Hair loss due to high estrogen/almost no progesterone (estrogen dominance ED). Do lasers, PRP work if underlying cause remains?

Question

My doctors say my thinning/diffuse loss since age 50 results from high estrogen/progesterone deficiency due to hormonal shifts of impending meno. Diagnosis is ED; thyroid readings in the subliclinical hypo range; many other symptoms to support ED diagnosis. Labs showed some nutritional deficiencies (D, B vitamins, fatty acids, antioxidants). After reactions to levothyroxine, am now going on progesterone to balance estrogen. Can I assume laser, PRP, etc. won't work unless I first balance hormones?

Jason Emer, MD · Answer

Prp is effective, but I have a very specific protocol, every 3-4 weeks for 6 months with prp therapy. I also add in progesterone to speed the healing process.  After that the injections are tailored down. You should also be on viviscal and other growth promoting ingredients. See an expert for a formal evaluation. Best, Dr. Emer

Jeff Rapaport, MD · Answer

In  my opinion, hair loss in women is multifactorial. You have hormonal, nutritional, and  endocrine issues. Each needs to be addressed. Combination therapy utilizing minoxidil, oral or topical, hormonal therapy, low level laser, nutraceuticals, peptides and PRP can be helpful. Find a hair loss expert who can coordinate your diagnosis with treatment.

Michele S. Green, MD · Answer

Hair loss in women is a serious concern and there are a variety of reasons that cause it.  The best results come from a combination of treatments.  I would definitely advise you to treat the underlying causes of your hair loss and consider PRP as well as an adjunct treatment.  We have amazing results with PRP especially when it is combined with other specific modalities.  Please consult an expert in hair loss for the best cosmetic results. Best, Dr. Green

Jake Wardwell, DO · Answer

You should see a functional medicine doctor that can help evaluate the underlying cause of the hormone imbalance and nutritional deficiencies. Often times this is gut related and you may need to do a stool test to determine the issue. Prp can help to change the conditions of hair loss locally in the scalp and is one of the few things that can regenerate hair after loss. In some cases women may lose hair after hormone shifts in pregnancy and gain it back without any PRP. Ideally you will do a combination of PRP, a topical daily growth factor/follicle thickener like Keracell’s system and work with a functional medicine doctor on depleting deficecies and addressing underlying causes.

Hair loss due to high estrogen/almost no progesterone (estrogen dominance ED). Do lasers, PRP work if underlying cause remains?

Answers (4)

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