How to treat chronic seborrheic hair loss?

Written by Liu Gang
Dermatology
Updated on August 31, 2024
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Seborrheic hair loss, also medically known as androgenetic alopecia, has a relatively high incidence rate, and both men and women can be affected. It is often associated with familial inheritance. Consuming spicy and stimulating foods frequently, or often staying up late, being anxious and tense, might also trigger this condition. Upon diagnosis, the most common treatment usually involves oral and topical medications, such as minoxidil solution for topical application, oral vitamin B6 tablets, anti-sebum and hair growth tablets, and compound glycyrrhizin tablets. For males with severe symptoms, oral finasteride tablets can also be used. The treatment period for this condition is quite lengthy and results are slow to appear; an effective outcome might only be visible after at least three months of treatment.

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Written by Huang Ling Juan
Dermatology
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Is it good to wash your hair frequently if you have seborrheic hair loss?

Frequent shampooing is not good for those experiencing seborrheic hair loss. This is because frequent washing does not alleviate symptoms of seborrheic hair loss. For oily scalps, shampooing temporarily reduces oiliness, but washing too often can lead to a buildup of chemical residues, causing scalp inflammation and worsening hair loss. Frequent shampooing also damages the scalp's lipid barrier, leading to temporary dryness and scalp dermatitis, further exacerbating hair loss. Therefore, frequent shampooing is not recommended for those with seborrheic hair loss. For individuals experiencing seborrheic hair loss, it is advisable to visit a dermatologist at a reputable hospital promptly. Under the guidance of a doctor, appropriate medication and lifestyle advice can effectively cure the condition.

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Written by Qu Jing
Dermatology
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How to treat hair loss?

There are many types of hair loss, such as sudden localized patchy hair loss known as alopecia areata, androgenetic alopecia which is related to genetic factors and dependent on the action of androgens, also known as seborrheic alopecia, as well as postpartum hair loss due to insufficient qi and blood after childbirth, and telogen effluvium caused by rapid weight loss or dieting. The specific treatment of hair loss should be based on the corresponding cause. The cause of alopecia areata is not completely clear, and it is related to factors such as emotions, stress, endocrine disruption, and autoimmunity. Treatment generally includes oral intake of compound glycyrrhizin tablets and topical application of minoxidil. If the skin lesions are widespread or severe, the combination of corticosteroid treatment may be considered, and treatment generally lasts several months or even longer. Androgenetic alopecia often occurs between the ages of 20 and 30 and is related to familial genetics. The treatment of this condition lacks very effective remedies. Treatment options include topical minoxidil, and oral intake of finasteride. Traditional Chinese medicine has relatively good effects in treating androgenetic alopecia, including the oral intake of Chinese herbal medicine and local acupuncture treatment. Attention should be paid to avoiding staying up late and maintaining a light diet. When the hair follicles have already closed, local hair transplantation can be carried out, transferring hair from the occipital region of the scalp to the top. If the area of androgenetic alopecia is too large without sufficient follicles for transplantation, then the use of a wig should be considered. (Note: Medications should be used under the guidance of a physician.)

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Written by Liu Gang
Dermatology
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What are the causes of male seborrheic alopecia?

Male seborrheic alopecia is also called androgenetic alopecia, which is related to excessive secretion of endogenous androgens leading to vigorous secretion of sebaceous glands. Excessive secretion of sebaceous glands makes the hair follicles loose and buoyant, so the hair roots are not firm and will fall out. It is also related to family genetics; most men in the same family will exhibit similar symptoms of hair loss. Once this condition occurs, formal treatment can bring about some improvement. However, most men may experience recurrent hair loss as they age into their 40s or 50s, and this hair loss is irreversible. Generally speaking, it becomes difficult to completely cure with age.

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Written by Liu Gang
Dermatology
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How to effectively treat seborrheic hair loss?

Medically, seborrheic hair loss is also called androgenic alopecia, which is primarily caused by the hyperactivity of sebaceous glands leading to the gradual shrinkage of hair follicles, or rather, the weakening of hair roots, causing hair loss. Generally, it is somewhat related to heredity, with a higher clinical incidence in males than in females. Once this condition appears, it must be treated with medications. Oral treatments can include Vitamin B6 tablets, lipid-reducing hair regrowth tablets, and finasteride tablets. Minoxidil solution can also be used topically. This disease can gradually improve with treatment, but it is mostly not easy to fully recover, and some people may find that the condition worsens with age. During treatment, it is also essential to regulate one's diet and lifestyle habits, avoid spicy and irritating foods, refrain from staying up late, engage in more physical exercise, and enhance the immune system, all of which can aid in treatment.

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Written by Huang Ling Juan
Dermatology
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Can sulfur soap be used to wash hair for seborrheic alopecia?

If you are experiencing seborrheic hair loss, it is not recommended to use sulfur soap for shampooing. This is because sulfur has a degreasing effect and can treat seborrheic dermatitis, but sulfur is irritating to the scalp. Its strong degreasing effect on the scalp can alter the scalp's microecological environment, which is not conducive to the normal growth and recovery of hair. Therefore, it is not advisable to use sulfur soap for shampooing when experiencing seborrheic hair loss. With the advancement of science, many dandruff treatment and hair growth promoting skincare products can be used for shampooing. We can choose these types of products which cause less damage to the scalp barrier and are more gentle in degreasing, avoiding major irritation and facilitating the recovery of the scalp.