Hair loss, science and care: telehealth and treatment options explained

This episode examines hair loss in women and the biology behind it, highlighting how hair grows in cycles and how stress or hormonal factors can trigger shedding. Dermatologist Dr. Carolyn Goh explains the importance of an accurate diagnosis because different alopecia types respond to different treatments, while patient advocate Thea Chasin discusses living with alopecia and choosing baldness as an option. The piece also covers how telehealth can improve access to care, the role of prescription therapies such as minoxidil and spironolactone, and the emergence of new drug options like JAK inhibitors for alopecia areata. It emphasizes personalized care, careful evaluation, and community support to help people feel empowered about their hair and identity.

Overview and context

The episode centers on hair loss in women, the biology of hair growth, and the clinical pathways for diagnosis and treatment. It explains that each hair goes through growth, transition, and rest, with shedding occurring when a new hair pushes out the old one. Most shedding is temporary, but several distinct alopecia forms exist, including pattern hair loss and autoimmune alopecia areata, each with different signs, implications, and treatment options.

Diagnosis, access, and telehealth

Diagnosis can be challenging, and access to dermatologists can be limited. Telehealth is expanding, offering convenient care but not always sufficient on its own to distinguish between similar conditions. A careful, formal diagnosis remains essential to choose effective therapies and avoid wasted time and money.

Treatment landscape and patient stories

Traditional treatments like topical minoxidil and off-label use of spironolactone are common, with clinicians monitoring for side effects. New drugs, notably JAK inhibitors for alopecia areata, show promising results in regrowth. The episode also features personal experiences, including a founder advocating baldness as a normalization path and a patient navigating ongoing management. Quieter narratives remind listeners that hair loss can be managed with support and ongoing care, and that beauty can be redefined beyond hair presence.

Key takeaways and quotes

"Some hair loss is totally normal" - Dr. Carolyn Goh

"Telehealth isn't always the answer" - Thea Chasin

"New drugs to treat alopecia areata were approved in just the last few years. They're called JAK inhibitors" - Dr. Carolyn Goh