Norwood Hair Loss Type 7

This type describes the highest amount of loss with the least chance of regaining a large amount of lost hair. You may be able to regain some hair. At this level though, there is no guarantee that using all the treatments listed will bring back a large amount of hair. However, it may bring back enough to be acceptable to you. If you are determined to get your hair back you may wish to seriously consider transplants or a hair system.

You should see a doctor to determine your treatment options. There are several treatments that may help. The cheapest and safest is Minoxidil (Rogaine) 2%. Minoxidil has been shown to prevent further loss in about 80% of men and regrows lost hair in 25-40% of men. At this stage, you are the most likely to benefit from Minoxidil. With generic minoxidil prices as low as $8-9 per month, there is no reason not to give this treatment a try. Side effects are very infrequent. At this level of hair loss, unless you are extremely lucky, you will not get the effect you desire from Minoxidil 2%. You will need to try a higher percentage and/or a combination with Retin-A.

Minoxidil alone will probably not be effective enough to regrow a lot of lost hair or completely halt loss. You may wish to try a combination of Minoxidil 2% or higher with Retin-A 0.025%. Retin-A greatly increases the effectiveness of Minoxidil. Your doctor can prescribe this well known combination which can be made by a pharmacy.

Another option is higher strengths of Minoxidil, possibly combined with Retin-A. 3-5% Minoxidil is available by prescription. 3% Minoxidil has not been proven to be more effective than 2%, and 4% is close enough to 5% that you might as well be on 5%, so I recommend 5% if you decide to go with a higher strength. At this strength of Minoxidil, it is debatable how much added Retin-A helps, so you may choose not to get it combined with Retin-A. I prefer not to take my chances, so I generally recommend getting it with Retin-A anyway. It’s only a few dollars more than the standard 5%. Good results have been obtained from 5%. More people respond than respond to 2% and they tend to respond better. Plan to stay on 5% though until a permanent cure comes along because many doctors say your hair will be dependent on the 5% Minoxidil and probably will still fall out if you choose to switch to another treatment. Supposedly this only happens after a few months of treatment, so if you try it for a month, experience side effects and decide to quit, this will not be a problem.

There is a good chance that even Minoxidil combined with Retin-A may not be completely effective for you at this level of hair loss. Combining Minoxidil with another new treatment may be necessary for improved effect. This treatment is called Proscar (soon to be released for hair loss in 1mg form as Propecia - still prescription). It is not easy to get since it is a prescription treatment not yet approved for hair loss and is not as cheap as minoxidil. Also, there is a small chance (1-5%) that you could experience side effects including some loss of sexual desire, some loss of sexual sensation, or some loss of hardness of erections. These side effects generally go away after 1-3 months of treatment (Proscar takes 6-8 weeks or so to build up in your system) and go away if you stop treatment. At the dosage suggested for hair loss (1/5 of the normal 5 mg dosage), these side effects are even less frequent or severe. Most men experience no side effects. Proscar is almost guaranteed to halt your hair loss, which makes it a great tool if you would be satisifed with a slight improvement and staying there. It also may work better at restoring loss along the frontal line.

Other antiantiandrogens may also help. One such is Spironolactone. See the Treatment section of this web page for information on other antiandrogens.

A combination is more effective, and at this amount of loss, you will almost surely need to use a combination unless you are an excellent responder to minoxidil.

Even using all of these in combination, you may not restore a satisfactory amount of hair at this level. Unfortunately, not everyone is a good responder. There are several other recent treatments that have been released and nutritional supplements that may help in hair loss. The Treatment page lists many of these. Examples of supplements would include the Amino Acid Arginine or a topical form of Zinc. Examples of some recent treatments that may be helpful are Iamin Gel or Folligen, both of which contain copper peptide complexes, which are currently being researched in other treatments for FDA approval as a hair loss treatment.

At this level, if you are still determined to try and get your hair back and do not want to have transplants or use a hair system, I recommend using as many of these as you can afford, particularly Proscar and Minoxidil 5%. However, at this level of loss, you will probably want to seriously consider transplants, a hair system, or just accepting your hair loss, since chances of regaining a large amount of hair are not great. Using several of these combined treatments though, you may get enough to be acceptable. You can probably only expect to go to a type 5 or 6 from this level. An excellent responder could possibly make it to 4, but this is extremely unlikely with what is available today.