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December 23, 2010 @ 9:58 am

Treatment Options for Restoring Hair Loss in Men and Women


Dr. Candace Spann board-certified dermatologist with her private practice in Las Vegas NV joined the show.

She discusses differences between hair loss in men and women, treatment options for hair loss in men and women, potential cure for hair loss and more.

Note: Refer to audio player below to listen to this episode.

Dr. Candace Thornton Spann is a board-certified dermatologist and fellow of the American Academy of Dermatology. She completed her undergraduate training in 1995 with a Bachelor of Science degree from UCLA. In 2000, she graduated from Meharry Medical College in Nashville, Tennessee. Following the completion of her doctorate, she began her formal training at St. Luke’s – Roosevelt Hospital Center in New York City, a Columbia University Hospital.  After completing both her internship and residency she was in private practice for two years in New York City. During that time she was also an Attending Physician in Dermatology at St. Luke’s- Roosevelt and Beth Israel Medical Centers. She is now in private practice in Las Vegas, Nevada.

Dr. Spann is the proud mother of two small children. She has a wonderful husband of 12 years and spends her free time enjoying her family, exercising, traveling and singing.

Partial Transcript of Interview with Dr. Candace Thornton Spann

Eric Michaels: Discuss the differences between hair loss in men and women.

Dr. Spann: Hair loss in men is primarily a genetic problem. It happens through the conversion of testosterone to something called (DHT) Dihydrotestosterone. So we see a typical male pattern hair loss with their recession of the frontal hair line and extending back to the vertex of the scalp, usually with a healthy supply of hair in the back part of the scalp.

Hair loss in women is a different process. It's not usually called by testosterone or that DHT that we were talking about it tends to have multi-factorial causes. It could be vitamin deficiency it could be thyroid disorder it could be some underlying issue, it could be a stresser on the body - pregnancy or surgery. There are certainly people who have a genetic pre-disposition to it but because hair loss is so different between men and women it makes the treatment different between men and women.

Eric Michaels: Discuss treatment options for hair loss in men.

Dr. Spann: Treatment options for hair loss in men are varied. There are 2 products that are FDA approved that have proven to be efficient. The first is Minoxidil which is available over the counter in any different number of brand names and we know that Minoxidil works by helping to dilate the micro-circulation to stimulate the follicles. There is also a product call Finesteride under the brand name of Propecia and Propecia works to block that conversion of DHT to testosterone and in studies we have been able to prove that the density of a hair improves in treating men. All of the studies suggest that using a combination of Propecia or Finesteride plus Minoxidil works better than using one alone. If the man is not getting sufficient response from Finesteride - Minoxidil combination he may consider hair transplantation which is expensive but has a high success rate in men. There are other products and methods...

Eric Michaels: Now, let's discuss treatment options for hair loss in women.

Dr. Spann: As we were talking about before, the process of hair loss in women is different from the process of hair loss in men. So it doesn't make sense that all of our treatments that are available right now primarily target DHT and they suggest that women can use it too. For women effective treatment really targets some of the underlying issues. So if the woman has iron deficiency anemia, and that seems to be a cause in her hair loss then it's important to treat the iron deficiency anemia. If she has a thyroid issue, it's important to treat that thyroid issue. If the hair loss is falling a stresser, such as surgery or delivery of the baby... that is usually a self limited process however for a woman who is in the process of losing her hair whether it is self limited or not it isn't any kind of consolation. So typical things we do in our practice are injections of a steroid into the scalp. I have almost all women start taking a form of a Biotin, which is a B Vitamin, the B Vitamin, some people even call it B7, Biotin is important in promoting healthy hair, skin and nails....


Want the entire audio version of this eHealth Radio Episode?

Dr. Candace Thornton Spann discusses & answers:
- Is there any "cure" for hair loss that will not require ongoing treatment?
- Can anything be done to prevent hair loss?

- Conclusion Tip: Hair loss in men and women is not equivalent. A thorough history, physical, and evaluation is important to properly diagnose and treat hair loss. it is important to consult your dermatologist or other health care professional as early as possible in order to have the best results in treatment of hair loss.

Contact Information:
Web Site:
Facebook: Candace Thornton Spann

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Note: The views expressed do not necessarily reflect the opinions or beliefs of the show host or it's owners.

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