Femara and Female Hair Loss

Hello Dr. Rassman,

I’m hoping against hope that you have any suggestions for me. I’m 45, and I was diagnosed with stage 2 ER+ breast cancer 2 1/2 years ago. 21 months ago (after bi-lat mastectomy, chemo, rads, and a complete preventative hysterectomy) my oncologist started me on Femara, an aromatase inhibitor.

My hair grew back thick and full and normal after chemo and for 16 months after I started taking the femara — then suddenly 4months ago, it’s been falling out in massive amounts. Mostly in the front and crown. I’m at a loss as I know the femara is removing all estrogen from my body — and many of the hair loss drugs out there can mess with the work of the femara. I’ve started on Rogaine, but I’m not holding out much hope for that. Are there any other treatments that are safe for me? I’m desperate. Thanks so much.

Your priority should be the treatment of your cancer and with regard to your hair loss, you need to speak with your oncologist who has familiarity with hair loss with chemotherapeutic agents. I do not know enough to help you, sorry.