Treatment of Hair Loss in Women: Spironolactone
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- เผยแพร่เมื่อ 29 ก.ย. 2024
- Welcome to The Hair Loss Show. In this episode, we will be covering Spironolactone. Thank you for submitting your questions. Please remember to like and subscribe.
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Dr. Vikram Jayaprakash
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Dr. Russell Knudsen
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#hairlosstreatment #spironolactone #femalepatternhairloss
To stop my hair fall, I began using a soft silk pillowcase to sleep on. I also used liitlexteral coocoonnion hair oil shampoo duo. These adjustments helped me lose fewer strands. After a couple of months of using them daily, my hair stopped falling out completely.
I've been using littllextra cocooniion oil, shampoo for a while now. My hair fall has definitely reduced, though it took a bit of time to see results.
Beginning to think these guys could honestly help me more than my gynocologist. Honestly I tell that guy anything and he's always like "I haven't heard of that" or "it's not a concern". Obviously it is a concern because I'm telling you about it and I am CONCERNED about it because no one else who is normal is like this 🙄
Skinny PCOS is annoying because no one understands wtf is happening to you they're all just like 🤷
Have you found any solution?
@@memoonasaeed4408 I went to see them (yes one of the docs in the video) and they didn't help, in my opinion. They gave me Isotretinoin which didn't address my hormonal issues and I ultimately stopped taking because I'm frankly scared of that drug. I ended up asking my gynecologist point blank for Spironolactone and surprisingly he simply gave it. It did slightly revive the baby hairs in my widows peaks, and clear my skin, but I was hemorrhaging so badly on my period due to fibroid, and every time I took Spiro it got worse so I knew I had to stop. It was hard because Spiro had also completely cured my migraine and brain fog. Now I've had fibroid removed and kyleena inserted, I really want to go back on Spiro but my new gyno won't let me. I'm going to fight it, I miss everything about that drug.
@@memoonasaeed4408 I should give this channel credit though, without them I would never have learned Spironolactone existed.
I have PCOS too! My period disappeared for months so I went to a gyno and the NP told me to eat healthy (which I already do) and exercise. Well my period was gone for 6 months so I made another appointment and demanded bloodwork and ultrasound because my sister's friend has PCOS and has the exact same symptoms. So they put me on birth control and I started to see an endocrinologist but my symptoms weren't improving much. I started seeing a new primary who switched me to a new birth control because apparently they had me on one of the worst ones for PCOS and I asked for a referral to see a dermatologist for acne and hair loss. I've been on 50mg of Spironolactone and it's been helping along with the pill. It's a shame, but we really have to be our own health advocates.
May I ask a question in relation women and testosterone. Does Spironolactone block ALL of the Testosterone ie. the free testosterone in our bodies? Is Finasteride going to work the same way that Spironolactone does for women?
I just read Rodney Sinclair (an Australian Derm , I think) , say Estrogen is TOXIC toward hair. Everyone says something different.
Is there any way to have a consultation if we live outside of Australia?
So wouldn't it be better to just use finastride in women too? Because finasteride only blocks dht but this receptor blocker, blocks dht and testosterone
Not good for those who wants to conceive as it will affect male Fetus
Arash joon- yes but finasteride should be taken w birth control for women. Otherwise if a woman gets pregnant her baby boy could have birth defects from the finasteride or spiro.
@@EB-gt1pq Interesting 🤔
Great information. Love all of your videos. What do you do for women on aromatase inhibitors? Are androgen suppressing medications safe?
It depends on what the cause of the AI is for? They can be used with careful monitoring.
@@TheHairLossShow Treatment for breast cancer. Thank so much for replying!
Katsem, i will definitely stick to only topicals/ maybe Minoxidil 5%, or, maybe alfatradiol( topical estrogen) - the product name Pantostin. Have a nice day!
@@OlaRalu Thank you. Didn't even know there was a topical estrogen that could be used on the scalp, but will run it by the doc.
@@OlaRalu Thank you! I will research this. What concentration or dosage do you take? How long until you saw results? Thank you in advance!
Awesome docs how about jakafi topical
Does Climara Pro tend to be more helpful or harmful for hair growth? Thank you for the videos!!
Omega13 hi! The progestin part of Climara Pro patch is levonogestrel- and is derived from tesosterone- that means it isn’t hair friendly!! The hair- friendly ones are drospirenone, cyproterone acetate, dienogest. Check my message above!!!( posted one month ago)
Are there "Hair Helpful" hormone pills that are not contraindicated in women who experience migraines with aura? I am not asking about Spironolactone, the diuretic, I have naturally low blood pressure, so Spironolactone would probably not be an option. Women who experience migraines with aura are at a higher risk of stroke when they take estrogen containing contraceptives. They are often put on progesterone only pills instead, but you said that progesterone is more similar to testosterone making it a "Hair Harmful" pill. I am NOT looking for contraception, just a "Hair Helpful" pill.
Where in Australia do you guys practice?
Yes I have androgen alopecia...horrible condition.
I THOUGHT THEY WOULD TALK HAIRLOSS IN MENOPAUSAL WOMEN, BUT THEY DIDN'T, WHAT A BUMMER!!!
My doctor prescribed this for me for hormonal acne because I am on HRT pellets but I am worried it would cause issues with muscle loss. Is this true?
Wow, I used to have severe facial acne (cystic acne) for nearly 2 decades. Interestingly my skin was perfect as a teenager. The cystic acne only started at age 21. I finally have that under control, but now I have hirsuitism with facial hair. However all (and I really mean all) of my blood tests come back normal. This is the very first time that I have ever heard anyone mention the connection because women with cystic acne, PCOS, hair thinning, and hirsuitism. And I was researching this for years! I am now late 40s. Thank you! Please, if you are looking for content or new video ideas, make a video discussing the inter-relationship between these factors.
I’m 24 and I’m suffering from all of the above 😭😭😭 did you find the solution yet?
I’m tired of testing my hormones and getting my ovaries/ womb checked without any results, every doctor I have seen says that i’m perfectly normal 🙂 yet here I am with hirsutism, cystic acne mainly on my chin area, and reseeding hair line
@@_blagh3621 take a Dutch test. Certain hormones are not very well measured through blood serum. For example, estrodiol/estrogen family is more accurately measured through urine & saliva. But spironolactone is working for me. Reduce stress, particular vitamins
@@pawsitivelivingllc4292can I tale this test if I live in Europe? Don’t know if you need to be in the US…
Is AGA always genetic for women?
I started taking 100 mg spirolactone and my skin started breaking out all over my body.
Its for women
Hello, I have reseeding hairline, I also have hair on my neck, chest, under my belly button, chin and jawline, I have cystic acne on my chin.
What sort of medication I should be taking?
I have changed my diet, I eat clean.
I weigh 44 kg and i’m 156 cm in hight, i’m 24 years old.
I started getting hair on my neck and even on my collar bones on my last year of high school..
I have dropped 15 kg in weight, just trying to solve those issues..
I started taking spironolactone 25mg two weeks ago without seeking a doctor, because I live in a country that doesn’t understand the concept of PCOS, they don’t get it, 3 years ago I went to 2 different hospitals got my hormones checked, and my ovaries checked, they say they that i’m “normal” and don’t need medications, ignoring all the symptoms i’m facing
Sounds like PCOS ...look at the PCOS forums & videos. You'll need a higher dose than 25mg for at least 6 months
Can I use Spironolactone topically?
What's your opinion on treatment for women with Estrogen Dominance? Are you able to do a show on Estrogen Dominance and hair loss?
That's a good one.. I like it. We will add it to the list.
@@TheHairLossShow + Please have a solution!!!!!!!!!!
Spironolactone is never a diuretic until it’s combined with a loop diuretic but on its own it will not make you urinate more
Hi Doctor. I'm having ADHD, my psychiatrist prescribed me to use at morning only.
*Methylphenidate 20 mg SR
*Modafinil - 200 mg.
I also suffer from male pattern baldness ( Androgenic Alopecia) , hence my dermatologist prescribed me to use only at night.
*Dutasteride - 0.5 mg
*Spironolactone - 100 mg
Does these 4 medicine interact with each other and invalidate or reduce the effectiveness of either drugs ?
Does the usage os Spironolactone on long term led to development of type 2 diabetes?
I'm really afraid and concerned. Please help me on this.
Thanks in advance doctor.
Hi you talked about the pill but not recommended HRTs.
Hello I have been using spironolactone for acne and hair growth have been taking it for three months 50 mg daily and see no improvement in any of my concerns. Do u think it will never make effect on me or that I just have to give it more time?
Dose seems low
50 mg is way too low. Try increasing to 100 mg or even more. It does take like 4 months to start working. I took 200 mg daily for my hair loss.
No it usually takes 5 months to really start working. I’ve been taking it for years. On and off a couples times… and I hated waiting for it to work again!
@@amandastevens5629 how is your hair now? you‘re still using it?
@@amandastevens5629was the Spiro effective in same way after restarting it? I heard stopping and starting of spirolactone sometimes, does not give same result or its efficacy reduced.
Diane-35 is not approved in the US for birth control but Destrogen is available and is also one of the best for acne.
Wow I took Diane 35 fir many years. They was the only thing that cleared my acne. Didn’t know it had Spiro in it. I had to stop BC because I am over 50 and I began losing hair and my acne is bad again 😟
@@mvpglam8018 Hi! Diane 35 has cyproterone acetate, not spiro. They are both androgen-blockers, though! Also, are you postmenopausal? Because the only you can do, after thorough exams, is you can be put on hrt, and there is Climen with cyproterone acetate and Angeliq with drospirenone( similar to spironolactone) of course, it depends on the country you live in. Hope that helps
I was on Diane 35 for many years. It wrecked havoc on my mental health. Avoid at all costs.
will hormone replacement help postmenosal worsening alopecia?
Great question I will be getting hormone pellet inserted and I can’t to see what happens after
I'm on HRT (error patch & micronized progesterone)
I am 63 i have tine hair and fallen my hair down is hormonic therapy help ? also i had hysterotomy 10 years a go
Makes me sick and feeling awful tried twice had to stop I do suffer with liver my Last BP was 110 /60
Could you do a video on hair loss from Wellbutrin?
I've been prescribed this in pcos ..thank you for very informative video.
What symptoms of pcos do you have?
Age 60 and helps so much
On spiro apparently you should not eat Bananas or avocado or anything high in potassium, or it can be dangerous. For women would you reccommend Spiro of Finasteride? or can one take both to cover both bases?
I’m taking HRT and my testosterone is high , can adding more estrogen stop hair loss ? Thank you
I started taking 100 mg spirolactone and my hair started losing way more than before after 2 months of taking it? I don’t know what to do now
It’s called shedding, it should tell you that it works
It can cause hair loss. Listed now as a side effect.
I was just prescribed this for hypertension but I do have some ccca
Hi sir can we use mintop pro procapil if I am allergic to minoxidil ?
From what I read spiro can affect libido?
very useful, thank you team
I’ve been on it for years. It worked at first but then it stopped.
how long did you took it
In some cases I heard that for some times the Spiro works and then it stops working,so what is your condition now? What medicines you are taking?
Is treatment with Spironolactone also a treatment that once discontinued the hair will fall out again? Thx
Shirley Ellis I was on 100 mg spiro prescription; and I’ve loss more hair once coming off of it. I really felt spiro was simply holding on to the hair I already had and not regrowing any new strands.
@@regisnyder Thanks for sharing
@@regisnyder how long were you on it for??
May I ask if you were taking anything else to try and preserve it? I wonder if regrowth did occur for some, if it could be maintained with minoxidil and dutasteride.
Yes. That’s why I decided to discontinue this medication. I did not like the idea of having to take this medication forever. Thank God wigs are popular.
Hello 👋 I have been on spironolactone 100 mg for three years now . I have androgenic alopecia. Recently I have had some health issues . I got my blood work done and my testosterone is very low for my age (31) . I feel very tired and have had a lot of muscle loss. Could the spironolactone cause me to have low testosterone? Thank you
It shouldn't reduce the level of testosterone.
Isn't that the point of the spiro? To block testosterone ? Am I mistaken ? Is it blocking with-in the system or at the hair follicle/skin surface?
@@pawsitivelivingllc4292 no it blocks DHT Aka androgen. Not testosterone.
@@hollysmith1347 ok so testosterone & DHT are both androgens. DHT is stronger/more powerful form of testosterone. So the spiro can reduce DHT without impacting testosterone? Just want to make sure I understand correctly.
Hormones are a fascinating field of medicine. Thanks for your time
@PawsitiveLiving it doesn't decrease the amount of DHT in your body, it blocks the ability of DHT to activate the receptor for DHT at the hair folicle only.
How can I ask questions?
I was on spironolactone for five months and switched to Diane 35, the contraceptive with cyproterone and ethinyl estradiol, for almost two months, no significant result is shown. Minoxidil worked great for me for over a year and then it lost its efficacy. Do you think this means my hair loss is related to the 5 alpha enzyme? Thank you
Please get a blood test to check your dht levels.. Mine was high and I'm on finasteride now.
2 months is very less to judge the efficacy of any medicine.
@@Angela-Gee why are you on finastride and not sporonolactone
@@Angela-Gee does it helped you?
Just in case this help someone I did experience some major hair-loss back in 2018. I was using Diane 35 to treat mild PCOS and the side effects when I left the pill were awful and decided to get implanon after 6 months (the hair loss might be just because the pill hormones were keeping my hair together and masking the real problem).
the implanon seems to slow down the hair loss process (thanks hormones) but it was a mess. I could notice the heavy difference. So I got spironolactone as part of the treatment by a dermatologist and it had helped a lot! specially in the hair partition. Now feel I'm more recovered but still have some almost bald spots on the sides, Minoxidil seems too aggresive to me so I'm really looking forward PRP.
I'm about to take anual hormone blood exams and will reach a particular dermatologist (the regular health care doesn't cover this) and hopefully get the extra boost I need
Hi, how are you doing with your hair fall? Have you tried prp any results ?
Hi,
After being diagnosed with pcos when i was 17, i was on oral contraceptive for 2 years, after stopping diane 35 it triggered more hair loss than i was losing 2 years ago. I am now 19. On vitamin supplements, my dermatologist gave me spironolactone and advised me to use minoxidil but i'm gonna try prp instead.
But did spironolactone help your hair? How is your condition now?
I took spironolactone and it gave me low BP problems. Had to stop and now on finasteride.
Have you seen improvement after finasteride..and how much time it takes to see improvement?
@@jimaborbora5948 lots of improvement.. It takes 6-8 months
@@Angela-Gee how is your hair now?
@@Angela-Gee What dose of Finasteride are you on or were on?
Do you think you could do a video on Topical Finasteride for men please?
Apparently it’s still effective like oral Finasteride, but reduces the risk of side effects as it doesn’t go as systemic
I use oral dutasteride for 2 months, it decreased my hair loss but I still see 20-22 hair on my bed, should I use oral spironolactone with dutasteride at the same time ? I'm 23 male nw 2.5
Topical finasteride does go systemic.
Hi great video's, very informative! I was wondering if there's more video's coming about male hair loss or is the series done?
If my hormone tests have come back normal and i'm not showing high testosterone, but still experiencing hair loss would you recommend using spironolactone? You said you attack all areas when managing hair loss, so is spironolactone something you would recommend for female hair loss in general? I didn't get clarification of this in the video (maybe I missed something).
this is such a good question i'm annoyed they aren't answering it.
Same here. My tests are perfectly normal too, yet i continue to face this.
@@HM-lw6yl I went to a dermatologists since watching this and they prescribed me spironolactone. Apparently you can have normal testosterone levels and still need spiro, because your body is sensitive to DHT in general. Hope this helps!
@@Who-qn5fl I went to a dermatologists since watching this and they prescribed me spironolactone. Apparently you can have normal testosterone levels and still need spiro, because your body is sensitive to DHT in general. Hope this helps!
@@Fluffyduff Thanku so much! This does help.i did endo, blood tests etc. beacuse I felt like maybe this hairloss, facial hair etc are symptoms of pcod but nothing came up, I guess based on this my dermatologist only prescribed me some supplements and minoxidil.
Do let me know if u see some promising results. Wish u the best❤️
DOES MINOXIDIL CAUSE SKIN AGING ????
Who said that? No
Im male im take it dont care about if it harm me more importantly i want my hair because i took finasteride dutasteride together with 5mg and 0.5mg avodart everyday for 8 months done nothing
did you try minoxidil? it works for most people. also laser helps too but its expensive.
Zeyna Nd i cant use minoxidil causes my skin to peel and greasy oily scalp and dandruff especially with dermaroller horrible flakes and itchy
I have low laser therapy
@@no-de3lg Sicne avodart and finasterid dose not help for you it is probably thetestostrone that hurts your follices, not your dht. Maybe try an antanogist
@@TravelWithTea8 how and where
Add oral minoxidil
Been taking 150mgs of spironolactone for 6 months now has greatly reduced facial hair growth. I was shaving my face every second day and plucking 2 to 3 hours a day this has gone down to once a week both shaving and plucking I'm worried about my hair it is very thin in the front. My Dr says it takes about a year to see the full effect so fingers crossed in another 6 months I can stop wearing bandanas and scarfs. Bloody great drug can't recommend it higher, not gained weight it's actually doing its job. Gotta remember though it works for some and not for others like every other drug but its so worth a try.
No weight gain? Have you lost energy?
Any updates
Hi guys, nah no weight gain but I have my eating under control and work out everyday so I have not felt any hungrier or any loss of energy. I'm still plucking under my chin and upper lip though but it's not as bad. I used to shave my arms and legs as they got as hairy as eyebrows but not anymore I'm lucky if I shave them once a month. Body hair has reduced dramatically, I honestly can't believe it. My receding hair line and I'm talking from the tip of my ears straight across to the other side is starting to thicken up. I had 2 bald patches about 2inchs round that had zero hair growing, are now filling in. I'm all most tears everytime I look at myself in the mirror because I'm so grateful that this medication is working. Holy shit and also my giant pores on my face I had are slowly closing up. So this drug has stabled my blood pressure, grown my hair back, reduced my facial and body hair, and is clearing up my skin. It's probably doing heaps of other things too, it is seriously changing my life.
@@pawsitivelivingllc4292 *update
@@ramisa6095 *update
You guys are PHENOMENAL. thank you for all this