results apply to saw palmetto oil.

Whilst saw palmetto is understood to have hair benefits, to date, the only clinically proven 5AR and DHT inhibitor that has been both MHRA-licensed and FDA-approved any type of hair loss to date, is finasteride 1mg. This is a once-a-day oral tablet which can only be taken by medically suitable men aged 18 or over, with a clinical diagnosis of Male Pattern Baldness.

Please be aware that essential oils can be extremely harmful if applied directly to the hair or skin. They must be diluted with a carrier oil – coconut or jojoba oil, for example – before use and in accordance with the product’s instructions in order to minimise any potential side effects. Essential oils do not mix with water and therefore water will not dilute them.

According to the Tisserand Institute safety guidelines, essential oils tend to be 50 to 100 times more concentrated than the element is when found in its natural plant form. This makes it a potent product which may be dangerous when used inappropriately, or by those for whom essential oils are not suitable – for example where they are contraindicated with certain medications or health issues.

Whilst natural hair loss remedies may be more appealing, those which are chemical-based are more tightly regulated. This means they have been rigorously tested for safety, efficacy and tolerability, and have to meet a number of regulatory criteria before authorisations, such as MHRA licenses and FDA approvals, can be granted and the medications can be made available.

In cases of female pattern baldness, Belgravia clients often follow a personalised female hair loss treatment course that includes appropriate high strength minoxidil formulations and additional, drug-free hair growth supporting products.

These include the LaserBand which is worn three times a week for up to five minutes per session, to stimulate the follicles into active regrowth. It employs medical-grade lasers embedded in an ergonomic headband-style device for a hands-free thinning hair solution, which Belgravia patients often use alongside their minoxidil.

The nutritional supplement Hair Vitalics for Women is also a patient favourite, with its exclusive blend of key vitamins, minerals, amino acids and botanical extracts designed to support the maintenance of healthy hair growth and the normal functioning of the hair growth cycle. It comprises a bespoke blend, developed by Belgravia’s hair experts, which features biotin, zinc, selenium, grape seed extract, soy isoflavones, copper and many more hair-friendly ingredients.

Whilst essential oil products may also be used, as long as you are medically suitable and they are properly prepared and administered, there is little reliable scientific evidence available that shows they would have any significant impact on treating hair loss on their own.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Madeleine

Question: Can stemoxydine treat hair loss? I have thinning hair, most likely inherited from my father’s side of the family, and would like to know what is best to help make my hair thicker again.

Answer: Hi, Madeleine. Stemoxydine is a topical medication understood to shorten what has been referred to as the kenogen phase of the hair growth cycle. This describes the post-shed (telogen) and pre-regrowth (anagen) period when the follicle is left temporarily empty.

Although there have been some small-scale clinical trials into its usage for Male Pattern Baldness, there is little reliable scientific data of any significance to show whether it is a safe and effective hair loss treatment. As such, it is not something Belgravia hair loss specialists would recommend as a treatment, though there appears to be little harm in trying it as an everyday hair thickening product.

dropper medicine liquid

The fact that it is available as an ingredient in cosmetic hair thickening products suggests that it has been developed into a form which may have temporary benefits for making hair look thicker, but it is not a medication to treat genetic hair loss.

Furthermore, as it is not a drug, it has not been licensed by the MHRA in the UK nor approved by the FDA in the USA for the purpose of treating genetic hair loss. These are the medical regulatory authorities charged with thoroughly reviewing each medication before it is allowed to be prescribed or otherwise made available to the public.

Therefore, as it has not achieved these important authorisations for the function of treating thinning hair in men or women with genetic hairloss, it cannot be deemed a ‘hair loss treatment’. It would be interesting to see the precise trial data hair care brands promoting the use of Stemoxydine to thicken hair.

It is notable that many of these products state they are to be used for ‘denser looking hair’ – this suggests it may provide the illusion of thicker ‘looking’ hair without treating any underlying hair thinning or hair loss condition.

Interestingly, usage directions also state for some of these formulations that it should be applied to the lengths of the hair, which are dead, as well as the scalp.

The kenogen stage is longer in men and women with androgenetic alopecia (Male Pattern Baldness and Female Pattern Hair Loss). This can lead to a decreased hair density and contribute to the symptomatic thinning hair.

A clinical trial carried out in 2014 on men between 18 and 55 years with moderate Male Pattern Hair Loss, found that topical applications of the prolyl 4 hydroxylase competitive inhibitor, Stemoxydine, could shorten this period of the hair cycle. As such, researchers concluded in their findings, published in the International Journal of Trichology, that the drug “could act as a hair kenogen phase shortener, leading to an increase in visible scalp hair density.”

For now, the only clinically-proven female pattern hair loss treatment – which is also topical – is high strength minoxidil. This is a dose-dependent hairloss solution which encourages localised, accelerated hair growth.

It can be used alone either once or twice per day, as directed, and may also be paired with additional drug-free hair growth supporting products, such as the follicle-stimulating HairMax LaserBand and/or Hair Vitalics for Women food supplements. This is the category we would suggest stemoxydine products belong in as they are rather an adjunct to proven medication, not an alternative.

If you feel unsure which is the best way to treat hair loss, having a consultation with a dedicated hair loss specialist who can provide you with a professional diagnosis and personalised treatment recommendations is often a wise first step.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Jamie

Question: Is there anything that helps hair growth on a thinning crown? I need ideas before it gets too noticeable.

Answer: Hi, Jamie. For the purposes of answering your query we’re assuming your thinning crown is the result of Male Pattern Baldness as this is a classic symptom. However, we recommend having a consultation in order to receive a personalised diagnosis, as well as tailored men’s hair loss treatment recommendations.

Belgravia patients with this pattern of hair loss are often advised to follow a combination course featuring both of the only two MHRA-licensed and FDA-approved medications for Male Pattern Hair Loss. These are high strength minoxidil and finasteride 1mg.

Minoxidil is a topical drug which encourages accelerated hair growth, whilst finasteride 1mg – often referred to as Propecia, which was its first brand name in the UK – is a DHT-blocker.

DHT – full name, dihydrotestosterone – is a testosterone-derivative which causes gradually thinning hair and/or a receding hairline in genetically-sensitive men. It binds to receptors in predisposed hair follicles located along the top of the scalp, anywhere (or everywhere) from the crown to the hairline and temple areas.

Finasteride, taken once per day by medically-suitable over 18s, inhibits the formation of DHT, helping to remove the cause of this common hereditary condition.

In the case of crown thinning, this – like the hairline – can be a stubborn area to treat. Hair growth may be slower here, which is why a two-pronged approach, using both clinically-proven hair loss solutions, is often advised.

Additionally, hair growth supporting products may be of further benefit when used alongside these medications. The LaserBand, in particular, has been shown to stimulate hair growth and strengthen the hair, whilst supplements such as Hair Vitalics for Men may help maintain hair quality and the normal functioning of the hair growth cycle.

You can find examples of clients treated for a thinning crown in our dedicated Male Pattern Hair Loss Treatment Success Stories gallery. These may be helpful in giving you an idea of the kinds of regrowth results that have been achieved and the timelines involved in each case.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: George

Question: I get hypertrichosis all over my body from taking oral minoxidil for MPB. The tiny hairs get longer and darker and I want to know if it is reversible? Do I have to stop treatment for it to stop happening? Or should I switch to topical minoxidil. I don’t want to stop treatment if possible.

Answer: Hi, George. Hypertrichosis – excessive hair growth – is a possible side effect from minoxidil. It may sometimes present on the face, or, rarely, on the body.

man shaving

Oral minoxidil is more likely to cause hypertrichosis than topical applications of high strength minoxidil. However, in both cases, the hypertrichosis should reverse once this treatment is stopped.

Hypertrichosis generally presents as thickened vellus hairs, stimulated by minoxidil, which, therefore appear more visible.

You may wish to switch from oral minoxidil – which is not currently MHRA-licensed nor FDA-approved as a hair loss treatment for Male Pattern Baldness – to a topical formulation. This should be done in consultation with your current doctor, dermatologist or hair loss specialist, who can help to find the best option for your needs.

When using the topical hair loss solution, rather than taking minoxidil in tablet form, certain steps can be taken to help reduce the severity of this side effect. For example:

  • Wash your hands after application
  • Don’t let the solution drip on the face; tilt the head slightly backwards when applying minoxidil avoid it dripping forward
  • If it does drip onto the face, wash the area immediately
  • The evening dose may be applied at least one hour before bed to prevent any residue on the pillow (and hence, being transferred to the face)
  • The same applies for head scarves or other scalp coverings – ensure there is no medication on the fabric and wash these, and pillowcases, regularly to ensure there is no build-up of minoxidil residue
  • If none of this helps, the formulation’s strength can be reduced, and/or the dose frequency. Again, this should be advised upon by an appropriate professional.

If you do choose to switch to topical minoxidil and none of the above recommendations help and the hypertrichosis is severe, we would advise stopping treatment. Alternatively, hair removal treatments may be used.

hairloss male pattern baldness hair loss treatments hair regrowth products

Once the treatment is stopped, this hair growth is not permanent. Vellus hairs don’t have big, strong follicles so once they stop being stimulated, the hair returns to its original thickness – this is naturally quite fine and short.

It is important to know that certain medical conditions can also contribute to hypertrichosis. In women, this could be PCOS, for example, but in men potential causes of hypertrichosis include hormone imbalances, conditions such as hyperthyroidism or anorexia, cancer and side effects of certain medications, besides minoxidil. These include acetazolamide, cyclosporine, phenytoin and diazoxide.

Should the hypertrichosis be solely related to minoxidil use, it should wear off once you discontinue use. Permanent side effects from minoxidil have not been reported.

If you decide to stop using minoxidil, there are alternative male hair loss treatment options you could consider. These include finasteride 1mg, an oral DHT inhibitor, and hair growth supporting products such as the FDA-cleared LaserBand, which uses medical grade lasers to stimulate accelerated hair growth.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Ed

Question: Can you get finasteride without a prescription? I want to use it to stop my hair thinning which I’m sure is Male Pattern Baldness because it runs in my family. I just don’t want to ask my doctor about it so want to know how else I can get it.

Answer: Hi, Ed. Oral finasteride 1mg is a prescription-only treatment for Male Pattern Hair Loss. It should only be given to appropriate candidates who are aged 18 years and over.

finasteride DHT blocker 1mg mens hair loss treatment tablet

Finasteride is not available on the NHS as a hair loss treatment and is currently only available via a private prescription.

It cannot legally be sold in the UK without a prescription, but if you do not wish to visit your GP, there are alternative options so you can obtain the necessary advice and, if you are deemed medically suitable, prescription.

For example, at Belgravia each patient’s finasteride prescription is authorised by a qualified pharmacist prescriber, overseen by an experienced doctor, at the dedicated, licensed hair loss pharmacies in each clinic.

This applies to clients who come in to one of our London hair loss clinics in person to collect their products, as well as those whose treatment is posted to them and whose initial consultation takes place online.

Should you wish to start using finasteride or any other form of Male Hair Loss Treatment, it is vital you purchase these from a reputable, licensed source after being deemed suitable by a medical professional.

The UK watchdog, the Medicines and Healthcare products Regulatory Agency (MHRA) has been very clear in its numerous warnings regarding purchasing medications from unlicensed retailers.

Firstly, without the proper professional medical advice, you will not know if the medication is suitable for you. Secondly, if you buy medication from an unlicensed or unofficial source you have no way of knowing exactly what you are getting.

The drugs you buy believing they are ‘finasteride 1mg’ may be counterfeit, expired or something completely different to what they are sold as; packaging is easy to replicate so don’t let that fool you. Illegal and fake drugs, as well as those that are mis-sold, can have many negative possible consequences, from wasting good money on an ineffective product, through to potentially fatal side effects.

If you are concerned about thinning hair it is wise to consult a specialist who can determine the treatments, and any hair growth supporting products, which may be best-suited to your situation and medical profile.

They are used to seeing many, many people every day with the same issues you are experiencing so there is no need for embarrassment. They will provide reassurance and support in addition to realistic hair loss advice, which will hopefully make you feel comfortable as well as fully informed.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: John

Question: I started finasteride a month ago but don’t see any difference yet. I’m still seeing the same miniaturised hairs as before. I know it can take around three months to see improvement of the hairline but what I want to know is does it take three months for hair loss to slow down, eg it takes three months to start working, or do the results of the hair loss slowing down become noticeable after three months – so it’s working but it takes three months for the difference to be properly visible?

Answer: Hi, John. Finasteride 1mg is taken once a day to treat Male Pattern Hair Loss and must be taken consistently for optimal results.

When using finasteride in this way it should start to work fairly quickly by reducing the production of dihydrotestosterone (DHT). However, it can take 3 to 6 months before any noticeable results occur.

In terms of its effects on hair loss, shedding normally stabilises at around month 3, although it is normal to lose some small amounts of hair daily as part of the natural hair growth cycle. Then new regrowth is seen between months 3 and 6, gradually increasing up to approximately month 12; on-going treatment is then recommended for maintenance.

As you probably know, this MHRA-licensed and FDA-approved tablet is a DHT-blocker. Its job, in relation to Male Pattern Baldness is to inhibit the formation of dihydrotestosterone (DHT), to stop it from binding to receptors in the susceptible follicles, along the vertex, from hairline to crown, in men with a predisposition to this hereditary condition.

It has a half-life of approximately 5 to 6 hours, which means it becomes half as effective after this time, which is why consistent use, exactly as instructed in the patient information leaflet, is so important.

In removing, or significantly reducing, this cause of genetically thinning hair, normal hair growth should resume in due course. As a result, noticeable changes – from stabilisation of hair fall to increased hair density – should then start to become visible.

As you specifically mention a receding hairline, it is worth noting that Belgravia hair loss specialists have seen finasteride’s benefits for treating a receding hairline when used in combination with topical applications of high strength minoxidil – to encourage accelerated hair growth – many times over the clinic’s 25 year + history. Some of these examples can be viewed in the dedicated Receding Hairline Treatment Success Stories gallery.

There are a number of factors involved in how long it can take for hair loss treatment to take effect. As such, the above information is simply an overview and for specific advice relating to your level and pattern of hair loss, we recommend having a consultation with a specialist.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Mary

Question: Hello, I’m having alopecia androgenetica. I’m female and my dermatologist asked me to use minoxidil 5% and to use it 3 times a week at least 4 hours before shampoo. Is it really effective if I use minoxidil this way? And I wanted to use rosemary oil for the rest of other day. Is it gonna be more effective for my hair growth like this way?

rosemary oil for hair loss

Answer: Hi, Mary.

The only medically proven treatment for androgenic alopecia in women – often better known as Female Pattern Hair Loss – is topical applications of minoxidil.

The dose and frequency of administration is often based on the patient’s medical history. Many female Belgravia patients who use minoxidil 5% formulations apply it twice daily, however, we do have exceptions and may ask the patient to apply this differently in some circumstances.

It is important that you discuss this with your dermatologist who can explain the reasons for this recommendation, as well as the expected prognosis from this MHRA-licensed and FDA-approved treatment with high strength minoxidil.

There is not enough clinical evidence on the efficacy of rosemary oil as a genetic hair loss treatment and, therefore, this is not something that we recommend.

If you see any benefit using it, it is usually safe to use. However, please bear in mind that there are a few medical contraindications with it (such as pregnancy, bleeding disorders, salicylate allergy, seizures) and, again, it is best to discuss with your dermatologist whether this is a suitable treatment for your hair loss.

Additionally, rosemary oil may occasionally irritate the skin and you should be careful when using it alongside topical medication, including your current minoxidil hair loss solution.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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In 2015, Northwestern University in the USA announced it would be conducting a clinical trial to establish PAI-1 levels in people with non-scarring forms of hair loss.

Now, after a lengthy delay, trial registration information for this research states that enrolment began on 27th November 2019.

What is PAI-1?

What is PAI-1?

Plasminogen activator inhibitor-1 (PAI-1) is a protein which plays an important role in preventing blood clotting.

It is produced by the cells lining the blood vessels and can also be secreted by adipose (body fat) tissue.

At elevated levels, PAI-1 has been associated with various illnesses and conditions, from haemorrhaging and certain types of cancer to obesity and thrombosis.

The stated aim and methodology of the clinical trial, is given as follows: “This study will investigate whether subjects who suffer from hair loss have increased levels of PAI-1 compared to age-matched control subjects…

Tissue PAI-1 expression levels will be determined by immunohistochemistry, a three-layer biotin-strepavidin system. Positive PAI-1 expression per total tissue area will be quantified using the color-picker function in imaging software.The PAI-1 expression found in normal scalps will be compared to those found in scalps with hair loss.

Presumably, making a connection between raised PAI-1 levels and hair loss would provide a new avenue for researchers investigating the biology of certain forms of alopecia. This may also then give scientists another angle to explore when developing future hair loss treatments.

Hair Loss research alopecia areata microscope

Trial participant criteria

The 55 participants are all aged between 18 and 60 years of age and have been diagnosed with one of three separate hair loss conditions.

These are Androgenetic Alopecia (better known as Male Pattern Baldness and Female Pattern Hair Loss), temporary shedding from Telogen Effluvium or patchy hair fall caused by the autoimmune disorder Alopecia Areata.

None of the volunteers have had hair transplant surgery, nor do they have any inflammatory scalp conditions, such as psoriasis, or scarring hair loss (cicatricial alopecia).

Those recruited have never used topical hair loss solutions, such as high strength minoxidil, to help encourage hair regrowth. Minoxidil is the only topical, unisex hair loss medication that is MHRA-licensed and FDA-approved for the treatment of genetic hair loss; although not licensed for use on other hair loss conditions, its benefits in certain cases are widely acknowledged.

Each of these participants will undergo a scalp biopsy and be matched with a healthy volunteer of the same age, who has no history of hairloss, to act as a control.

We look forward to seeing the findings of this novel exploration, which are estimated to be completed in June 2020, and will update this Belgravia hair loss blog when updates become available.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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Belgravia Centre hair loss specialists answer hair loss questions advice information hairloss solutions

Name: Harry

Question: My hair is starting to thin but there’s no male pattern baldness in my family so I want to know what happens when there’s hair loss but it’s not genetic? Can you tell me what causes it and can you still treat it?

Answer: Hi, Harry. There are many factors that can cause hair loss, especially when it presents as thinning.

Areas of scalp affected by genetic hair loss and telogen effluvium temporary permanent baldness diagram

The most common is Male Pattern Baldness – androgenetic alopecia – which, as you know, is inherited. The genetic predisposition can come from either side of the family and it is even possible for it to ‘skip generations‘, yet still be passed on.

This happens where the genes are present but inactive, so the individual does not show any outward signs of hair loss but still has the relevant genes which can therefore be passed on.

Because of this, you may need to look further back in your family tree to determine whether there is any Male or Female Pattern Hair Loss further back.

Another quick way to tell if you have Male Pattern Hair Loss is to find out whereabouts on the scalp the thinning hair is, and where hair fall is coming from. Hereditary hair loss only affects the top of the head – the vertex area – from the crown to the hairline and temples. Any shedding below this is likely to be the result of a different hair loss condition.

Other non-genetic hair loss conditions which can cause thinning hair include Telogen Effluvium or, it’s chronic form, Diffuse Thinning. These both cause temporary shedding from all over the scalp.

They are usually caused by an underlying medical or lifestyle issue, including thyroid problems, anaemia, nutritional deficiencies and side effects of certain prescription medications.

Up to approximately 30 to 40 per cent of hair on the scalp may shed around three months after being triggered and normal hair growth should resume naturally within six months, depending on the severity. Treatment can be sought to help accelerate this hair regrowth.

Furthermore, hair breakage – often the result of too-frequent heat styling – can give hair the appearance of being weak and thin, but is not actually a hair loss condition as it does not involve the follicle. It is simply the result of weakened hair snapping along the shaft, and can generally be resolved by getting a good hair cut to tidy up the damaged hair.

If you are seeing thinning edges, also known as a receding hairline, this could be Male Pattern Hair Loss or, if you regularly wear your hair in tight hairstyles such as braids or a man bun, Traction Alopecia. Again, this can be treated but the source of the tension which places excessive strain on the follicles, should also be removed.

If you would like to see precisely how these different hair loss conditions can present, you can take a look at our men’s Hair Loss Treatment Success Stories in case any look similar to what you are experiencing.

As you can see, it’s difficult to provide an exact diagnosis on just the information you have provided so we recommend having an in-person or online consultation with a hair loss specialist. This will provide you with a confirmation of your condition as well as personalised recommendations for appropriate hair loss treatments, as well as any beneficial hair growth supporting products.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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Name: Daryush

Question: I wanted to know if you can treat traction alopecia hair loss in men. I heard you can use minoxidil to regrow hair around the hairline and I was wondering about the duration of use since traction alopecia is not a hereditary condition, does this mean that men who use minoxidil and discontinue use once the results they want have been obtain can keep their results? Or do they have continue using minoxidil forever?

Answer: Hi Daryush. There is no MHRA-licensed and FDA-approved treatment for Traction Alopecia hair loss. However, as you say, high strength minoxidil – which does have these authorisations for the treatment of Male Pattern Baldness (and Female Pattern Hair Loss) – can be helpful for many patients with this condition.

It does, however, depend upon the severity of hair loss experienced; As long as there are still active follicles that are capable of growing hair, minoxidil can be used to encourage them to grow stronger and thicker hair.

When using this topical hairloss solution, the first results tend to become visible between 3 and 6 months into the treatment. Maximum hair regrowth is then usually visible after approximately 12 months of on-going treatment.

Depending on the severity of this hair loss condition, some people can stop treatment once regrowth has been achieved. Others, meanwhile, may have to continue using minoxidil in order to continuously maintain the hair follicles in optimal health.

If the traction hair loss is very mild, you may decide to use minoxidil to encourage quicker regrowth of strong hair. You may stop the treatment once you are happy with the achieved results. But it is important to ensure you avoid further traction in the area both during and, ideally, after treatment. This means skipping tight hairstyles such as braids, cornrows and man buns, and wearing the hair naturally so the follicles are not weighed down and the hair is not pulled too tautly.

You can monitor the area and, of course, if you notice any further weakening of the hair, you can re-start treatment.

In addition to Traction Alopecia, these types of hairstyles can also cause hair breakage, where strands snap in two along the shaft. This can give the appearance of thin, weak and frizzy hair, though can often be dealt with by getting a trim.

With more severe cases of Traction Alopecia, there may be some atrophy to the hair follicles. This means that, once Traction Alopecia treatment is stopped, you may notice some deterioration in the results. As long as you are happy with the results at this point and you avoid placing further strain on the hair and follicles, you do not have to continue treatment though – it is entirely your decision.

If you wish to continuously stimulate the hair to grow to its optimal thickness, you may decide to continue using treatment. This should be done in consultation with your hair loss specialist so it can be professionally monitored.

In cases where the hair follicles have been completely destroyed, surgical intervention may be necessary so a hair transplant may be a better option. Suitability for this type of hair restoration procedure depends on the extent of the bald areas, any scarring and the amount of good quality donor hair available.

As you can see, the results and duration of treatment will mostly depend on the severity of hair loss. It can also depend on whether Traction Alopecia is the only form of shedding you are experiencing.

For instance, if you have both Male Pattern Baldness and Traction Alopecia, both can be treated simultaneously. But, as Male Pattern Hair Loss is a permanent and progressive condition, hair loss treatment would need to be on-going even after seeing regrowth results to the areas affected by Traction Alopecia.

The best thing we can advise you do as a first step is to have a no-obligation consultation, either in-person or online, so a hair expert can diagnose your condition, level and pattern of shedding. From there they can make informed recommendations as to the types of treatments and hair growth supporting products best-suited to your situation and medical profile.

Once you have all the information, you can then decide what you feel most comfortable with and go from there.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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