Hair loss: what really works and what to try first

Seeing more hair in the drain is stressful. The good news: many common types of hair loss respond to simple steps and proven treatments. This page cuts through hype and gives clear, practical actions you can try today, plus what to check before buying medications online.

Start by figuring out the likely cause. Male-pattern and female-pattern hair loss (androgenetic alopecia) usually shows as a receding hairline or widening part. Telogen effluvium is sudden shedding after stress, illness, or a big life event. Other causes include thyroid problems, low iron (ferritin below ~50 ng/mL can matter for some people), certain medications, and tight hairstyles that pull on the follicles.

Evidence-based treatments that work

Topical minoxidil (2% or 5%) and oral finasteride (1 mg) are the best-studied options for pattern hair loss. Expect to wait: minoxidil often needs 3–6 months of daily use, and finasteride usually shows benefit after 3–6 months too. Minoxidil can cause initial shedding for a few weeks; that’s normal. Finasteride can have sexual side effects in a small percentage of men, so talk to your doctor before starting.

Other proven options: low-level laser therapy (home devices or clinic treatments) and PRP (platelet-rich plasma) injections—PRP often uses three monthly sessions then maintenance every 4–6 months. Hair transplants give permanent results when done by an experienced surgeon, but expect cost, downtime, and a realistic discussion about density.

Microneedling can boost topical absorption and stimulate follicles. Small clinical trials show combining microneedling with minoxidil gives better results than minoxidil alone. If you try microneedling, follow sterile technique and avoid aggressive home devices without guidance.

Simple daily changes that help

Eat enough protein, check iron and vitamin D, and avoid crash diets. Stop tight ponytails and heavy braids. Scalp massage for a few minutes daily may improve blood flow and feels good. Use gentle shampoos and skip harsh chemical treatments while you’re trying to regrow hair.

When to see a doctor: sudden large-scale shedding, bald patches, severe scalp itching, or signs of infection need prompt evaluation. Ask for basic tests: TSH, ferritin, CBC, and for women, consider androgen levels if other signs appear.

Buying meds online? Be cautious. Use pharmacies that require a prescription, have clear contact details, secure websites (https), and positive independent reviews. Tools like CIPA and PharmacyChecker help verify Canadian and international pharmacies. Avoid vendors offering controlled drugs without a prescription or suspiciously low prices.

Final note: combine approaches—medical treatment plus lifestyle change—usually gives the best results. Pick one or two reasonable options, stick with them for at least 4–6 months, and check in with a dermatologist if progress stalls.