Would PRP for TE work for me after quitting spironolactone?

Question

I'm a woman, 45, with biopsy-proven AGA. 16 months ago, I quit minoxidil after 2 weeks bc of side effects but shed heavily for 5+ months. On my doctor's advice I just quit spironolactone after 3 weeks (25 mg dose) bc of extreme itching on scalp and body & it made my seb derm flare. I'm shedding 200-300 hairs/day since stopping (I shed extra from day 2 of spiro). Given my history of instant heavy shedding, would PRP help stem my current shed? Are there certain PRP protocols more likely to help?

Rosy Sandhu, MD · Answer

Thanks for your question. PRP is one of the most well studied nonsurgical hair-loss treatment which involves extracting the platelets from your own blood which are then injected into areas of your scalp, to restore thinning hair. The research done so far shows that PRP can be an effective treatment for most types of non-scarring hair loss conditions like TE, alopecia androgenetica and alopecia areata.
While we do not know the exact mechanism of action, but we believe that the growth factors released from the activated platelets increase the blood supply to the hair follicles and in turn, increases the follicular viability and density by lengthening the time line of the hair growth phase or anagen.We do recommend to start with a series of 3-6 treatments spaced 4- 6 weeks apart. In combination, I frequently would also recommend nutrafol supplements for nutritional support and balancing any hormonal imbalances which may also be contributing to hair loss. Also, vit D deficiency can exacerbate hair loss, so make sure that your levels are optimized.
I would advise that you make a consultation with a board certified physician for a customized treatment plan. Hope that helps.
Best regardsRosy Sandhu, MD

Jacquelline Leva, DO · Answer

Spironolactone can do hair shedding that is true. But it’s rare. Your doctor can track how your shedding has changed over the years since starting. If the shedding has been the same since starting then it could be. If shedding has been pretty calm some months and then picks up during other months, then it’s probably not.
For telogen effluvium it is a treatment of chose spironolactone.Prp can help. But depending how advanced AGA it can can vary how much a result you get 30-40% with prp alone. Combination treatments always do better minoxdil has years of study and Topical has fda backing. When first starting minoxdil it's not uncommon to see initial hair shedding as the hair follicles are converting to growth and shedding dormant follicles.

Tugkan Yilmaz, MD · Answer

hello firstly am sorry to hear that but PRP it can help for sure but you need to insert you hair photos to try to understand your currently situation thanks

Would PRP for TE work for me after quitting spironolactone?

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Would PRP for TE work for me after quitting spironolactone?

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