Successful Treatment of Hereditary Hypotrichosis Simplex by Platelet Rich Plasma Injection With Topical Minoxidil 2%

Minoxidil and finasteride/dutasteride are recommended for treating hereditary hair loss, with vitamin D as a supplement if deficient. The suggested treatment plan from the clinic is considered expensive and unnecessary, with a second opinion advised.

An 18-year-old woman experiencing hair loss due to stress, possible PCOS, and low vitamin D is concerned about starting 5% minoxidil foam, prescribed by her doctor, due to potential facial hair growth. She is also using a topical steroid for scalp sensitivity and pain.

Significant hair regrowth was achieved using a topical combination of 0.3% finasteride and 6% minoxidil, with weekly dermastamping and ketoconazole shampoo, without side effects. Others suggested additional treatments like red light therapy and PRP.

The user has been using topical 5% Minoxidil, 0.1% Finasteride, dermastamping, 2% ketoconazole, and a DHT-blocking shampoo with saw palmetto, caffeine, biotin, and argan oil for hair loss. Despite some baby hair growth on one side, the user is experiencing continued hairline recession and shedding, leading to distress.

Minoxidil can stimulate hair growth but does not prevent long-term hair loss, while finasteride or dutasteride is necessary to address DHT and maintain hair. Family hair history may not predict individual outcomes, and combining treatments like microneedling can enhance results.

The user experienced reduced hair fall with topical minoxidil and finasteride but no regrowth, and faced hormonal issues with oral finasteride. They are considering a hair transplant and exploring treatments like topical dutasteride, oral minoxidil, microneedling, and hair supplements.